Trinity Care Center
TRINITY CARE CENTER in FARMINGTON, MN — inspection on April 30, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 4/30/26 at 8:10 a.m., R5 stated they experienced dizziness when sitting or
A facility policy titled Change in Condition, revised 7/29/25, indicated staff would notify the physician for multiple reasons including the possible need to discontinue or start a new treatment.
R68 R68's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R68 had severely impaired cognition and required substantial to maximum assistance with activities of daily living (ADLs).
R68's diagnoses included type 1 diabetes mellitus (a condition where the body's immune system attacks and destroys insulin-producing beta cells in the pancreas, resulting in little or no insulin production and leading to high blood sugar levels) with other diabetic neurological complications and other frontotemporal neurocognitive disorder (progressive brain disease that primarily affect that leads to changes in behaviors, personality, language and movement).
R68 had a physician order dated 10/3/25, for accuchecks (blood sugar checks) 3 times a day with meals: must update provider if blood sugar is less than 90mg/dl or greater than 400mg/dl. If less than 70 mg/dl give glucose gel.
R68's vital signs record dated 3/26/26, indicated a blood sugar of 498.0mg/dl and vital signs record dated 4/20/26, indicated a blood sugar of 449.0 mg/dl.
R68's electronic medical record (EMR) showed no evidence of provider notification for blood sugar reading of 498.0mg/dl on 3/26/26, and blood sugar reading of 449.0mg/dl on 4/20/26.
During an interview on 4/29/26 at 8:45 a.m., registered nurse (RN)-B stated if a resident's blood sugar reading was elevated and they had an order for the provider to be notified, staff would notify the provider and would document the notification in the EMR.
During an interview on 4/29/26 at 9:08 a.m., nurse manager and registered nurse (RN)-A stated staff should notify the provider of blood sugar readings of 498.0mg/dl and 449.0mg/dl. RN-A completed a brief EMR review and was unable to locate notifications sent to provider for the two incidences of blood sugar readings greater than 400mg/dl. RN-A stated they would provide staff education on expectations for provider notification.
A facility policy titled Change in Condition, revised 7/29/25, indicated staff would notify the physician for multiple reasons including the possible need to discontinue or start a new treatment.
245250 04/30/2026
Trinity Care Center 905 Elm Street Farmington, MN 55024
During an interview on 4/30/26 at 8:12 a.m., the assistant director of nursing/MDS coordinator (ADON) stated that R23's discharge MDS had been missed.
The ADON stated that sometimes he would wait a few days to submit the discharge MDS to ensure the resident was not readmitted .
The ADON stated he might have done this and then forgotten to complete the assessment.
The ADON stated that it looks like a discharge return not anticipated MDS should have been completed.The facility's MDS 3.0 Assessment policy dated 8/20/24, indicated that a discharge assessment should be completed within 14 days of discharge.
245250 04/30/2026
Trinity Care Center 905 Elm Street Farmington, MN 55024
During an interview on 4/20/26 at 10:14 a.m., The director of nursing confirmed she would expect any changes related to resident's care be reflected in the care plan. A policy titled Person Centered care Planning revised 4/20/23, indicated the facility will develop a comprehensive person-centered careplan with the resident and/or family representative for each resident consistent with the resident's rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs identified in the resident's comprehensive assessment.
The policy also indicated careplans are updated on an ongoing basis as need based on changes that occur between care conferences.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.