I placed Aunt Joan here and the staff provided very good, compassionate care that made her final months comfortable. The facility is spacious with ground-floor gathering areas where kids can run without disturbing others. Staff were friendly and helpful - I often heard a nursing assistant singing and saw residents smiling and affectionate. Overall, I'm very pleased with the care.
Loved one of resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
2.62·(21)
Overall rating
5
4
3
2
1
Care
2.6
Staff
2.3
Meals
2.6
Amenities
2.0
Value
1.0
Pros
Compassionate nursing and caregiver interactions
Friendly, helpful staff
Comfortable, dignified end-of-life care
Affectionate staff–resident engagement
Spacious common areas and ground-floor family space
Ability to host family gatherings
On-site physical and occupational therapy services
Positive short-term rehabilitation outcomes
Cons
Inconsistent clinical care quality
Chronic understaffing and high staff turnover
Gaps in medication administration and documentation
Weak discharge-planning and family-communication processes
Inadequate wound-care and infection-prevention practices
Poor building maintenance and dated, dim interior aesthetics
Insufficient and inconsistent activity programming
Unreliable call-bell response and resident-assistance systems
Staff conduct and responsiveness
Allegations of theft and overcharging
Summary of reviews
Reviewer feedback for Trinity Homes is mixed, showing a facility that delivers clear strengths in interpersonal care while also exhibiting recurring operational weaknesses. Several families described warm, compassionate interactions from nursing assistants and other caregivers, noting moments of affectionate, engaging behavior (singing, smiling residents, and helpful staff). Some short-term rehabilitation stays were described as effective, and the building’s ground-floor and common spaces were repeatedly praised for being spacious and family-friendly, allowing gatherings and intergenerational visits.
At the same time, reviewers raised substantive concerns about consistency of clinical care. Descriptions indicate variability in how clinical issues are managed: medication administration and documentation were identified as unreliable in multiple accounts, and reviewers reported shortcomings in wound care and infection-prevention practices. Several families said they needed to advocate to obtain clinical results or adequate follow-up, and there were reports of inadequate discharge instructions and unresponsive communication from staff and leadership.
Staffing and management emerged as central themes. Many comments point to chronic understaffing, high staff turnover, and staffing gaps in specific services such as physical therapy. Those workforce challenges appear to affect responsiveness (including call-bell response), continuity of care, and the consistency of activity programming. Reviewers also described concerns about management decisions and leadership style, which some families linked to staff morale and personnel changes.
Facility condition and programmatic offerings are described as uneven. Positive notes about spacious common areas and the ability to host family events coexist with descriptions of dated décor, worn carpeting, dim interiors, and sanitation concerns in certain areas. Activity programming was praised in some interactions but described as neglected or inconsistent by others, suggesting variability across units or shifts.
Safety and conduct issues were raised with enough frequency and specificity to merit attention from prospective families. Beyond the clinical concerns already noted, reviewers described problems with call-bell reliability, bed placement practices, confidentiality lapses involving an individual clinician on a specified unit, and serious financial concerns described as alleged theft and overcharging. While some accounts praised attentive, compassionate caregivers and positive outcomes for particular residents, other accounts described significant lapses that resulted in families choosing alternate providers.
In summary, Trinity Homes appears to offer genuine strengths in staff compassion, family-friendly spaces, and rehabilitation capability, but those positives are tempered by recurring operational issues: inconsistent clinical quality, staffing shortfalls, management and communication weaknesses, facility upkeep needs, and a handful of serious allegations. Families considering Trinity Homes should weigh the facility’s interpersonal strengths against these operational patterns, ask targeted questions about staffing levels, wound care protocols, medication administration procedures, call-system reliability, and financial practices, and seek recent, unit-specific observations or references before making a placement decision.
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Medicare Ratings
1·/ 5
Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Trinity Homes is located at 305 8th Ave NE, Minot, ND, 58703.
About Trinity Homes
Trinity Homes is a care facility dedicated to providing a supportive and compassionate environment for its residents. Known for its commitment to high-quality care and a warm community atmosphere, Trinity Homes serves individuals who require assistance with daily living while also promoting a sense of independence and dignity. The care home strives to create a meaningful experience for residents, enriching everyday life with engaging activities and opportunities for connection.
