nursing home in Trinity, TX

Trinity Rehabilitation & Healthcare Center

314 E. Caroline St., Trinity, TX 75862 · (936) 744-1300

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★2
  • Special Focus candidate
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Trinity Rehabilitation & Healthcare Center at a glance

Trinity Rehabilitation & Healthcare Center is a 76-bed government nursing home in Trinity, Texas (Trinity County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Its most recent standard health inspection (April 15, 2026) found 36 health citations. The Texas average is 9.4.

Federal regulators fined it 4 times in the past three years, totaling $262,204.

Facility details

Type
Nursing home
Ownership
Government - Hospital District
Beds
76
Certified for
Medicare and Medicaid
Medicare-certified since
January 24, 2018
Resident/family council
Resident
County
Trinity County
CMS Certification Number
676439

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)1 / 53.2 / 53.3 / 5Worse

Inspections

This facility36Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)3699Worse
Citations from complaint investigations (latest cycle) (lower is better)2143Worse
Weighted health inspection score ⓘ (lower is better)567.310280.6Worse

Penalties

This facility4Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$262,204$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)621Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds76113107
Average residents per day567686
Occupancy74.1%67.6%80.9%

Long-stay residents

This facility6.2%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)6.2%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)6.8%3.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)6.9%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)8%15.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)8.3%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.2%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0%2.4%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)20.2%18%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)6.6%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%96.6%93.6%Better

Short-stay residents

This facility3.4%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.4%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)97.9%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98%88.9%82%Better

Inspection citations

State inspectors cited this home for 66 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 9 citations involved actual harm, including 6 rated "immediate jeopardy".

DateCitationSeverityStatus
April 15, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected April 29, 2026
April 15, 2026
Standard
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
E
Potential harm, pattern
Corrected May 8, 2026
April 15, 2026
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
E
Potential harm, pattern
Corrected May 8, 2026
April 15, 2026
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
E
Potential harm, pattern
Corrected May 8, 2026
April 15, 2026
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Tag F0839
D
Potential harm, isolated
Corrected May 6, 2026
April 15, 2026
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected May 6, 2026
April 15, 2026
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected May 8, 2026
April 15, 2026
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected May 8, 2026
March 4, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
G
Actual harm, isolated
Corrected April 10, 2026
March 4, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected April 10, 2026
March 4, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 1, 2026
March 4, 2026
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected April 1, 2026
March 4, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 1, 2026
January 28, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected February 27, 2026
January 28, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected February 27, 2026
January 28, 2026
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected February 27, 2026
January 28, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected February 27, 2026
January 28, 2026
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
D
Potential harm, isolated
Corrected February 27, 2026
December 17, 2025
Complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected December 18, 2025
December 17, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected December 18, 2025
November 26, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected December 15, 2025
November 26, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected December 15, 2025
November 12, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
K
Immediate jeopardy, pattern
Corrected November 20, 2025
November 12, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
K
Immediate jeopardy, pattern
Corrected November 20, 2025
November 12, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
K
Immediate jeopardy, pattern
Corrected November 20, 2025
November 12, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
H
Actual harm, pattern
Corrected December 5, 2025
November 12, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected December 8, 2025
November 12, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected December 8, 2025
November 12, 2025
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected December 8, 2025
July 27, 2025
Complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
E
Potential harm, pattern
Corrected August 12, 2025
February 27, 2025
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected February 28, 2025
February 27, 2025
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 March 14, 2025
February 27, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected February 28, 2025
February 27, 2025
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
E
Potential harm, pattern
Corrected February 28, 2025
February 27, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected March 17, 2025
February 27, 2025
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
F
Potential harm, widespread
Corrected February 28, 2025
February 27, 2025
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
F
Potential harm, widespread
Corrected February 28, 2025
February 27, 2025
Standard
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
E
Potential harm, pattern
Corrected March 24, 2025
February 27, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 14, 2025
February 27, 2025
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
E
Potential harm, pattern
Corrected February 28, 2025
February 27, 2025
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
E
Potential harm, pattern
Corrected March 24, 2025
February 27, 2025
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
E
Potential harm, pattern
Corrected March 24, 2025
February 27, 2025
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
E
Potential harm, pattern
Corrected March 24, 2025
February 27, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 14, 2025
February 27, 2025
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected March 13, 2025
February 27, 2025
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected February 28, 2025
February 27, 2025
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected February 28, 2025
February 27, 2025
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected March 13, 2025
February 27, 2025
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
D
Potential harm, isolated
Corrected February 28, 2025
February 27, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected February 28, 2025
February 27, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 14, 2025
August 28, 2024
Complaint
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
F
Potential harm, widespread
Corrected September 24, 2024
August 28, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 24, 2024
January 10, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
C
No harm, widespread
Corrected March 1, 2024
January 10, 2024
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected February 1, 2024
January 10, 2024
Standard
Have 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.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected February 1, 2024
January 10, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected February 1, 2024
January 10, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
E
Potential harm, pattern
Corrected February 1, 2024
January 10, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 1, 2024
January 10, 2024
Standard
Ensure 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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected February 1, 2024
January 10, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected February 1, 2024
January 10, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected February 1, 2024
November 5, 2023
Complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
K
Immediate jeopardy, pattern
Corrected November 6, 2023
November 5, 2023
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 6, 2023
November 5, 2023
Complaint
Try 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.
Quality of Life and Care Deficiencies · Tag F0700
K
Immediate jeopardy, pattern
Corrected November 6, 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 5 federal penalties in the past three years, including $249,779 in fines.

DatePenaltyAmount / length
January 28, 2026Payment Denial8 days from April 2, 2026
January 28, 2026Fine$12,425
November 12, 2025Payment Denial4 days from December 11, 2025
November 12, 2025Fine$68,640
November 5, 2023Fine$168,714

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
SCIARRINI, JOSEPH
Individual
adp of the snfNOT APPLICABLE05/01/2021
SMITH, MICHAEL
Individual
adp of the snfNOT APPLICABLE05/01/2021
SQUYRES, HULEN
Individual
adp of the snfNOT APPLICABLE05/01/2021
TRINITY RHC LLC
Organization
adp of the snfNOT APPLICABLE05/08/2025
COOPER, KIMBERLY
Individual
corporate directorNOT APPLICABLE01/29/2024
NEWTON, ELIZABETH
Individual
corporate directorNOT APPLICABLE02/22/2024
TRINITY RHC LLC
Organization
operational/managerial controlNOT APPLICABLE05/01/2021
WHATLEY, DARCY
Individual
operational/managerial controlNOT APPLICABLE05/01/2021

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Frequently asked questions

What is Trinity Rehabilitation & Healthcare Center's rating?

Trinity Rehabilitation & Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Trinity Rehabilitation & Healthcare Center receive?

Its most recent standard health inspection found 36 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Trinity Rehabilitation & Healthcare Center 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 Rehabilitation & Healthcare Center?

It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.

Where is Trinity Rehabilitation & Healthcare Center and how do I contact it?

Trinity Rehabilitation & Healthcare Center is at 314 E. Caroline St., Trinity, TX 75862. Phone: (936) 744-1300.

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.