Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Trinity Healthcare Center during CMS and state inspections, most recent first.
Inaccurate MDS Hospice Coding: The facility failed to accurately complete and submit a Significant Change MDS for a resident who was not receiving hospice services. The MDS RN Coordinator acknowledged she mistakenly coded hospice care even though hospice had not been ordered and the family had chosen comfort measures instead. The DON confirmed the resident did not receive hospice services, and the resident had malignant neoplasm of the pancreas with a BIMS score of 8 indicating moderate cognitive impairment.
Uncovered Transport of Clean Linens: An unidentified staff member was observed transporting clean linens in an uncovered cart in a resident hallway. The facility's IPC policy stated linens are to be covered to prevent contamination, and the Administrator confirmed staff had been educated on safe linen transport.
The facility failed to implement comprehensive care plans for two residents, leading to unmet care needs. A resident with Multiple Myeloma showed nonverbal signs of pain that were not adequately addressed, as pain medication was not administered regularly. Another resident with dementia was observed with long facial hair, indicating neglect of personal hygiene care. Staff interviews confirmed that care plans were not properly followed.
A resident with Multiple Myeloma exhibited nonverbal signs of pain, such as loud moaning, especially during movement. Despite having a PRN order for Hydrocodone-Acetaminophen, the resident received the medication infrequently. Staff interviews confirmed difficulty in assessing pain due to the resident's inability to verbalize, relying on changes in moaning as an indicator. The facility's pain management policy was not effectively implemented, leading to inadequate pain management.
A CNA was found to have misappropriated a resident's property, specifically a bottle of lotion, from a cognitively impaired resident's room. The DON noticed the lotion in the CNA's bag, which matched the one given to the resident in a gift basket. Camera footage confirmed the CNA's actions, despite her denial. The resident's daughter confirmed the lotion was missing, and the facility's investigation substantiated the misappropriation.
A facility failed to send a written notice to a resident's representative regarding a hospital transfer, as required by policy. The resident, who had unspecified dementia with behavioral disturbances, was hospitalized for a possible head injury due to a fall. Interviews with an LPN and the Administrator revealed that the facility was unaware of the regulation to send such notices.
A resident with unspecified dementia was not assisted with shaving, despite his preference to be clean-shaven every other day. The facility's policy required assistance with grooming facial hair according to resident preference, but the resident was not shaved on his scheduled shower days. The DON confirmed the expectation for aides to shave male residents on these days, highlighting a failure to adhere to the grooming policy.
The facility failed to properly store narcotics in the 100-hall medication room. A vial of Ativan was found unsecured in the refrigerator, contrary to the facility's policy requiring controlled substances to be in a locked compartment. This was confirmed by an LPN and acknowledged by the DON, who noted the risk of the Ativan being easily removed or mixed up with other items. The Pharmacy Consultant had previously discussed this issue, believing corrective measures were in place.
A facility failed to store a respiratory suctioning device properly, leading to an infection control concern. A suction machine and unbagged yankauer suction tool were found on the floor beside a resident's bed. Facility policy requires such equipment to be bagged when not in use to prevent infection spread. An LPN and the DON confirmed the storage issue as a concern. The resident involved had a diagnosis of unspecified dementia.
Inaccurate MDS Hospice Coding
Penalty
Summary
The facility failed to accurately complete and submit a Significant Change MDS assessment for a resident who was not receiving hospice services. Facility policy titled, "Conducting an Accurate Resident assessment," stated that residents are to receive an accurate assessment reflective of their status at the time of the assessment by staff qualified to assess relevant care areas. In the resident's Significant Change MDS Section O - Special Treatments, Procedures, and Programs dated 3/25/26, the assessment indicated the resident received hospice care while at the facility. Record review showed hospice services had not been ordered for the resident since admission on 12/23/25. The MDS RN Coordinator stated she was responsible for completing and submitting MDS assessments and acknowledged that the resident, family, and staff had discussed hospice, but the family chose comfort measures instead of hospice. She stated she mistakenly submitted a significant change MDS for hospice care, resulting in an inaccurate assessment. The DON confirmed the resident did not receive hospice services during the admission and that the MDS should have been entered and submitted accurately. The resident had a diagnosis of malignant neoplasm of the pancreas and a BIMS score of 8, indicating moderate cognitive impairment.
Uncovered Transport of Clean Linens
Penalty
Summary
The facility failed to ensure clean linens were transported in a manner that prevented contamination. During observation on 4/28/2026 at 11:34 AM, an unidentified staff member was seen transporting clean linens in a cart without a cover in the resident hallway. Review of the facility's Infection Prevention and Control Program, implemented in 10/2022, showed that the facility had established a program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections according to accepted national standards and guidelines. During interview, the Administrator confirmed that staff had been educated on the safe transportation of residents' linens and that linens are to be covered to prevent contamination.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to implement a comprehensive care plan for two residents, leading to deficiencies in addressing their needs. Resident #29, diagnosed with Multiple Myeloma and a secondary malignant neoplasm of bone, exhibited nonverbal signs of pain, such as moaning and crying, which were not adequately addressed by the staff. Despite having a care plan that included administering pain medication as needed, the resident's pain was not managed effectively, as evidenced by the lack of regular administration of prescribed pain medication. Interviews with staff, including a CNA and the DON, confirmed that the care plan was not being implemented properly, and the resident's inability to verbalize pain levels was not considered in the care plan's goals. Resident #17, who had a diagnosis of unspecified dementia and required substantial assistance with personal hygiene, was observed with long facial hair, indicating that the care plan for personal hygiene was not followed. The DON confirmed that the care plan was intended to guide resident care but acknowledged that it was not adhered to in this instance. These observations and interviews highlight the facility's failure to implement and follow comprehensive care plans tailored to the residents' specific needs, resulting in unmet care requirements.
