The Department of Social Services’ Community Care Licensing Division conducted a series of unannounced visits to Trevista Concord (Facility Number 079200855) between 2021 and 2024. The first inspection, held on 11 August 2021, focused on infection control and facility conditions. While overall cleanliness, temperature control, fire safety, and resident services met regulatory standards, the review identified a critical deficiency in hot‑water delivery: temperatures varied from 96.3 °F to 128.2 °F, exceeding the required 105–120 °F range. A plan of correction was issued with a 12‑month deadline, and the administrator, Lori Thames, acknowledged receipt.
Subsequent visits in 2022, 2023, and 2024 were primarily annual infection‑control and case‑management inspections. Each report noted no deficiencies in environmental hygiene, food supply, PPE availability, medication storage, or fire‑safety equipment. The facility’s physical plant, including the walk‑in refrigerator, industrial dishwasher, and locked medication cabinets, was consistently documented as compliant. The 2023 case‑management visit followed an incident report of staff hitting a resident; the investigation confirmed termination of the employee and required no further action. In 2024, a case‑management visit addressed an unreported death of a newly admitted resident, R1, and confirmed that the cause of death was not listed; no additional follow‑up was deemed necessary.
Across all inspections, Trevista Concord demonstrated a pattern of rapid compliance after the initial hot‑water issue and maintained ongoing adherence to infection‑control, safety, and resident‑care regulations. The repeated absence of new deficiencies and the timely resolution of case‑management concerns indicate a stable operating environment. The facility’s documented mitigation and disaster plans, combined with consistent staff training and record‑keeping, reinforce its commitment to providing safe, regulated care for its 160 non‑ambulatory residents.