North Carolina › New Hanover County › Wilmington
Trinity Grove
631 Junction Creek Drive, Wilmington, NC 28412
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Trinity Grove is a Non-profit, church related nursing home in Wilmington, North Carolina, certified for 100 beds and caring for about 95 residents a day.
CMS gives it 3 of 5 stars overall, equal to the North Carolina median; the health inspection rating is 2, staffing 5 and quality measures 3.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (5, 6, 4 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 15.0 per 100 beds, about the same as the state median of 15.6.
CMS lists 4 penalties in the period covered: fines totalling $103K.
Reported nurse staffing is 4.4 hours per resident per day (0.8 RN), close to the North Carolina median of 3.5; nursing staff turnover is 45.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | New Hanover Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 22 | 16 | 28.7 |
| Citations per 100 beds | 15.0 | 20.7 | 15.6 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.5 | 0.7 |
| Nursing staff turnover | 45.5% | 48.8% | 48.6% | 45.8% |
| Fines listed | $102,910 | $27,378 | $8,512 | — |
County and state figures are medians across facilities (11 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Sep 2025, 10 Oct 2024.
Severity mix: K ×2 G ×2 D ×5 E ×4 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 26 Sep 2025 |
| 18 Sep 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 8 Oct 2025 |
| 18 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Oct 2025 |
| 18 Sep 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 8 Oct 2025 |
| 18 Sep 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | B | Standard survey | 8 Oct 2025 |
| 10 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 30 Oct 2024 |
| 10 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 30 Oct 2024 |
| 10 Oct 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 30 Oct 2024 |
| 5 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 21 Nov 2023 |
| 5 Aug 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 21 Nov 2023 |
| 5 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Aug 2024 |
| 13 Jul 2023 | F0761 | Ensure 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. | E | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Aug 2023 |
| 13 Jul 2023 | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Standard survey | 15 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Sep 2025 | Fine | $64,740 | |
| 10 Oct 2024 | Fine | $21,085 | |
| 5 Aug 2024 | Fine | $8,543 | |
| 5 Aug 2024 | Fine | $8,542 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 45.5%, RNs 30.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.5% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.8% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Lutheran Home - Wilmington, Inc.. Chain: Lutheran Services Carolinas (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lsa Management, Inc. | Operational/managerial control | NOT APPLICABLE | 04/30/2007 |
| Lutheran Home Wilmington Property, Inc | Operational/managerial control | NOT APPLICABLE | 04/05/1988 |
| Lutheran Services For the Aging, Inc. | Operational/managerial control | NOT APPLICABLE | 04/30/2007 |
| Lutheran Services For the Aging, Inc. | Trustee of the snf | NOT APPLICABLE | 04/30/2007 |
| Lsa Management, Inc. | Adp of the snf | NOT APPLICABLE | 03/16/2025 |
| Lutheran Home Wilmington Property, Inc | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
| Lutheran Services For the Aging, Inc. | Adp of the snf | NOT APPLICABLE | 04/25/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in New Hanover County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bradley Creek Health Center | Wilmington | 30 | 5 | 5 | 4 | 6 | 20.0 | — | 11 Apr 2024 |
| Cypress Pointe Rehabilitation Center | Wilmington | 90 | 5 | 5 | 4 | 3 | 3.3 | — | 7 May 2026 |
| August Healthcare At Wilmington | Wilmington | 120 | 2 | 3 | 1 | 35 | 29.2 | $27K | 15 May 2025 |
| Azalea Health & Rehab Center | Wilmington | 80 | 2 | 2 | 3 | 33 | 41.3 | $24K | 30 May 2025 |
| Davis Health and Wellness Center At Cambridge Vill | Wilmington | 20 | 2 | 2 | 3 | 15 | 75.0 | — | 26 Mar 2026 |
| Liberty Commons Rehabilitation Center | Wilmington | 82 | 2 | 2 | 3 | 17 | 20.7 | $31K | 18 Mar 2026 |
| Northchase Nursing and Rehabilitation Center | Wilmington | 140 | 2 | 2 | 4 | 27 | 19.3 | $8K | 23 Jun 2025 |
| Autumn Care of Myrtle Groveabuse icon | Wilmington | 90 | 1 | 1 | 3 | 41 | 45.6 | $142K | 3 Dec 2025 |
All 11 facilities in New Hanover County
Questions and answers
How many deficiencies has Trinity Grove been cited for?
15 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Trinity Grove been fined?
Yes. CMS lists fines totalling $103K in the period covered.
How does staffing at Trinity Grove compare?
Reported total nurse staffing is 4.4 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Trinity Grove?
It is part of the Lutheran Services Carolinas chain. Ownership type is non-profit, church related. Organisations in the CMS ownership record include Lsa Management, Inc., Lutheran Home Wilmington Property, Inc and Lutheran Services For the Aging, Inc.. Individual owners and managers are not listed on this site.
When was Trinity Grove last inspected?
The most recent survey or investigation in the CMS record is dated 18 Sep 2025; the most recent standard health survey was 18 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.