Inadequate Pain Management for Resident with Multiple Myeloma
Penalty
Summary
The facility failed to ensure adequate pain management for a resident diagnosed with Multiple Myeloma and Secondary Malignant Neoplasm of Bone, who exhibited nonverbal signs of excruciating pain. Observations revealed that the resident frequently moaned loudly, with increased intensity during movement or transfers, indicating potential pain. Despite having a physician's order for Hydrocodone-Acetaminophen to be administered every four hours as needed, the resident received the medication only nine times in 29 days, with the last administration occurring over a day before the observation. Interviews with staff, including CNAs, LPNs, and RNs, confirmed that the resident's moaning was a consistent behavior, but it intensified during movement, suggesting pain. The staff acknowledged that the resident's condition likely caused pain, especially during transfers, but pain medication was not routinely administered during these times. The resident's husband and staff expressed difficulty in assessing the resident's pain level due to her inability to verbalize, relying instead on changes in her moaning as an indicator. The facility's policy on pain management emphasizes a systematic approach to recognizing, assessing, treating, and monitoring pain. However, the staff's reliance on nonverbal cues without a structured reassessment process led to inadequate pain management for the resident. The Director of Nursing and other staff members recognized the need for a more consistent pain management plan, potentially involving scheduled medication, given the resident's severe cognitive impairment and the nature of her medical condition.
Misappropriation of Resident's Property by CNA
Penalty
Summary
The facility failed to safeguard a resident's personal property, leading to the misappropriation of a bottle of lotion. The incident involved a Certified Nurse Assistant (CNA) who was suspected of taking the lotion from a resident's room. The Director of Nursing (DON) noticed a bottle of lotion in the CNA's bag that matched the one given to the resident in a gift basket. Camera footage confirmed that the CNA entered the resident's room without the lotion and exited with it visibly in her pocket. The resident involved was severely cognitively impaired, with a diagnosis of unspecified dementia, and was not aware of the missing item. The resident's daughter confirmed that the lotion was part of a gift basket provided by the facility. Despite the CNA's denial, the facility's investigation, including witness statements and camera footage, substantiated the misappropriation of the resident's property.
Failure to Notify Resident Representative of Hospital Transfer
Penalty
Summary
The facility failed to provide a written notice to the resident representative regarding a resident's transfer to the hospital. This deficiency was identified for one of three residents reviewed for hospitalizations. The facility's policy, dated October 2022, requires that transfer/discharge notices be provided to both the resident and their representative in an understandable language and manner. However, a review of Resident #8's hospital discharge summary revealed that the resident was hospitalized for a possible head injury due to a fall, and no written notice was sent to the resident's representative. Interviews with the LPN/Medical Records and the Administrator confirmed that the facility did not send written notices to representatives for transfers or discharges and were unaware of the regulation requiring this action. Resident #8 was admitted with medical diagnoses including unspecified dementia, mild with other behavioral disturbances.
Failure to Assist Resident with Grooming
Penalty
Summary
The facility failed to provide assistance with activities of daily living (ADLs) for a resident who was dependent on staff for shaving. Resident #17, who was admitted with a medical diagnosis of unspecified dementia, was observed with gray facial hair approximately one-fourth inch in length, despite his preference to be clean-shaven every other day. The facility's policy stated that residents should be assisted with grooming facial hair according to their preference. However, an interview with a Certified Nurse Aide (CNA) revealed that the resident was scheduled to be shaved on his shower days, which were Tuesday, Thursday, and Saturday, but he was not shaved as expected. The Director of Nursing (DON) confirmed the expectation for aides to shave male residents on their shower days, indicating a lapse in following the facility's grooming policy for Resident #17.
Improper Storage of Narcotics in Medication Room
Penalty
Summary
The facility failed to safely store narcotics in one of its medication rooms, specifically the 100-hall medication room. During an observation, a vial of Ativan, a controlled substance, was found in a clear plastic box in the refrigerator, not secured in a compartment affixed to the refrigerator. This was confirmed by an LPN present during the observation. The Director of Nursing acknowledged that the Ativan was not stored in compliance with the facility's policy, which requires controlled substances to be in a separately locked compartment. The Director also noted the potential for the Ativan to be easily removed or mixed up with other items in the refrigerator. A telephone interview with the Pharmacy Consultant revealed that this issue had been discussed previously, and it was believed that corrective measures had been implemented. However, the observation indicated that the necessary safeguards to prevent loss, diversion, or accidental exposure of controlled substances were not in place.
Improper Storage of Respiratory Suction Device
Penalty
Summary
The facility failed to properly store a respiratory suctioning device, leading to a potential infection control issue for one of two residents using such devices. During observations, a suction machine with attached tubing was found on the floor beside a resident's bed, with an unbagged yankauer suction tool also lying on the floor. The facility's policy requires respiratory equipment to be bagged when not in use to prevent infection spread. Interviews with an LPN and the Director of Nursing confirmed that the improper storage of the suction device was an infection control concern and that the equipment should have been bagged to maintain cleanliness. The resident involved was admitted with a medical diagnosis of unspecified dementia.
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Illustrative
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aurora Health And Rehabilitation | 1 mi | ★★★★★ | 12 | 0 |
| The Windsor Place | 1.4 mi | ★★★★★ | 0 | 0 |
| Vineyard Court Nursing Center | 3.2 mi | ★★★★★ | 3 | 0 |
| Baptist Memorial Hospital Gt | 3.5 mi | — | 0 | 0 |
| West Point Community Living Center | 16.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.