Trinity Rehabilitation & Healthcare Center
314 E Caroline St · Trinity, TX · 75862 · 9367441300
76 certified beds Government - Hospital district
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $143,830 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$143,830 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 4 · $312,544 |
Inspection citations (66 in the current record)
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Potential for harm · D April 15, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 8, 2026 · Resident Rights
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Potential for harm · D April 15, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 8, 2026 · Pharmacy Service
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Potential for harm · D April 15, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 6, 2026 · Nutrition and Dietary
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Potential for harm · D April 15, 2026
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected May 6, 2026 · Administration
-
Potential for harm · D April 15, 2026
Provide and implement an infection prevention and control program.
Corrected May 8, 2026 · Infection Control
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Potential for harm · D April 15, 2026
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected May 8, 2026 · Administration
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Potential for harm · E April 15, 2026
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected May 8, 2026 · Administration
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Potential for harm · D April 15, 2026
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected May 8, 2026 · Resident Rights
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Potential for harm · D April 15, 2026
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 15, 2026
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected May 8, 2026 · Infection Control
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Potential for harm · D April 15, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 8, 2026 · Nursing and Physician Services
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Potential for harm · E April 15, 2026
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected May 8, 2026 · Administration
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Actual harm · G March 4, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 10, 2026 · Quality of Life and Care
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Actual harm · G March 4, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 1, 2026 · Nursing and Physician Services
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Potential for harm · D March 4, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 1, 2026 · Infection Control
-
Potential for harm · D January 28, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 28, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 28, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2026 · Quality of Life and Care
-
Potential for harm · D January 28, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 27, 2026 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 28, 2026 | Fine | $19,115 |
| January 28, 2026 | Fine | $19,115 |
| January 28, 2026 | Payment Denial | 8 days |
| November 12, 2025 | Fine | $105,600 |
| November 12, 2025 | Payment Denial | 4 days |
| November 5, 2023 | Fine | $168,714 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676439 · certified since January 24, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.