Trinity Care Center

Inspection findings

1. Apr 30, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jun 12, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Jun 12, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jun 12, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected May 13, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 13, 2026 · CMS fire safety

2. Dec 19, 2025 MDH complaint investigation · 1 finding
   • Severity not stated

     H52509123C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

3. Dec 9, 2025 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 29, 2025 · CMS health inspection

4. May 14, 2025 Health · 9 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 7, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Jul 7, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 7, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Jul 7, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jul 7, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Jul 7, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jul 7, 2025 · CMS fire safety

5. Dec 2, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H52501389C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

6. Jul 24, 2024 Health · 10 findings
   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Aug 19, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 19, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 19, 2024 · CMS fire safety

7. Jul 19, 2024 MDH complaint investigation · 1 finding
   • Severity not stated

     H52505421C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

8. Jul 11, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 5, 2024 · CMS health inspection

9. Apr 28, 2023 MDH complaint investigation · 1 finding
   • Severity not stated

     H52501671C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

Owners and managers (as published by CMS)

• BACH, CURTIS — adp of the snf, NOT APPLICABLE, since 08/28/2024
• BACH, CURTIS — operational/managerial control, NOT APPLICABLE, since 08/28/2024
• BACH, CURTIS — corporate officer, NOT APPLICABLE, since 08/28/2024
• BACH, CURTIS — corporate director, NOT APPLICABLE, since 08/28/2024
• BISEL, ROBIN — operational/managerial control, NOT APPLICABLE, since 02/24/2025
• BISEL, ROBIN — adp of the snf, NOT APPLICABLE, since 02/24/2025
• CASPERS, MEGAN — adp of the snf, NOT APPLICABLE, since 12/29/2014
• CASPERS, MEGAN — operational/managerial control, NOT APPLICABLE, since 12/29/2014
• DRIPPS, DANIEL — adp of the snf, NOT APPLICABLE, since 01/01/2016
• DRIPPS, DANIEL — operational/managerial control, NOT APPLICABLE, since 01/01/2016
• DRIPPS, DANIEL — managing control - governing body, NOT APPLICABLE, since 01/01/2016
• DRIPPS, DANIEL — corporate director, NOT APPLICABLE, since 01/01/2016
• EHLERS, DOUGLAS — corporate director, NOT APPLICABLE, since 01/01/2023
• EHLERS, DOUGLAS — operational/managerial control, NOT APPLICABLE, since 01/01/2023
• EHLERS, DOUGLAS — adp of the snf, NOT APPLICABLE, since 01/01/2023
• EHLERS, DOUGLAS — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• GOODNOUGH, JENNIFER — managing control - governing body, NOT APPLICABLE, since 01/01/2021
• GOODNOUGH, JENNIFER — operational/managerial control, NOT APPLICABLE, since 01/01/2021
• GOODNOUGH, JENNIFER — corporate director, NOT APPLICABLE, since 01/01/2021
• GOODNOUGH, JENNIFER — adp of the snf, NOT APPLICABLE, since 01/01/2021
• GRAMM, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 01/01/2023
• GRAMM, TIMOTHY — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• HANNEKEN, MICHELLE — adp of the snf, NOT APPLICABLE, since 07/20/2022
• HANNEKEN, MICHELLE — operational/managerial control, NOT APPLICABLE, since 07/20/2022
• HATFIELD, CHELSEA — adp of the snf, NOT APPLICABLE, since 11/26/2013
• HATFIELD, CHELSEA — operational/managerial control, NOT APPLICABLE, since 11/26/2013
• HEJHAL, ROXANNE — adp of the snf, NOT APPLICABLE, since 04/10/2023
• HEJHAL, ROXANNE — operational/managerial control, NOT APPLICABLE, since 04/10/2023
• HOFMANN, REED — adp of the snf, NOT APPLICABLE, since 05/08/2023
• HOFMANN, REED — operational/managerial control, NOT APPLICABLE, since 05/08/2023
• LAIR, MICHAEL — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• LAIR, MICHAEL — adp of the snf, NOT APPLICABLE, since 01/01/2025
• LAIR, MICHAEL — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• LAIR, MICHAEL — corporate director, NOT APPLICABLE, since 01/01/2025
• LAUTERBACH, JOY — adp of the snf, NOT APPLICABLE, since 01/28/2004
• LETICH, ELIZABETH — adp of the snf, NOT APPLICABLE, since 11/01/2023
• LETICH, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 11/01/2023
• LIENEMANN, STEVEN — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• LIENEMANN, STEVEN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• LIENEMANN, STEVEN — corporate director, NOT APPLICABLE, since 12/31/2011
• LIENEMANN, STEVEN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• LUETMER, JOHN — adp of the snf, NOT APPLICABLE, since 01/01/2021