The staff at Trinity Homes is attentive to the needs of each resident, fostering strong relationships and prioritizing personalized care. Family and friends are encouraged to maintain active involvement in the lives of their loved ones residing at Trinity Homes. The facility recognizes the importance of communication and offers avenues for families to send messages, ensuring that residents feel supported and valued by those who matter most to them. Community values are at the heart of Trinity Homes, and every effort is made to cultivate a sense of belonging and emotional well-being among residents.
Trinity Homes also pays special attention to creative and therapeutic activities, helping residents express themselves and remain engaged. The facility values innovative approaches to understanding residents’ experiences and supports initiatives that enhance both mental and emotional health. The wellbeing of each individual is of utmost importance, and the staff is dedicated to making Trinity Homes a place where people feel safe, understood, and cared for every day.
With a focus on holistic care, Trinity Homes ensures that residents experience not just assistance with everyday needs, but also opportunities for socialization, personal fulfillment, and meaningful interaction. The facility combines experience, compassion, and a welcoming atmosphere, making it a trusted residence for those seeking a supportive community in a home-like setting.
People often ask...
Trinity Homes offers assisted living, memory care, and skilled nursing.
There are 2 photos of Trinity Homes on Mirador.
The full address for this community is 305 8th Ave NE, Minot, ND 58703.
No, Trinity Homes does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
License number
SNF-trinity-homes-minot
Facility type
Skilled Nursing Facility
Inspection Reports
54
Reports
188
Citations
0
Complaints
16
Years
19 Nov 2025Inspection
19 Nov 2025Inspection
Investigated a transport incident and found a resident was not secured with the shoulder strap during van transport, resulting in a leg fracture.
CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
20 May 2025Inspection
20 May 2025Inspection
Investigated a sexual abuse incident involving two cognitively impaired residents and found failures to protect them from abuse.
CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
13 Nov 2024Inspection
13 Nov 2024Inspection
Investigated a complaint and found no deficiencies. Determined compliance with regulatory requirements.
05 Sept 2024Inspection
05 Sept 2024Inspection
Investigated abuse and dementia care concerns; a memory care resident demonstrated ongoing verbal, physical, and sexual behaviors toward others, and there were failures to assess, plan, and monitor to prevent abuse and to provide adequate dementia care and meaningful activities.
CFR 483.12(a)(1)Free from Abuse and Neglect
CFR 483.40(b)(3)Treatment/Service for Dementia
08 Aug 2024Inspection
08 Aug 2024Inspection
Investigation found multiple deficiencies related to care planning, professional standards of care, pressure ulcer prevention, and supervision during the survey period.
CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
Identified several life-safety deficiencies, including two-hour fire resistance issues, unprotected vertical openings, fire alarm and sprinkler system maintenance lapses, inoperable smoke detectors, and excessive travel distances in smoke compartments.
NFPA 101, 2012 edition; 19.1.6Building Construction Type and Height
NFPA 70; NFPA 72; NFPA 72 14.2.1.2.2; NFPA 72 9.6.1.3; NFPA 70Fire Alarm System - Testing and Maintenance
NFPA 101 19.3.4.5.2; NFPA 72Smoke Detection
NFPA 25; NFPA 25 4.1.4.1; NFPA 25 13.6.2.1; NFPA 25 4.6.12Sprinkler System - Maintenance and Testing
NFPA 101, 19.3.7.1; 19.3.7.2Subdivision of Building Spaces - Smoke Compartments
31 Jul 2024Inspection
31 Jul 2024Inspection
Investigated a resident fall with serious injury and related reporting and care deficiencies; found the event was not reported within the required timeframe and fall-related neuro/vital sign assessments were not completed or documented timely.
§483.12(b)(5)(i)(A)(B)(c)(1)(4)Reporting of Alleged Violations
§483.25Quality of Care
02 Apr 2024Inspection
02 Apr 2024Inspection
Investigated reported incidents and complaints. Found no regulatory violations.
