Trinity Village Medical Center

In the surveyor’s words

From the most serious findings on record at Trinity Village Medical Center, in the surveyor’s own words.

• Immediate jeopardy, patternF609Nov 22, 2022

  Based on interview and record review, the facility failed to ensure injuries of unknown origin were reported to the Office of Long Term Care (OLTC) and other agencies in accordance with state law, to enable those agencies to provide any necessary oversight of the facility's investigations and protective measures for 2 (Residents #1 and #2) of 3 (Residents #1, #2 and #3) sampled residents who had a history of falling. This failed practice resulted in Immediate Jeopardy, which caused or could have caused serious harm, injury, or death to Resident #1 who had an abrasion of unknown origin on 10/29/22 and Resident #2 who had bruises of unknown origin on 10/27/22. […]

• Immediate jeopardy, patternF610Nov 22, 2022

  Based on interview and record review, the facility failed to ensure injuries of unknown origin were properly investigated for 2 (Residents #1 and #2) of 3 (Residents #1, #2 and #3) sampled residents who had a history of falling. This failed practice resulted in Immediate Jeopardy, which caused or could have caused serious harm, injury, or death to Resident #1 who had an abrasion of unknown origin on 10/29/22 and to Resident #2 who had bruises of unknown origin on 10/27/22. The failed practice had the potential to affect all 67 residents in the facility as documented on the Daily Census Report which was provided by the Activity Director on 11/21/22 at 8:02 a.m. The Administrator was notified of the Immediate Jeopardy on 11/21/22 at 1:00 PM. The findings are: 1. […]

• Immediate jeopardy, patternF689Nov 22, 2022

  Based on record review and interview, the facility failed to ensure professional standards of practice for fall protocols were followed to prevent accidents for 1 (Resident #2) of 3 (Residents #1, #2 and #3) sampled residents who had a history of falling. This failed practice resulted in Immediate Jeopardy that caused or could have caused serious harm, injury or death to Resident #2 who was assisted to the floor by 2 staff members and sustained a fracture to the left femur and a subdural hematoma and had the potential to affect all 67 residents in the facility as documented on the Daily Census Report provided by the Activity Director on 11/21/22 at 8:02 AM. The Administrator was notified of the Immediate Jeopardy condition on 11/21/22 at 1:00 PM. The findings are: 1. […]

• Immediate jeopardy, patternF689Nov 4, 2022

  Based on observation, record review, and interview, the facility failed to ensure G-Hall, which was under construction and was unsecured with multiple hazards, was not accessible to the residents, which resulted in an elopement of Resident #1 due to the fire door being propped opened with a chunk of concrete. This failed practice had the potential to affect 32 residents who were ambulatory by any means as documented on a list provided by the Administrator on 11/04/22 at 9:57 a.m. This failed practice resulted in an Immediate Jeopardy, which caused or could have caused serious harm, injury, or death to Resident #1 who had eloped from the facility on 10/28/22. The Administrator was notified of the current Immediate Jeopardy on 11/02/22 at 4:58 p.m. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 18, 2024

  Based on observation and interview, the facility failed to ensure dirty trash cans were stored away from the food storage racks; kitchen sink was free of leaks; the walk-in freezer floor was free of ice buildup; the ice machine and ice scoop were maintained in clean and sanitary conditions to prevent potential growth of harmful bacteria that could be transferred to the residents food; opened food items in the refrigerator, freezer and storage room were covered, sealed, and dated; and expired foods were promptly removed from stock to maintain freshness and prevent potential cross contamination; dietary staff practiced good hand hygiene to prevent potential cross contamination of food and clean dishes; and hot food item was maintained at the required temperature on the steam table and… […]