Trinity Care Center: Diabetes Alert Failures - MN
The resident, identified in inspection records only as R68, had a standing physician order requiring staff to notify the provider any time blood sugar exceeded 400 mg/dL. The readings on March 26 and April 20 both crossed that line. The facility's electronic medical record showed no notification sent to the provider after either one.
R68 had severely impaired cognition and required substantial to maximum assistance with daily activities. The diagnoses included Type 1 diabetes, a condition in which the body produces little or no insulin, along with a progressive brain disease affecting behavior, personality, and movement. R68 was not in a position to flag the oversight independently.
When a nurse manager reviewed the electronic records during the inspection on April 29, she was unable to find any documentation of provider contact for either reading. She told inspectors that staff should have made those calls, and said she would provide education on notification expectations.
A second resident, R5, told inspectors on April 30 that they experienced dizziness when sitting up or standing too quickly and had learned to move slowly to manage it. Inspectors found that a significant drop in blood pressure associated with position changes had not been reported to a physician.
The nurse who discussed that case said she would educate staff and clarify with the provider what changes in condition required notification.
Both findings fell under the same deficiency: staff failing to tell doctors when something changed. The facility's own policy, updated as recently as July 2025, listed provider notification as a required step when a resident's condition raised the possibility of starting or stopping treatment. In R68's case, a blood sugar nearly 100 points above the call threshold apparently did not prompt that step, twice.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Trinity Care Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
TRINITY CARE CENTER in FARMINGTON, MN was cited for violations during a health inspection on April 30, 2026.
The readings on March 26 and April 20 both crossed that line.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.