nursing home in Wilmington, NC
Trinity Grove
631 Junction Creek Drive, Wilmington, NC 28412 · (910) 442-3000
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Trinity Grove at a glance
Trinity Grove is a 100-bed non-profit nursing home in Wilmington, North Carolina (New Hanover County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the North Carolina average of 2.9.
Residents receive about 4.4 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (September 18, 2025) found 5 health citations. The North Carolina average is 4.7.
Federal regulators fined it 4 times in the past three years, totaling $102,910.
Nursing staff turnover is 45.5% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lutheran Services Carolinas
- Medicare-certified since
- June 29, 2011
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- New Hanover County
- CMS Certification Number
- 345554
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.37 hrs | 3.85 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.83 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.75 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.85 hrs | 3.42 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 45.5% | 49% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 30.8% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 45 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $102,910 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 105 | 107 | |
| Average residents per day | 95 | 87 | 86 | |
| Occupancy | 94.9% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.6% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.3% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.8% | 14% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 5.7% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.6% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.5% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11.2% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.5% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 38.8% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.9% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.3% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 92% | 93.6% | Better |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.3% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80.3% | 78.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78.9% | 80.6% | 82% | Average |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 18, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected September 26, 2025 |
| September 18, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected October 8, 2025 |
| September 18, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 8, 2025 |
| September 18, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected October 8, 2025 |
| September 18, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | B No harm, pattern | Corrected October 8, 2025 |
| October 10, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected December 3, 2024 |
| October 10, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | D Potential harm, isolated | Corrected December 3, 2024 |
| October 10, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 3, 2024 |
| October 10, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected December 3, 2024 |
| October 10, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected December 3, 2024 |
| October 10, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected December 3, 2024 |
| October 10, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected October 30, 2024 |
| October 10, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected October 30, 2024 |
| October 10, 2024 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected October 30, 2024 |
| August 5, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected November 21, 2023 |
| August 5, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | K Immediate jeopardy, pattern | Corrected November 21, 2023 |
| August 5, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 25, 2024 |
| July 13, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected September 20, 2023 |
| July 13, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 20, 2023 |
| July 13, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0811 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $102,910 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 18, 2025 | Fine | $64,740 |
| October 10, 2024 | Fine | $21,085 |
| August 5, 2024 | Fine | $8,543 |
| August 5, 2024 | Fine | $8,542 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GOINS, TED Individual | adp of the snf | NOT APPLICABLE | 11/04/2004 |
| LSA MANAGEMENT, INC. Organization | adp of the snf | NOT APPLICABLE | 03/16/2025 |
| LUTHERAN HOME WILMINGTON PROPERTY, INC Organization | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| LUTHERAN SERVICES FOR THE AGING, INC. Organization | adp of the snf | NOT APPLICABLE | 04/25/2025 |
| NICKERSON, KIRBY Individual | adp of the snf | NOT APPLICABLE | 10/01/2012 |
| PARRISH, JAMES Individual | adp of the snf | NOT APPLICABLE | 02/25/2022 |
| SUTTON-SURAK, AUDREY Individual | adp of the snf | NOT APPLICABLE | 10/01/2012 |
| SMITH, KESHA Individual | corporate director | NOT APPLICABLE | 09/08/2003 |
| MADDRY, KAREN Individual | corporate officer | NOT APPLICABLE | 04/30/2007 |
| NICKERSON, KIRBY Individual | corporate officer | NOT APPLICABLE | 10/01/2012 |
| GOINS, TED Individual | managing control - governing body | NOT APPLICABLE | 11/04/2004 |
| HERMAN, RICHARD Individual | managing control - governing body | NOT APPLICABLE | 06/01/2021 |
| NELSON, DOUGLAS Individual | managing control - governing body | NOT APPLICABLE | 09/01/2022 |
| GOINS, TED Individual | operational/managerial control | NOT APPLICABLE | 11/04/2004 |
| LSA MANAGEMENT, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/30/2007 |
| LUTHERAN HOME WILMINGTON PROPERTY, INC Organization | operational/managerial control | NOT APPLICABLE | 04/05/1988 |
| LUTHERAN SERVICES FOR THE AGING, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/30/2007 |
| PARRISH, JAMES Individual | operational/managerial control | NOT APPLICABLE | 02/25/2022 |
| SMITH, KESHA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2012 |
| SUTTON-SURAK, AUDREY Individual | operational/managerial control | NOT APPLICABLE | 02/25/2022 |
| GOINS, TED Individual | trustee of the snf | NOT APPLICABLE | 11/04/2004 |
| HERMAN, RICHARD Individual | trustee of the snf | NOT APPLICABLE | 06/01/2021 |
| LUTHERAN SERVICES FOR THE AGING, INC. Organization | trustee of the snf | NOT APPLICABLE | 04/30/2007 |
| NELSON, DOUGLAS Individual | trustee of the snf | NOT APPLICABLE | 09/01/2022 |
Other nursing homes near Trinity Grove
Autumn Care of Myrtle Grove
5725 Carolina Beach Road, Wilmington, NC 28412 · under 1 mi
For-profit · 90 beds · Part of Saber Healthcare Group
- Abuse citation
★★★★★1Much below averageAzalea Health & Rehab Center
3800 Independence Boulevard, Wilmington, NC 28412 · 3 mi
For-profit · 80 beds · Part of Saber Healthcare Group
★★★★★2Below averageAugust Healthcare at Wilmington
820 Wellington Avenue, Wilmington, NC 28401 · 4.3 mi
For-profit · 120 beds · Part of August Healthcare
★★★★★1Much below averagePeak Resources-Wilmington, INC
2305 Silver Stream Lane, Wilmington, NC 28401 · 4.4 mi
For-profit · 110 beds · Part of Peak Resources, INC.
★★★★★1Much below averageCypress Pointe Rehabilitation Center
2006 South 16th Street, Wilmington, NC 28401 · 5 mi
For-profit · 90 beds · Part of Sovereign Healthcare Holdings
- CMS high performer
★★★★★5Much above average- ★★★★★2Below average
Frequently asked questions
What is Trinity Grove's rating?
Trinity Grove has 3 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Trinity Grove receive?
Its most recent standard health inspection found 5 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Trinity Grove accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Trinity Grove?
It is non profit - church related and part of Lutheran Services Carolinas. The ownership section on this page lists the owners and managers reported to CMS.
Where is Trinity Grove and how do I contact it?
Trinity Grove is at 631 Junction Creek Drive, Wilmington, NC 28412. Phone: (910) 442-3000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.