29 Nov 2023Inspection
29 Nov 2023Inspection
Found no deficiencies. The investigation determined that regulatory requirements were met.
12 Sept 2023Inspection
12 Sept 2023Inspection
Investigated a complaint and found no deficiencies.
28 Aug 2023Life Safety
28 Aug 2023Life Safety
Found multiple life safety deficiencies related to fire resistance, vertical openings, and smoke barrier travel distances. This indicates noncompliance with life safety code requirements.
NFPA 101 19.1.6.1Building Construction Type and Height
Identified deficiencies in resident assessments, insulin administration, and supervision during transfers that could affect resident safety and care.
CFR 483.20(g)Accuracy of Assessments
CFR 483.21(b)(3)(i)Comprehensive Care Plans – Meet professional standards
CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
08 Dec 2020Inspection
08 Dec 2020Inspection
Identified failure to notify the resident's family about a fall with injury and the subsequent emergency interventions.
§483.10(g)(14)Notify of Changes
04 Dec 2020Inspection
04 Dec 2020Inspection
Found deficiencies in infection control, including inadequate PPE use when caring for a resident with suspected COVID-19 and failure to maintain a privacy curtain between roommates to prevent transmission.
42 CFR 483.80Infection prevention and control
10 Nov 2020Inspection
10 Nov 2020Inspection
Verified compliance with COVID-19 infection control requirements after a focused survey; no deficiencies were cited.
21 Oct 2020Inspection
21 Oct 2020Inspection
Investigated a complaint and found failures in wound care management and documentation for pressure ulcers, including missing policy and weekly assessments.
CFR 483.25(b)(1)(i)(ii); 483.25(b); 483.25(b)(1)Treatment/Svcs to Prevent/Heal Pressure Ulcer
25 Aug 2020Inspection
25 Aug 2020Inspection
Found no deficiencies related to infection control. Compliance with CMS/CDC COVID-19 guidelines was noted during the focused review.
17 Mar 2020Inspection
17 Mar 2020Inspection
Found no deficiencies. The COVID-19 focused infection control review demonstrated compliance with infection control requirements and CMS/CDC practices.
11 Mar 2020Life Safety
11 Mar 2020Life Safety
Found life-safety construction deficiencies including lack of two-hour fire resistance for structural members and vertical openings, and excessive travel distance within smoke compartments.
NFPA 101 2012, 19.1.6.1, 19.1.6.4-19.1.6.7Building Construction Type and Height
NFPA 101 2012, 19.3.7.1-19.3.7.2Subdivision of Building Spaces - Smoke Compartments
25 Apr 2019Inspection
25 Apr 2019Inspection
Found multiple deficiencies across care planning, resident assistance, oxygen management, tube feeding, behavioral health, food handling, and infection control, indicating failures to update plans, provide needed care, follow orders, and maintain infection prevention.
483.21(b)(2)Care Plan Timing and Revision
483.24(a)(2)ADL Care Provided for Dependent Residents
483.25(d)Free of Accident Hazards/Supervision/Devices
Identified multiple life-safety deficiencies related to building construction, vertical shaft enclosures, and smoke compartment travel distances, with some mitigated through a fire safety evaluation system.
NFPA 101 Building Construction Type and Height (2012)Building Construction Type and Height
NFPA 101 19.3.7.1, 19.3.7.2 (Subdivision of Building Spaces - Smoke Compartments) (2012)Subdivision of Building Spaces - Smoke Compartments
18 Oct 2018Inspection
18 Oct 2018Inspection
Investigated multiple deficiencies across resident care, safety, infection control, and record-keeping, including code status accuracy, care plans, falls and injuries, infections, and staffing.
