Elizabeth, NJ

Trinitas Hospital

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

655 East Jersey Street, Elizabeth, NJ

(908) 994-7525

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

90

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1998-01-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.82

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

2.23

Nurse aide staffing

Weekend hours

3.30

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
2.1
0.3 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.1
About the same
1.8
0.7 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.0%
7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
97.2%
1.7 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
2.4%
0.6 pts worse
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
11.4%
11.4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.1%
4.6%
0.5 pts better
5.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.8%
19.0%
12.2 pts better
19.6%
12.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.0%
13.5%
2.5 pts worse
16.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 3.4%
9.8%
6.4 pts better
16.3%
12.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.4%
9.7%
4.3 pts better
14.9%
9.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.7%
0.4 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 3.3%
15.9%
12.6 pts better
19.8%
16.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.4%
6.0%
3.4 pts worse
5.1%
4.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
78.7%
21.3 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.9%
8.2%
1.7 pts worse
12.0%
2.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
80.1%
19.9 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.2%
25.4%
5.8 pts worse
23.9%
7.3 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

7 health deficiencies

Top issue: Resident Rights (4 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-09-01 · Fire 2023-09-01

2 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-06-30 · Fire 2021-06-30

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-11

F · Potential for more than minimal harm 2023-09-01

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-09-14

E · Potential for more than minimal harm 2021-06-30

K222 · Egress Deficiencies

Fire Safety

Add 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.

Corrected 2021-07-20

D · Potential for more than minimal harm 2021-06-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-07-20

D · Potential for more than minimal harm 2021-06-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-07-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-16

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-16

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-16

F640 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-10

D · Potential for more than minimal harm 2023-09-01

F640 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-09-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-14

F · Potential for more than minimal harm 2021-06-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-07-20

Penalties and ownership

What sits behind the stars

Ownership

Alam, Abu

Corporate Director · Individual

0% 1 facilities 2025-01-01
Balasia, Jacquelyn

Corporate Director · Individual

0% 1 facilities 2022-01-01
Clifford, Eileen

Corporate Director · Individual

0% 1 facilities 2013-06-14
Diliegro, Nancy

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Diliegro, Nancy

Corporate Officer · Individual

0% 1 facilities 2023-04-15
Gallinetti, David

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Gallinetti, David

Corporate Officer · Individual

0% 1 facilities 2024-02-12
Henwood, Richard

Corporate Officer · Individual

0% 2 facilities 2022-01-01
Horan, Gary

Corporate Director · Individual

0% 1 facilities 2013-06-14
Kachelriess, Thomas

Corporate Director · Individual

0% 1 facilities 2013-06-14
Khimani, Karim

Corporate Director · Individual

0% 1 facilities 2013-06-14
Lopez, Alfonso

Corporate Director · Individual

0% 1 facilities 2013-06-14
Mackessy, Richard

Corporate Director · Individual

0% 1 facilities 2013-06-14
Margolis, Jan

Corporate Director · Individual

0% 1 facilities 2013-06-14
Mcmenamin, Margaret

Corporate Director · Individual

0% 1 facilities 2013-06-14
Pallant, Ronald

Corporate Director · Individual

0% 1 facilities 2013-06-14
Patten, Paul

Corporate Director · Individual

0% 1 facilities 2025-01-01
Pelosi, Anthony

Corporate Director · Individual

0% 1 facilities 2013-06-14
Richel, Victor

Corporate Director · Individual

0% 1 facilities 2013-06-14
Rwj Barnabas Health Inc

Operational/Managerial Control · Organization

0% 2 facilities 2022-01-01
Shaughnessy, Maureen

Corporate Director · Individual

0% 1 facilities 2022-01-01
Spearman, Roderick

Corporate Director · Individual

0% 1 facilities 2013-06-14

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