Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Trinitas Hospital during CMS and state inspections, most recent first.
The facility did not maintain the State of New Jersey inspection results in a location accessible to residents, families, and the public. During a Resident Council Meeting, residents were unaware of the survey results' location, and staff indicated the binder was kept behind the nurse's station without any signs directing to it. The RN on one unit could not locate the binder, and the administration admitted the results were not readily accessible.
The facility failed to maintain a clean and safe environment in two units, with issues such as detached baseboard trim, water stains, and clutter in the shower room. Resident rooms had brown stains on walls and medical equipment, and garbage receptacles lacked bags. Staff interviews revealed inconsistencies in cleaning responsibilities, leading to a failure in maintaining a homelike environment.
The facility failed to follow infection control practices, including hand hygiene and PPE use, during care for three residents. An LPN did not perform hand hygiene between glove changes and broke aseptic techniques during tracheostomy care. An RN and CNA did not wear gowns or perform hand hygiene during feeding tube and wound care for a resident on Enhanced Barrier Precautions. Another CNA and RN also failed to wear gowns while caring for a resident with medical devices. These deficiencies were confirmed by the Infection Preventionist and DON.
A facility failed to provide privacy for a resident during hygienic care, as observed by a surveyor. The resident was exposed while sitting on the toilet with the bathroom door open. An LPN was uncertain about door closure during dressing, while the DON confirmed that doors should have been closed. The facility's policy requires staff to protect resident privacy during personal care.
A resident with severe cognitive impairment and dependency in self-care and mobility was found without access to a call device, as it was placed out of reach. The resident was seated in a geriatric recliner chair, while the call device was hanging from the oxygen system on the opposite side of the bed. The DON acknowledged the issue, which was contrary to the facility's policy requiring accessible call systems for residents.
A facility failed to complete and transmit a Minimum Data Set (MDS) death in facility tracking record for a resident who expired, as required by federal guidelines. The MDS Coordinator confirmed that the record was not completed or transmitted, despite the facility's policy requiring timely submission in accordance with federal and state timeframes.
A facility failed to develop a comprehensive care plan for a resident's elopement alarm. The resident, diagnosed with muscle weakness and anxiety, had a physician's order for a wanderguard since September 2021. Despite the daily use of an elopement alarm confirmed by assessments, the care plan lacked measures addressing this need. The Nurse Manager acknowledged the oversight, which contradicted the facility's policy on comprehensive care plans.
Inaccessible State Survey Results
Penalty
Summary
The facility failed to maintain the most recent State of New Jersey inspection results in a location that was readily accessible to residents, families, and the public. This deficiency was identified across all three units of the facility. During a Resident Council Meeting, five alert and oriented residents reported being unaware of the location of the State Survey results and stated that the facility had not communicated these results to them. During a tour, the surveyor had to inquire at the nurse's station on each unit to locate the survey results binder, which was kept behind the nurse's station. Staff indicated that residents could view the binder if they asked for it, but there were no signs directing residents, families, or the public to its location. On one unit, the RN was unable to locate the binder when asked. The Licensed Nursing Home Administrator and the Director of Nursing acknowledged that the results were kept behind the desk and admitted that they did not consider the binder to be readily accessible. The facility also lacked a policy regarding the inspection results.
Deficiencies in Cleanliness and Safety in Facility Units
Penalty
Summary
The facility failed to maintain a clean, safe, and sanitary environment in two of its units, as evidenced by several observations made by surveyors. On the North Unit, a detached baseboard trim and water stains on ceiling tiles in the shower room were noted. Additionally, the shower room contained various items such as a portable commode and commode buckets, which were not appropriately stored. Interviews with the Maintenance Director and Assistant Housekeeping Director revealed that while investigations and cleaning are conducted, there was a lack of coordination in handling residents' personal items, leading to clutter and potential safety hazards. Further deficiencies were observed in resident rooms, where brown stains were found on walls and medical equipment, and garbage receptacles lacked bags. A strong odor of fecal matter was also noted in one room. Interviews with nursing and housekeeping staff indicated a shared responsibility for cleaning, but inconsistencies in execution were apparent. The presence of brown residue, identified as enteral formula, on walls and medical equipment was acknowledged by staff, highlighting a failure to maintain a homelike environment as per facility policy.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to adhere to proper infection control practices during tracheostomy care for Resident #52. LPN #1 did not perform hand hygiene between glove changes and broke aseptic techniques by touching the sterile glove with an ungloved hand and retrieving supplies with sterile gloves on. These actions were confirmed by LPN #1, the Infection Preventionist, and the Director of Nursing, who acknowledged the importance of hand sanitation and maintaining sterility during such procedures. In another instance, RN #1 and CNA #1 did not follow Enhanced Barrier Precautions while providing care to Resident #84. RN #1 did not wear a gown while disconnecting a feeding tube and failed to perform hand hygiene between glove changes during wound care. CNA #1 also did not wear a gown during the wound care procedure. The Infection Preventionist and the Director of Nursing confirmed the necessity of wearing gowns and performing hand hygiene to prevent infection transmission. Additionally, CNA #2 and RN #2 did not wear gowns while providing care to Resident #23, who was on Enhanced Barrier Precautions. Both staff members acknowledged the requirement to wear gowns during high-contact care activities. The Infection Preventionist reiterated the policy that residents with medical devices require gloves and gowns during such care, highlighting the facility's failure to comply with established infection control protocols.