§483.10(c)(6) and §483.10(g)(12)Right to refuse/take part in care and advance directives
§483.20(e)Coordination of PASARR and Level II assessments
§483.21(b)(2)(iii)Care plans and interdisciplinary review
§483.21(b)(3)Services provided meet professional standards
§483.25(a)Vision and hearing care
§483.25(d)Accidents; supervision and devices
§483.25(e)Incontinence care and catheter use
§483.25(i)Respiratory care and oxygen management
§483.35(a)(1)-(2)Staffing sufficient to meet resident needs
§483.45(g)-(h)Drug labeling and storage; controlled substances
§483.60(i)Food safety; storage and preparation
§§483.80(a)-(f)Infection prevention and control
03 Oct 2018Life Safety
03 Oct 2018Life Safety
Identified multiple life-safety deficiencies including unprotected structural members, unenclosed vertical openings, and issues with fire alarm testing, smoke detection placement, and smoke compartment travel distances.
NFPA 101 2012 19.1.6.1; 19.1.6.4-19.1.6.5Building Construction Type and Height
NFPA 101 2012 19.3.7.1–19.3.7.2Subdivision of Building Spaces - Smoke Compartments
05 Apr 2018Inspection
05 Apr 2018Inspection
Found multiple deficiencies across resident rights, care planning, safety, nutrition, staffing, lab, food service, and infection control. These deficiencies showed care did not meet professional standards.
CFR 483.10Resident Rights/Exercise of Rights
CFR 483.21(b)(2)Care Plan Timing and Revision
CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.25Quality of Care
CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
Identified multiple life-safety code deficiencies in the main building, including inadequate fire resistance, unprotected vertical openings, sprinkler head rating issues, corridor separation gaps, and excessive travel distances to smoke barriers. A fire safety evaluation system was used to evaluate some deficiencies.
NFPA 101, Building Construction Type and Height, 2012 Edition; 19.1.6.4, 19.1.6.5Two-hour fire resistance for structural components
NFPA 101, 19.3.1.1 through 19.3.1.6Vertical Openings - Enclosure
NFPA 101 18.3.6.1; 19.3.6.1Corridors - Areas Open to Corridor
NFPA 101 19.3.7.1; 19.3.7.2Subdivision of Building Spaces - Smoke Compartments
22 Feb 2017Inspection
22 Feb 2017Inspection
The investigation identified widespread deficiencies affecting resident dignity, care planning, safety, nutrition and hydration, staffing transparency, medication handling, infection control, and related practices, placing residents at risk of harm.
483.10(a)(1)DIGNITY AND RESPECT OF INDIVIDUALITY
483.10(e)Respect and Dignity
483.24(c)(1)ACTIVITIES MEET INTERESTS/NEEDS OF EACH RESIDENT
483.20(g)(h)(i)(j)ACCURACY OF ASSESSMENTS
483.10(c)(2)RIGHT TO PARTICIPATE IN PLANNING CARE-REVISE CP
483.21(b)(3)(i)COMPREHENSIVE CARE PLANS
483.24, 483.25(k)(l)QUALITY OF LIFE/QUALITY OF CARE
483.25(b)(1)SKIN INTEGRITY/ULCER PREVENTION
483.25(d)(1)(2)(n)(1)-(3)FREE OF ACCIDENT HAZARDS/ SUPERVISION/ DEVICES
483.25(g)(1)-(4)MAINTAIN NUTRITION STATUS
483.25(g)(2)SUFFICIENT FLUID TO MAINTAIN HYDRATION
Identified multiple life safety deficiencies, including inadequate fire resistance for structural elements, unsafe vertical openings, improper smoke compartment travel distances, incorrect sprinkler head types, and missing risk assessment.
NFPA 101 2012, 19.1.6.1Two-hour fire resistance rating for structural members
NFPA 13; NFPA 101 19.3.5.1, 9.7.1.1(1); 8.3.2.1Sprinkler system installation
NFPA 101 2012, 19.3.7.1-19.3.7.2Subdivision of building spaces - smoke compartments
NFPA 99 2012, 4.2Fundamentals - Building System Categories
13 Oct 2016Inspection
13 Oct 2016Inspection
Multiple deficiencies were found across dignity, planning of care, safety, nutrition, infection control, and related services, indicating residents did not consistently receive care that protects dignity, safety, and well-being.
