Inspection Reports for Trinity Village

NE, 68046

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2015
2016
2021
2023
Inspection Report Renewal Capacity: 35 Deficiencies: 0 Mar 14, 2023
Visit Reason
The document is a renewal application and verification for the assisted-living facility license at Assisted Living at Trinity Village.
Findings
The facility is verified as licensed through the renewal date of 4/30/2024 and meets statutory requirements for an assisted-living facility with complex nursing intervention services.
Report Facts
Total licensed beds: 35 Renewal license expiration date: Apr 30, 2024
Employees Mentioned
NameTitleContext
Lyndsy EngelAdministratorNamed as administrator on the renewal application.
Eric N. GurleyPresident & CEOAuthorized representative signing the renewal application.
Scott A. BearTreasurer & CFOAuthorized representative signing the renewal application.
Inspection Report Renewal Capacity: 35 Deficiencies: 0 Mar 29, 2021
Visit Reason
The document is related to the renewal of the assisted-living facility license for Assisted Living at Trinity Village.
Findings
The facility meets statutory requirements as an assisted-living facility, and the renewal application was submitted with no noted deficiencies or violations.
Report Facts
Renewal Licensure Fee: 1650 Total Licensed Beds: 35
Employees Mentioned
NameTitleContext
Eric N. GurleyCEOAuthorized representative who signed the renewal application
Scott BearCFO & TreasurerAuthorized representative who signed the renewal application
Notice Capacity: 35 Deficiencies: 0 Mar 2, 2016
Visit Reason
This document serves as verification that Assisted Living at Trinity Village is licensed through the indicated renewal date and includes an occupancy permit issued by the fire marshal.
Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 35 beds. An occupancy permit was issued on 2016-03-02 by the Papillion Fire Department confirming compliance with occupancy classification and adopted codes.
Report Facts
Total licensed beds: 35 Occupancy permit date: Mar 2, 2016
Inspection Report Complaint Investigation Deficiencies: 0 Nov 9, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and perform the annual survey at Assisted Living At Trinity Village on November 9-10, 2015.
Findings
The facility was found to be in compliance with regulatory requirements regarding allegations of neglect, supervision of residents at risk for elopement, cleanliness and sanitation, and food storage and dating. No incidents or deficiencies were identified during the investigation.
Complaint Details
The complaint alleged failure to report allegations of neglect immediately, inadequate supervision of residents at risk for elopement, failure to maintain a clean and sanitary environment, and failure to follow food code regarding storage and dating of foods. All allegations were found to be unsubstantiated and the facility was in compliance.
Employees Mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report and correspondence regarding the inspection findings.
Kay ReevesNutrition/dietitianConducted the Compliance Inspection on November 10, 2015.
Christine De La VegaAdministratorFacility Administrator interviewed regarding allegations and findings.
Notice Capacity: 35 Deficiencies: 0 APP2018
Visit Reason
This document serves as a licensure renewal application and verification that the Assisted Living at Trinity Village facility is licensed through the indicated expiration date.
Findings
The document confirms that the facility meets statutory requirements as an assisted-living facility and is licensed through the renewal date of 4/30/2019.
Report Facts
Total licensed beds: 35 Renewal expiration date: Apr 30, 2019
Employees Mentioned
NameTitleContext
Christine PlavcgaAdministratorNamed as facility administrator on licensure renewal application
Eric N. GurleyPresident & CEOAuthorized representative signing renewal application
Scott BearSenior VP & CFOAuthorized representative signing renewal application
Notice Capacity: 35 Deficiencies: 0 APP2016
Visit Reason
This document serves as a licensure renewal application and verification for the Assisted Living at Trinity Village facility, including renewal fees and occupancy permit information.
Findings
The documents confirm that the facility meets statutory requirements for licensure renewal and includes an occupancy permit issued by the fire marshal. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 35 Renewal fees: 1450 Expiration date: Apr 30, 2017
Employees Mentioned
NameTitleContext
Christine De La VegaDirectorNamed as Administrator on the licensure renewal application.
Eric N. GurleyPresident & CEOAuthorized representative signing the licensure renewal application.
Mark SchultzChief Financial OfficerAuthorized representative signing the licensure renewal application.
Notice Capacity: 35 Deficiencies: 0 APP2019
Visit Reason
This document serves as a licensure renewal application and renewal notice for the Assisted Living at Trinity Village facility, confirming its licensure status through April 30, 2020.
Findings
The documents confirm that the facility meets statutory requirements for licensure as an assisted-living facility and holds a valid certificate of occupancy with a maximum occupancy of 35 residents.
Report Facts
Total licensed beds: 35 Maximum occupancy: 35 Renewal expiration date: Apr 30, 2020
Document Capacity: 35 Deficiencies: 0 APP2020
Visit Reason
The document serves to verify that the Assisted Living at Trinity Village is licensed through the date indicated on the renewal card and includes a renewal application for relicensing 35 beds.
Findings
No inspection findings or deficiencies are reported; the documents include licensing verification, ownership information, board officers and directors, fire marshal certificate of occupancy, and floor plans.
Report Facts
Total licensed beds: 35
Employees Mentioned
NameTitleContext
Lyndsy EngelAdministratorNamed on the renewal application as the facility administrator (page 2).
Eric N GurleyCEOSigned the renewal application as authorized representative and CEO (page 2).
Scott BearChief Financial OfficerSigned the renewal application as authorized representative and CFO (page 2).
Document Capacity: 35 Deficiencies: 0 APP2022
Visit Reason
The document serves as a renewal application for the assisted living facility license and includes verification of licensure and occupancy permit.
Findings
The documents confirm that the facility meets statutory requirements for licensure as an assisted living facility and includes an occupancy permit with a maximum capacity of 35 beds.
Report Facts
Total licensed beds: 35 Renewal license fees: 1650 Occupancy permit maximum capacity: 35
Notice Capacity: 35 Deficiencies: 0 APP2024
Visit Reason
The document serves as a renewal application and verification of licensure for the Assisted Living Facility at Trinity Village.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal and provide details on facility ownership, capacity, and accreditation status. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 35 Renew license fees: 1650 Maximum occupancy: 35
Employees Mentioned
NameTitleContext
Eric N. GurleyPresident & CEOAuthorized representative signing the renewal application (page 2).
Scott BearTreasurer & CFOAuthorized representative signing the renewal application (page 2).
Notice Capacity: 35 Deficiencies: 0 APP2025
Visit Reason
The documents serve to verify and renew the assisted living facility license for Assisted Living at Trinity Village, including submission of renewal application and confirmation of license expiration date.
Findings
No inspection findings or deficiencies are reported; the documents primarily confirm licensing status, renewal fees, and facility capacity.
Report Facts
Total licensed beds: 35 License expiration date: License expires on 2026-04-30 as shown on the license card (page 1). Renewal application date: Renewal application dated 2025-03-17 (page 2). Fire prevention occupancy permit expiration: Permit valid through 2025-01-30 (page 4).

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