• LUETMER, JOHN — operational/managerial control, NOT APPLICABLE, since 01/01/2021
• LUETMER, JOHN — corporate director, NOT APPLICABLE, since 01/01/2021
• LUETMER, JOHN — managing control - governing body, NOT APPLICABLE, since 01/01/2021
• MARLOW, JINA — operational/managerial control, NOT APPLICABLE, since 06/06/2022
• MARLOW, JINA — adp of the snf, NOT APPLICABLE, since 06/06/2022
• NELSON, PATRICK — corporate director, NOT APPLICABLE, since 01/01/2020
• NELSON, PATRICK — adp of the snf, NOT APPLICABLE, since 01/01/2020
• NELSON, PATRICK — managing control - governing body, NOT APPLICABLE, since 01/01/2020
• NELSON, PATRICK — operational/managerial control, NOT APPLICABLE, since 01/01/2020
• PETERSON-DEVRIES, CAMI — adp of the snf, NOT APPLICABLE, since 05/08/2022
• PETERSON-DEVRIES, CAMI — corporate director, NOT APPLICABLE, since 05/08/2022
• PETERSON-DEVRIES, CAMI — corporate officer, NOT APPLICABLE, since 05/08/2022
• PETERSON-DEVRIES, CAMI — operational/managerial control, NOT APPLICABLE, since 05/08/2022
• PLANK, PAULA — operational/managerial control, NOT APPLICABLE, since 10/13/2005
• PLANK, PAULA — adp of the snf, NOT APPLICABLE, since 10/13/2005
• POMROY, MATTHEW — adp of the snf, NOT APPLICABLE, since 10/13/2005
• RAW, CAROL — corporate officer, NOT APPLICABLE, since 08/16/2005
• RAW, CAROL — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 01/31/2026
• RAW, CAROL — adp of the snf, NOT APPLICABLE, since 08/16/2005
• RAW, CAROL — corporate director, NOT APPLICABLE, since 08/16/2005
• RAW, CAROL — operational/managerial control, NOT APPLICABLE, since 08/16/2005
• RENTZ, LAURA — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• RENTZ, LAURA — adp of the snf, NOT APPLICABLE, since 01/01/2024
• RENTZ, LAURA — corporate director, NOT APPLICABLE, since 01/01/2024
• RENTZ, LAURA — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• RENTZ, MARK — operational/managerial control, NOT APPLICABLE, since 04/22/2024
• RENTZ, MARK — adp of the snf, NOT APPLICABLE, since 04/22/2024
• RENTZ, PAUL — corporate director, NOT APPLICABLE, since 01/01/2021
• RENTZ, PAUL — operational/managerial control, NOT APPLICABLE, since 01/01/2021
• RENTZ, PAUL — managing control - governing body, NOT APPLICABLE, since 01/01/2021
• RENTZ, PAUL — adp of the snf, NOT APPLICABLE, since 01/01/2021
• RYAN, BEN — adp of the snf, NOT APPLICABLE, since 12/27/2012
• RYAN, BEN — operational/managerial control, NOT APPLICABLE, since 12/27/2012
• SCHAAL, RANDALL — operational/managerial control, NOT APPLICABLE, since 06/01/1993
• SCHAAL, RANDALL — adp of the snf, NOT APPLICABLE, since 06/01/1993
• SCHLOSSER, LYNETTE — adp of the snf, NOT APPLICABLE, since 09/22/2020
• SCHLOSSER, LYNETTE — operational/managerial control, NOT APPLICABLE, since 09/22/2020
• SCHNEIDER, TODD — adp of the snf, NOT APPLICABLE, since 07/01/2013
• SCHNEIDER, TODD — operational/managerial control, NOT APPLICABLE, since 07/01/2013
• SCHNEIDER, TODD — corporate director, NOT APPLICABLE, since 07/01/2013
• SCHNEIDER, TODD — managing control - governing body, NOT APPLICABLE, since 07/01/2013
• STOCK, KELSEY — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• STOCK, KELSEY — adp of the snf, NOT APPLICABLE, since 06/01/2022
• TEPOVICH, NICHOLAS — adp of the snf, NOT APPLICABLE, since 07/08/2024
• TEPOVICH, NICHOLAS — operational/managerial control, NOT APPLICABLE, since 07/08/2024
• THOMPSON, RENEE — adp of the snf, NOT APPLICABLE, since 10/10/2018
• THOMPSON, RENEE — operational/managerial control, NOT APPLICABLE, since 10/10/2018
• TIPLER, KARRIE — operational/managerial control, NOT APPLICABLE, since 11/01/2023
• TIPLER, KARRIE — adp of the snf, NOT APPLICABLE, since 11/01/2023
• TOMOSON, APRIL — operational/managerial control, NOT APPLICABLE, since 07/12/2021
• TOMOSON, APRIL — adp of the snf, NOT APPLICABLE, since 07/12/2021
• TURBES, SANDRA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• TURBES, SANDRA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• WALKER, AMY — adp of the snf, NOT APPLICABLE, since 05/13/2024
• WALKER, AMY — operational/managerial control, NOT APPLICABLE, since 05/13/2024
• WIESE, LORRAINE — adp of the snf, NOT APPLICABLE, since 07/25/2017
• WIESE, LORRAINE — managing control - governing body, NOT APPLICABLE, since 07/25/2017
• WIESE, LORRAINE — operational/managerial control, NOT APPLICABLE, since 07/25/2017
• WIESE, LORRAINE — corporate director, NOT APPLICABLE, since 07/25/2017
• WOLF, JORDAN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• WOLF, JORDAN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• BIG STONE THERAPIES, INC — adp of the snf, NOT APPLICABLE, since 10/22/2025
• BIG STONE THERAPIES, INC — operational/managerial control, NOT APPLICABLE, since 02/03/2015
• EIDE BAILLY LLP — operational/managerial control, NOT APPLICABLE, since 01/03/2023
• EIDE BAILLY LLP — adp of the snf, NOT APPLICABLE, since 10/22/2025
• ST. FRANCIS HEALTH SERVICES OF MORRIS, INC — adp of the snf, NOT APPLICABLE, since 12/01/2025
• ST. FRANCIS HEALTH SERVICES OF MORRIS, INC — operational/managerial control, NOT APPLICABLE, since 09/08/2003