Starfile

Starfile / Texas

TRINITY REHABILITATION & HEALTHCARE CENTER

314 E CAROLINE ST, TRINITY, TX 75862 · CCN 676439

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★★☆☆☆ 2

Facility

Ownership type
Government - Hospital district
Certified beds
76
Avg residents/day
60.9
Phone
9367441300

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-02-27339.19.5+23.9 worse
22024-01-10109.49.8+0.6 worse
32022-11-30118.19.3+2.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care7
Resident assessment and care planning6
Nursing and physician services1
Resident rights2
Nutrition and dietary1
Pharmacy service5
Environmental3
Administration2
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4166.7%
RN staffing (reported)0.3833.3%
Total nurse staffing (adjusted)3.74

Fines & penalties

Total fines
$274,314
Number of fines
2
Number of penalties
2
Payment denials
0

Inspection citations (54)6 immediate jeopardy1 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-28 · Health

    Potential for more than minimal harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-28 · Health

    Potential for more than minimal harm

  3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-28 · Health

    Potential for more than minimal harm

  4. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-28 · Health

    Potential for more than minimal harm

  5. DF0760Ensure that residents are free from significant medication errors.2026-01-28 · Health

    Potential for more than minimal harm

  6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-17 · Health · corrected 2025-12-18

    Potential for more than minimal harm

  7. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-12-17 · Health · corrected 2025-12-18

    Potential for more than minimal harm

  8. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-26 · Health · corrected 2025-12-15

    Potential for more than minimal harm

  9. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-26 · Health · corrected 2025-12-15

    Potential for more than minimal harm

  10. KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-12 · Health · corrected 2025-11-20

    Immediate jeopardy

  11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-12 · Health · corrected 2025-12-08

    Potential for more than minimal harm

  12. HF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-12 · Health · corrected 2025-12-05

    Actual harm

  13. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-12 · Health · corrected 2025-11-20

    Immediate jeopardy

  14. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-12 · Health · corrected 2025-12-08

    Potential for more than minimal harm

  15. KF0760Ensure that residents are free from significant medication errors.2025-11-12 · Health · corrected 2025-11-20

    Immediate jeopardy

  16. EF0880Provide and implement an infection prevention and control program.2025-11-12 · Health · corrected 2025-12-08

    Potential for more than minimal harm

  17. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-07-27 · Health · corrected 2025-08-12

    Potential for more than minimal harm

  18. DF0584Honor 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.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  19. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  20. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-02-27 · Health · corrected 2025-03-13

    Potential for more than minimal harm

  21. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  22. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-27 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  24. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  25. DF0761Ensure 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.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  26. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  27. EF0880Provide and implement an infection prevention and control program.2025-02-27 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  28. DF0908Keep all essential equipment working safely.2025-02-27 · Health · corrected 2025-03-13

    Potential for more than minimal harm

  29. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  30. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-02-27 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  31. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-02-27 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  32. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-02-27 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  33. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-02-27 · Health · corrected 2025-03-24

    Potential for more than minimal harm

  34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-28 · Health · corrected 2024-09-24

    Potential for more than minimal harm

  35. DF0880Provide and implement an infection prevention and control program.2024-08-28 · Health · corrected 2024-09-24

    Potential for more than minimal harm

  36. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  38. DF0693Ensure 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.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  39. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  40. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  41. FF0727Have 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.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  42. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  43. EF0880Provide and implement an infection prevention and control program.2024-01-10 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  44. KF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-11-05 · Health · corrected 2023-11-06

    Immediate jeopardy

  45. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-11-05 · Health · corrected 2023-11-06

    Immediate jeopardy

  46. KF0700Try 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.2023-11-05 · Health · corrected 2023-11-06

    Immediate jeopardy

  47. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-11-30 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  48. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-11-30 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  49. DF0641Ensure each resident receives an accurate assessment.2022-11-30 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  50. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-11-30 · Health · corrected 2022-12-29

    Potential for more than minimal harm

  51. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-30 · Health · corrected 2022-12-20

    Potential for more than minimal harm

  52. FF0727Have 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.2022-11-30 · Health · corrected 2022-12-06

    Potential for more than minimal harm

  53. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-11-30 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  54. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-11-30 · Health · corrected 2022-12-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-05-01
TRINITY RHC LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-05-01
WHATLEY, DARCYIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
COOPER, KIMBERLYIndividualCORPORATE DIRECTOR2024-01-29
NEWTON, ELIZABETHIndividualCORPORATE DIRECTOR2024-02-22

Other facilities in TRINITY

NameOverallBeds
RIVER POINTE OF TRINITY HEALTHCARE AND REHABILITAT★★★☆☆104

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.