Trinity Elms

The facility failed to ensure water was served to all assisted living residents at each meal in addition to other beverages. Observations during lunch on 03/03/26 and breakfast on 03/04/26 showed that while other drinks were provided, water was only served to a small number of residents upon request.

The facility failed to ensure water was served to all assisted living residents at each meal in addition to other beverages. Observations during lunch and breakfast services showed that while other drinks were provided, water was only served to a small number of residents upon specific request.

The facility failed to provide adequate supervision for a resident who had experienced falls resulting in injuries. Specifically, the facility did not implement necessary interventions or adjust care plans to address the resident's increased fall risk and changing needs.

The facility failed to provide adequate supervision for a resident identified as a high fall risk. Specifically, the facility did not implement necessary interventions or follow post-fall assessment protocols for a resident who had experienced falls resulting in injuries.

The facility failed to ensure that a licensed health professional had completed competency validations for staff performing personal care tasks. Specifically, two staff members (Staff A and Staff E) were found to be performing tasks such as transferring residents and assisting with ambulating using walkers without documented validation of their competence.

The facility failed to ensure that a licensed health professional had completed competency validations for staff performing personal care tasks. Specifically, two sampled staff members lacked documentation for competency in tasks such as transferring semi-ambulatory residents and ambulating with assistive devices.