Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Trinitas Hospital

ELIZABETH, NJ · 124 certified beds · Last Life Safety survey January 16, 2025

CMS Certification Number 315442 · first certified January 1998

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NJ

5 citations — more than 7% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (May 2026 to September 2026). Most NJ facilities have been surveyed by February 2027. This facility’s last Life Safety survey was January 2025. Facilities in NJ are typically surveyed 16–20 months after the last one (median 17), measured over 431 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

This facility5NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32021-0612023-0912025-01
Citations at each Life Safety survey
Survey dateCitations
June 30, 20213
September 1, 20231
January 16, 20251

Most-cited tags

Most-cited tags at this facility
K-03531K-02911K-07121K-02221K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.12021-06-30
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-09-01
K-0712Have simulated fire drills held at unexpected times.12025-01-16
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12021-06-30
K-0363Install corridor and hallway doors that block smoke.12021-06-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 16, 2025 — 1 citation

Citations issued on January 16, 2025
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 11, 2025)

September 1, 2023 — 1 citation

Citations issued on September 1, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (September 14, 2023)

June 30, 2021 — 3 citations

Citations issued on June 30, 2021
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 20, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 20, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 20, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.