Starfile / Ohio

TRINITY COMMUNITY

3218 INDIAN RIPPLE ROAD, BEAVERCREEK, OH 45440 · CCN 365777

Inspection history vs Ohio & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$24,453

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

UNITED CHURCH HOMES

Facilities in chain

6

Chain avg overall

3.30 / 5

Inspection citations (31)1 immediate jeopardy1 actual harm

1. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-03 · Health · corrected 2025-05-01

   Potential for more than minimal harm

2. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-03 · Health · corrected 2025-05-01

   Potential for more than minimal harm

3. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-03 · Health · corrected 2025-05-01

   Potential for more than minimal harm

4. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-03 · Health · corrected 2025-05-01

   Potential for more than minimal harm

5. FF0814Dispose of garbage and refuse properly.2025-04-03 · Health · corrected 2025-05-01

   Potential for more than minimal harm

6. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-03 · Health · corrected 2025-05-01

   Potential for more than minimal harm

7. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-18 · Health · corrected 2024-04-19

   Actual harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-21 · Health · corrected 2023-09-11

   Potential for more than minimal harm

9. DF0761Ensure 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.2023-08-21 · Health · corrected 2023-09-11

   Potential for more than minimal harm

10. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-10 · Health · corrected 2023-04-11

    Immediate jeopardy

11. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

12. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

17. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

18. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

19. DF0880Provide and implement an infection prevention and control program.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

20. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-04-25 · Health · corrected 2022-06-20

    Potential for more than minimal harm

21. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

22. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

23. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

24. DF0642Ensure a qualified health professional conducts resident assessments.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

25. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

28. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

29. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

30. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

31. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2019-02-28 · Health · corrected 2019-04-08

    Potential for more than minimal harm

Ownership

Other facilities in BEAVERCREEK

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.