Elder Care Record

Texas › Trinity County › Trinity

Trinity Rehabilitation & Healthcare Center

314 E Caroline St, Trinity, TX 75862

CCN 676439 · Government, hospital district · 76 certified beds

CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Rehabilitation & Healthcare Center, in Trinity, Texas, is certified for 76 beds under government, hospital district ownership.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.

Inspectors recorded 66 health deficiencies across the three most recent survey cycles (36, 19, 11 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 86.8 per 100 beds, more than the state median of 22.5.

CMS lists 6 penalties in the period covered: fines totalling $276K and 2 payment denials.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.

66health deficiencies, 3 survey cycles9 at actual harm or worse
$276Kfines listed by CMS6 penalties in period
—nurse hours per resident per daystate median 3.3
74%occupancy (residents ÷ beds)56 residents a day

Compared with county, state and nation

MeasureThis facilityTrinity Co. medianTexas medianUS average
Overall star rating1333.0
Health citations, 3 cycles66182528.7
Citations per 100 beds86.817.322.526.8
Total nurse hours per resident day—3.23.33.9
RN hours per resident day—0.30.40.7
Nursing staff turnover—48.3%52.1%45.8%
Fines listed$275,584$56,378$16,801—

County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)36
Cycle 219
Cycle 311

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Apr 2026, 27 Feb 2025.

Severity mix: K ×6 G ×2 H ×1 D ×35 E ×17 F ×5

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Apr 2026F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey8 May 2026
15 Apr 2026F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard survey8 May 2026
15 Apr 2026F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard survey8 May 2026
15 Apr 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey8 May 2026
15 Apr 2026F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey8 May 2026
15 Apr 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey8 May 2026
15 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey8 May 2026
15 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey8 May 2026
15 Apr 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey6 May 2026
15 Apr 2026F0839Employ staff that are licensed, certified, or registered in accordance with state laws.DStandard survey6 May 2026
15 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey8 May 2026
15 Apr 2026F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard survey8 May 2026
15 Apr 2026F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard survey8 May 2026
15 Apr 2026F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard survey8 May 2026
15 Apr 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey8 May 2026
4 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GComplaint investigation10 Apr 2026
4 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Apr 2026
4 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Apr 2026
4 Mar 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation1 Apr 2026
4 Mar 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation1 Apr 2026
28 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation27 Feb 2026
28 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation27 Feb 2026
28 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Feb 2026
28 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 Feb 2026
28 Jan 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation27 Feb 2026
17 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Dec 2025
17 Dec 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation18 Dec 2025
26 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation15 Dec 2025
26 Nov 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation15 Dec 2025
12 Nov 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KComplaint investigation20 Nov 2025
12 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint investigation20 Nov 2025
12 Nov 2025F0760Ensure that residents are free from significant medication errors.KComplaint investigation20 Nov 2025
12 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HComplaint investigation5 Dec 2025
12 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation8 Dec 2025
12 Nov 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation8 Dec 2025
12 Nov 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation8 Dec 2025
27 Jul 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation12 Aug 2025
27 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey28 Feb 2025
27 Feb 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey28 Feb 2025
27 Feb 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint investigation28 Feb 2025
27 Feb 2025F0880Provide and implement an infection prevention and control program.EStandard survey14 Mar 2025
27 Feb 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey24 Mar 2025
27 Feb 2025F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard survey24 Mar 2025
27 Feb 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey24 Mar 2025
27 Feb 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard survey24 Mar 2025
27 Feb 2025F0584Honor 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.DStandard survey28 Feb 2025
27 Feb 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation28 Feb 2025
27 Feb 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey13 Mar 2025
27 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey14 Mar 2025
27 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Mar 2025
27 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Feb 2025
27 Feb 2025F0761Ensure 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.DStandard survey28 Feb 2025
27 Feb 2025F0908Keep all essential equipment working safely.DStandard survey13 Mar 2025
28 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation24 Sep 2024
28 Aug 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation24 Sep 2024
10 Jan 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey1 Feb 2024
10 Jan 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey1 Feb 2024
10 Jan 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey1 Feb 2024
10 Jan 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation1 Feb 2024
10 Jan 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey1 Feb 2024
10 Jan 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey1 Feb 2024
10 Jan 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey1 Feb 2024
10 Jan 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Feb 2024
5 Nov 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.KComplaint investigation6 Nov 2023
5 Nov 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.KComplaint investigation6 Nov 2023
5 Nov 2023F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.KComplaint investigation6 Nov 2023

Penalties

DateTypeAmountDetail
28 Jan 2026Payment denial—8 days
28 Jan 2026Fine$19,115
28 Jan 2026Fine$19,115
12 Nov 2025Payment denial—4 days
12 Nov 2025Fine$68,640
5 Nov 2023Fine$168,714

Staffing

Total nursing—
Nurse aides—
LPN—
RN—
Weekend total—

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.3%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.8%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.9%8.3%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: government, hospital district. Legal business name: Chambers County Public Hospital District No. 1.

OrganisationRole in the CMS recordInterestSince
Trinity Rhc LLCOperational/managerial controlNOT APPLICABLE05/01/2021
Trinity Rhc LLCAdp of the snfNOT APPLICABLE05/08/2025

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 Trinity County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
River Pointe of Trinity Healthcare and RehabilitatTrinity1044411817.3$20K16 Jun 2026
Groveton Nursing HomeGroveton47341612.8$56K9 Sep 2025

All 3 facilities in Trinity County

Questions and answers

How many deficiencies has Trinity Rehabilitation & Healthcare Center been cited for?

66 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Trinity Rehabilitation & Healthcare Center been fined?

Yes. CMS lists fines totalling $276K in the period covered, plus 2 payment denials.

How does staffing at Trinity Rehabilitation & Healthcare Center compare?

CMS does not report staffing hours for this facility.

Who operates Trinity Rehabilitation & Healthcare Center?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Trinity Rhc LLC. Individual owners and managers are not listed on this site.

When was Trinity Rehabilitation & Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 15 Apr 2026.

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.