Failure to Ensure Resident Privacy During Hygienic Care
Penalty
Summary
The facility failed to ensure privacy for a resident during hygienic care, as observed by a surveyor. The incident involved a resident who was exposed while sitting on the toilet with the bathroom door open, revealing the resident's upper body. This observation was made during a surveyor's visit. An LPN interviewed by the surveyor expressed uncertainty about whether the doors should remain open during the resident's dressing. The Director of Nursing later confirmed that the doors should have been closed to maintain privacy. The facility's policy on dignity, dated March 2024, mandates that staff promote and protect resident privacy during personal care and treatment procedures.
Call Device Inaccessibility for Dependent Resident
Penalty
Summary
The facility failed to ensure that a call device system was within reach for a resident who was dependent on staff assistance. This deficiency was identified during a survey when the call device was observed to be out of reach for a resident with severe cognitive impairment and dependency in self-care and mobility. The resident, diagnosed with Dementia and Alzheimer's Disease, was seated in a geriatric recliner chair next to the right side of the bed, while the call device was hanging from the oxygen system on the left side of the bed, making it inaccessible. The deficiency was confirmed through multiple observations and an interview with the Director of Nursing (DON), who acknowledged the inappropriateness of the situation. The facility's policy requires that residents have access to a call system to alert nursing staff, and if a resident is unable to use the system, they should be housed close enough to the nursing station for supervision. However, this policy was not adhered to in the case of the resident in question.
Failure to Complete and Transmit MDS Death Tracking Record
Penalty
Summary
The facility failed to complete and transmit a Minimum Data Set (MDS) death in facility tracking record in accordance with federal guidelines for one of the two residents reviewed for resident assessment. Specifically, the deficiency involved a resident who expired on a certain date, and the electronic health record showed that no death in facility tracking record was completed for the resident's death. The MDS Coordinator confirmed during an interview that the death in facility tracking record was neither completed nor transmitted for the resident, although it should have been completed by a specified date. The facility's policy on MDS Completion and Submission Timeframes, which was reviewed by the surveyor, mandates that resident assessments be conducted and submitted in accordance with current federal and state submission timeframes.
Failure to Develop Comprehensive Care Plan for Elopement Alarm
Penalty
Summary
The facility failed to develop a comprehensive care plan to address the use of an elopement alarm for a resident. The deficiency was identified during a survey when the resident was observed with an elopement alarm on their left ankle. The resident's medical record indicated diagnoses of muscle weakness and anxiety, and a physician's order from September 2021 required the use of a wanderguard. The minimum data set assessment from November 2024 confirmed the daily use of an elopement alarm. However, upon review, it was found that the resident's care plan did not include any measures addressing the elopement alarm, despite its initiation in September 2021. The Nurse Manager confirmed the absence of a care plan for the elopement alarm, which was contrary to the facility's policy requiring comprehensive care plans based on thorough assessments.
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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 Elizabeth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elmora Hills Health & Rehabilitation Center | 1.4 mi | ★★★★★ | 7 | 0 |
| Elizabeth Nursing And Rehab Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Plaza Healthcare & Rehabilitation Center | 1.6 mi | ★★★★★ | 0 | 0 |
| Aristacare At Parkside | 3.5 mi | ★★★★★ | 0 | 0 |
| Cornell Hall Care & Rehabilitation Center | 3.7 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.