Trinity Rehab: Fall Response Failures Cause Actual Harm - TX
The inspection, triggered by a complaint, cited the facility under F0684, a federal tag reserved for care that falls below professional standards....
Latest reports, citations, and penalties from CMS data
The inspection, triggered by a complaint, cited the facility under F0684, a federal tag reserved for care that falls below professional standards....
That explanation came from the administrator herself, identified in the inspection report only as V1....
The inspection, conducted as a complaint survey, produced a citation under F0755, the federal tag governing pharmacy services and medication administration....
The citation carries a finding of actual harm, meaning inspectors determined a resident was genuinely hurt, not merely placed at risk....
It is, in the language of federal oversight, a quality of care deficiency....
Inspectors noted that a few residents were affected....
Inspectors arrived on October 22, 2025, following a complaint....
Federal inspectors arrived on a complaint survey and pulled nursing staff postings covering September 2025 through the date of their visit....
Resident 2 complained that her compression hose was bothering her left ankle....
A certified nursing assistant, identified as CNA #4, told inspectors she had been educated and disciplined by management after the incident....
The facility has filed no plan of correction....
The resident, identified in inspection records only as Resident #2, was admitted to the facility with an infected diabetic ulcer on the right foot....
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting a small number of residents....
The October 2025 inspection, triggered by a complaint, resulted in a single cited deficiency under the federal tag governing residents' physical environment....
The October 22 complaint inspection centered on a single resident, identified in records only as Resident #1, whose in-room phone had been removed....
Inspectors caught the error during a complaint survey on October 21, 2025....
The November 2025 complaint inspection, completed on November 13, turned up 19 deficiencies at the facility....
Inspectors classified it as an isolated deficiency with no documented harm to any resident, but with potential for more than minimal harm....
The violation was tagged at the level of minimal harm or potential for actual harm....
The finding came out of a complaint inspection conducted October 22, 2025....