Every finding on record at Trinity Health Care Services, Inc.

During the Health Recertification survey commenced on 04/06/2026 and concluded on 04/07/2026 at Trinity Health Care Services, Inc, a Home Health Agency provider, Emergency Preparedness was reviewed. Trinity Health Care Services, Inc was in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.102, Condition of Participation for Home Health Agencies.

An unannounced recertification survey was conducted on 04/06/26 through 04/07/26 at Trinity Health Care Services, Inc. The home health agency was not in compliance with 42 CFR Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on record review and interview, the Home Health Agency (HHA) failed to ensure vital signs monitoring were conducted as ordered in the plan of care for 1 of 1 sampled patient clinical record reviewed for skilled nursing services (Patient #1) The findings include: Review of Patient #1’s clinical record revealed a start of care date of 09/04/2012. Further review of the patient’s plan of care for the certification period 02/23/26 through 04/23/26 included physician orders for the skilled nurse to perform a thorough assessment of all body systems and to monitor vital signs, including pain level, at each visit. Review of the skilled nursing visit notes dated 02/23/26 through 03/27/26 failed to include documentation of blood pressure readings. On 04/07/26 at 10:37 AM, a phone interview was conducted with the Staff A, Licensed Practical Nurse regarding the absence of documented blood pressure readings in her skilled visit notes. Staff A acknowledged the findings. On 04/07/26 at 10:39 AM, during a joint record review and interview, the Director of Nursing (DON) confirmed the lack of documented blood pressure monitoring.