483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
483.15(g)(1)PROVISION OF MEDICALLY RELATED SOCIAL SERVICE
483.20(d)(3), 483.10(k)(2)RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP
483.25PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
483.20(d)(3), 483.10(k)(2)FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES
483.25(i)MAINTAIN NUTRITION STATUS
483.25(k)TREATMENT/CARE FOR SPECIAL NEEDS
483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
10 Mar 2016Inspection
10 Mar 2016Inspection
An inspection identified multiple deficiencies across resident rights, dignity, care planning, infection control, and clinical care, indicating several areas where requirements were not met.
483.10(b)(5)-(10), 483.10(b)(1)NOTICE OF RIGHTS
483.10(i)(1)RIGHT TO PRIVACY - SEND/RECEIVE UNOPENED MAIL
483.13(a)RIGHT TO BE FREE FROM RESTRAINTS
483.13(c)ABUSE/NEGLECT POLICIES
483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
483.10(k)(2)REASONABLE ACCOMMODATION OF NEEDS/PREFERENCES
483.20(b)(1)COMPREHENSIVE ASSESSMENTS
483.20(b)(2)(ii)COMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE
483.20(b)(3)PARTICIPATION IN PLANNING CARE - REVISIT CP
483.25(k)PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
483.25TREATMENT/CARE FOR SPECIAL NEEDS
483.25RESIDENTS FREE OF SIGNIFICANT MED ERRORS
483.65INFECTION CONTROL, PREVENT SPREAD, LINENS
20 Jan 2016Life Safety
20 Jan 2016Life Safety
Identified multiple life safety code deficiencies related to fire resistance, shaft enclosures, smoke compartment travel distances, and sprinkler coverage.
NFPA 101 19.1.6.2Two-hour fire resistance rating not maintained for structural members
NFPA 101 19.3.1.1Two-hour fire resistive rating not maintained for elevator shafts
NFPA 101 19.3.7.1Travel distance to door in smoke compartments exceeds 200 feet
NFPA 101 19.3.5, NFPA 19.3.5.1; NFPA 13Sprinkler system not installed per NFPA 13
12 Feb 2015Inspection
12 Feb 2015Inspection
An investigation found deficiencies related to notification and contact information for residents’ representatives, accuracy of the resident assessment data, compliance with professional standards, and pain management documentation and processes.
—Notification/Resident Representative Information
—MDS Accuracy
—Professional Standards
—Pain Management
—Pain Management (Follow-up)
03 Dec 2014Life Safety
03 Dec 2014Life Safety
Observed several life-safety deficiencies related to fire resistance, shaft protection, and smoke-area travel distances; an evaluation method was used for some items but did not meet the standard for all components.
NFPA 101 Life Safety Code – Two-hour fire resistance rating required for structural members and ceiling/roof assembliesTwo-hour fire-resistance rating not maintained
NFPA 101 Life Safety Code – Travel distance within smoke barriersTravel distance within smoke barriers not within limits
NFPA 101 Life Safety Code – Travel distance and smoke compartment size requirementsSmoke compartments and travel distance not compliant
13 Nov 2014Inspection
13 Nov 2014Inspection
Determined there were deficiencies in abuse/neglect policies, medication order clarifications, and quality assurance oversight.
483.13(c)ABUSE/NEGLECT POLICIES
—MEDICATION ORDERS/CLARIFICATION
—QUALITY ASSURANCE/IMPROVEMENT
05 Aug 2014Inspection
05 Aug 2014Inspection
Investigated an allegation of inadequate bowel elimination care and inadequate hydration; deficiencies were found in bowel protocol implementation and fluid management.
—Bowel elimination/constipation
—Bowel protocol
—Hydration/fluids
27 Feb 2014Inspection
27 Feb 2014Inspection
Investigated a complaint about care quality and resident safety; identified deficiencies in care practices and documentation.
10 Dec 2013Life Safety
10 Dec 2013Life Safety
Found deficiencies in fire safety features, including inadequate two-hour fire resistance for structural elements and problems with smoke compartments and elevator/stair enclosure fire protection.
