ElderGrade
F

27.5/100

Poor

Trinity Rehabilitation & Healthcare Center

314 E Caroline St, Trinity, TX 75862

CMS 1/5 stars #3 of 3 in Trinity County (936) 744-1300
Certified beds
76
Occupancy
74%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 9 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $275,584 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 6 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 66 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are.

  • No staffing hours reported — scored neutral

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $275,584 in federal fines across 4 action(s)
  • -0 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day Not reported
Registered nurse (RN) hours Not reported

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours Not reported

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 66 citations

Last standard health inspection: April 15, 2026 (4 months ago).

E Apr 15, 2026 F0941

Administration Deficiencies

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

No actual harm, potential for more than minimal harm

E Apr 15, 2026 F0945

Infection Control Deficiencies

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

No actual harm, potential for more than minimal harm

E Apr 15, 2026 F0949

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

No actual harm, potential for more than minimal harm

D Apr 15, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Apr 15, 2026 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Apr 15, 2026 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Apr 15, 2026 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Apr 15, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
COOPER, KIMBERLY Individual CORPORATE DIRECTOR
NEWTON, ELIZABETH Individual CORPORATE DIRECTOR
TRINITY RHC LLC Organization OPERATIONAL/MANAGERIAL CONTROL
WHATLEY, DARCY Individual OPERATIONAL/MANAGERIAL CONTROL
TRINITY RHC LLC Organization ADP OF THE SNF
SCIARRINI, JOSEPH Individual ADP OF THE SNF
SMITH, MICHAEL Individual ADP OF THE SNF
SQUYRES, HULEN Individual ADP OF THE SNF

What families say

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Common questions about Trinity Rehabilitation & Healthcare Center

What is the ElderGrade for Trinity Rehabilitation & Healthcare Center? +

Trinity Rehabilitation & Healthcare Center holds an ElderGrade of F (27.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Trinity Rehabilitation & Healthcare Center? +

This facility has not reported staffing hours to CMS in the current data release.

Has Trinity Rehabilitation & Healthcare Center been cited for harming residents? +

Yes. 9 of the 66 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Trinity Rehabilitation & Healthcare Center accept Medicaid? +

Yes, Trinity Rehabilitation & Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.