Government - Hospital district · 76 certified beds · CMS number 676439
Trinity Rehabilitation & Healthcare Center, Trinity, TX
CMS records 66 health deficiencies at Trinity Rehabilitation & Healthcare Center in Trinity, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 15, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level. CMS lists 4 fines totaling $262,204 and 2 payment denials in the last three years.
- Special Focus Facility candidate (CMS)
- CMS abuse icon
- 6 immediate jeopardy (J/K/L) citations
- A tag cited in 6 inspections
- 66deficiencies, 3 cycles (TX median 25)
- 36in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $262,204fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Trinity Rehabilitation & Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Trinity Rehabilitation & Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (36 deficiencies)
Standard inspection Apr 15, 2026. CMS counts 36 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 15, 2026 · Standard inspection
15 deficiencies, highest E
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 8, 2026
F947 · Ongoing nurse aide training
Requirement cited (CMS): Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F945 · Infection control training
Requirement cited (CMS): Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 8, 2026
F943 · Abuse prevention and dementia training
Requirement cited (CMS): Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F942 · Resident rights training for staff
Requirement cited (CMS): Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F941 · Communication training for caregivers
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 8, 2026
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F839 · Licensed and qualified staff
Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2026
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
Mar 4, 2026 · Complaint inspection
5 deficiencies, highest G
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 1, 2026
F726 · Competent nurses and nurse aides
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 1, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 1, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 10, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 10, 2026
Jan 28, 2026 · Complaint inspection
5 deficiencies, highest E
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 27, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
Dec 17, 2025 · Complaint inspection
2 deficiencies, highest D
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2025
Nov 26, 2025 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 15, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 15, 2025
Nov 12, 2025 · Complaint inspection
7 deficiencies, highest K
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 20, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 20, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Dec 5, 2025
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 8, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 20, 2025
Previous cycle: 17 deficiencies (standard inspection Feb 27, 2025)
Standard inspection Feb 27, 2025. CMS counts 17 health deficiencies and 5 fire safety deficiencies in this cycle.
Jul 27, 2025 · Complaint inspection
1 deficiency, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 12, 2025
Feb 27, 2025 · Standard + complaint inspection
16 deficiencies, highest F
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2025
F947 · Ongoing nurse aide training
Requirement cited (CMS): Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2025
F945 · Infection control training
Requirement cited (CMS): Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2025
F941 · Communication training for caregivers
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2025
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 28, 2025
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 14, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 28, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2025
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
Earlier cycle: 13 deficiencies (standard inspection Jan 10, 2024)
Standard inspection Jan 10, 2024. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 28, 2024 · Complaint inspection
2 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 24, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 24, 2024
Jan 10, 2024 · Standard + complaint inspection
8 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 1, 2024
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 1, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 1, 2024
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 1, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 1, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 1, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 1, 2024
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 1, 2024
Nov 5, 2023 · Complaint inspection
3 deficiencies, highest K
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 6, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 6, 2023
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 6, 2023
Tags cited in more than one inspection
15 tags cited on more than one inspection date at Trinity Rehabilitation & Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 6 | Apr 15, 2026; Mar 4, 2026; Nov 12, 2025; Feb 27, 2025; Aug 28, 2024; Jan 10, 2024 |
| F677 Help with daily care | 4 | Mar 4, 2026; Nov 26, 2025; Feb 27, 2025; Jan 10, 2024 |
| F689 Accident prevention and supervision | 3 | Mar 4, 2026; Jan 28, 2026; Feb 27, 2025 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Apr 15, 2026; Nov 12, 2025; Feb 27, 2025 |
| F644 Coordinating with PASARR screening | 2 | Apr 15, 2026; Feb 27, 2025 |
| F655 Baseline care plan within 48 hours | 2 | Apr 15, 2026; Feb 27, 2025 |
| F656 Comprehensive person-centered care plan | 2 | Jan 28, 2026; Dec 17, 2025 |
| F657 Care plan timing and team review | 2 | Apr 15, 2026; Nov 12, 2025 |
| F684 Quality of care | 2 | Mar 4, 2026; Nov 12, 2025 |
| F760 No significant medication errors | 2 | Jan 28, 2026; Nov 12, 2025 |
| F812 Food safety and sanitation | 2 | Feb 27, 2025; Aug 28, 2024 |
| F941 Communication training for caregivers | 2 | Apr 15, 2026; Feb 27, 2025 |
| F945 Infection control training | 2 | Apr 15, 2026; Feb 27, 2025 |
| F947 Ongoing nurse aide training | 2 | Apr 15, 2026; Feb 27, 2025 |
| F949 Behavioral health training | 2 | Apr 15, 2026; Feb 27, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 28, 2026 | Fine | $12,425 |
| Jan 28, 2026 | Fine | $12,425 |
| Jan 28, 2026 | Payment Denial | 8 days from Apr 2, 2026 |
| Nov 12, 2025 | Fine | $68,640 |
| Nov 12, 2025 | Payment Denial | 4 days from Dec 11, 2025 |
| Nov 5, 2023 | Fine | $168,714 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- not reported
- RN hours per resident per day
- not reported
- Weekend nurse staff hours per resident per day
- not reported
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Trinity Rehabilitation & Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 314 E. Caroline St., Trinity, TX 75862
- Phone
- (936) 744-1300
- County
- Trinity
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 76
- Average residents per day
- 56.3
- In Medicare/Medicaid since
- Jan 24, 2018
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 6 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 4 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
Other nursing homes in Trinity
- River Pointe of Trinity Healthcare and Rehabilitat
Trinity · 18 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.