NFPA 101 Life Safety Code StandardNFPA 101 Life Safety Code Standard
NFPA 101 Life Safety Code StandardNFPA 101 Life Safety Code Standard
27 Nov 2013Inspection
27 Nov 2013Inspection
Investigation found multiple deficiencies related to resident care, including delays in responding to call lights, toileting and pericare, oxygen monitoring, and infection control.
—Failure to respond to call lights in a timely manner
—Oxygen saturation monitoring and management
—Toileting and perineal care/independent transfers
—Infection control/quality assurance
27 Feb 2013Inspection
27 Feb 2013Inspection
Investigated a complaint about resident abuse and safety concerns; found failures to document behaviors and implement appropriate care plans and monitoring.
—Mistreatment, Neglect, and Abusiveness
23 Oct 2012Life Safety
23 Oct 2012Life Safety
Identified several life-safety deficiencies related to fire resistance, enclosure of shafts and stairs, and smoke compartment requirements; some issues were addressed via an evaluation system.
NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
16 Aug 2012Inspection
16 Aug 2012Inspection
Investigated deficiencies related to care planning and QA for residents with pressure ulcers, including documentation gaps and staff education needs.
—Continued From page 2
15 Mar 2012Inspection
15 Mar 2012Inspection
Investigated restraint use and found that several residents were restrained without adequate assessment or documentation, indicating deficiencies in restraint practices and related care planning.
483.13(a)RIGHT TO BE FREE FROM PHYSICAL RESTRAINTS
09 Jan 2012Life Safety
09 Jan 2012Life Safety
Identified deficiencies in life-safety standards related to smoke compartments and travel distance requirements, with a fire safety evaluation used to justify travel distances.
NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
28 Nov 2011Life Safety
28 Nov 2011Life Safety
Found multiple life-safety deficiencies related to fire resistance, smoke barriers, and egress that do not meet NFPA 101 Life Safety Code.
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
03 May 2011Life Safety
03 May 2011Life Safety
Identified life-safety code violations involving fire resistance, elevator shaft enclosure, and smoke barrier requirements.
NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD K012
NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD K020
NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD K024
17 Mar 2011Inspection
17 Mar 2011Inspection
Found deficiencies in dignity and respect, provision of social services, and resident safety/monitoring, with issues related to privacy, wandering risks, and care planning.
—DIGNITY AND RESPECT OF INDIVIDUALITY
—PROVISION OF MEDICALLY RELATED SOCIAL SERVICES
—RECORDS, MONITORING, AND SAFETY-RELATED CARE
02 Mar 2011Life Safety
02 Mar 2011Life Safety
Found several life-safety deficiencies including inadequate two-hour fire resistance for structural elements, noncompliant smoke barriers and travel distances, and missing fire alarm annunciation equipment.
NFPA 101 Life Safety Code StandardBuilding construction/Fire resistance
NFPA 101 Life Safety Code StandardSmoke barrier travel distance
NFPA 101 Life Safety Code StandardSmoke compartment size/travel distance
NFPA 72 National Fire Alarm CodeFire alarm annunciation panel
06 May 2010Inspection
06 May 2010Inspection
Investigated a provider and found multiple deficiencies in resident rights, privacy, safety, and care planning. Several resident incidents were documented.
—Rights and advance directives
—Privacy and physician contact information
—Resident safety – falls
—Care planning (safety and protections)
—Nutritional/feeding equipment and utensils
—Resident safety – continued observations
—Resident Assessments and social services
06 May 2010Inspection
06 May 2010Inspection
Identified deficiencies related to inadequate hydration and insufficient staff training in feeding and care procedures, resulting in dehydration risks for residents and gaps in care planning.
—
—
11 Mar 2010Life Safety
11 Mar 2010Life Safety
Identified multiple life-safety deficiencies related to building construction, fire resistance, and smoke barrier travel distances. Noted improper enclosure of elevator spaces and defective door/gasket practices.
19.1.6.2, 19.1.6.3, 19.1.6.4, 19.3.5.1Building construction type and height / Life Safety Code
—NFPA 101 Life Safety Code Standard – Elevator and stair enclosure requirements
19.3.7.1Travel distance and smoke compartment size – Life Safety Code
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