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Trinity Grove
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Ratings Deep Dive
5 Deficiencies found in last inspections
4 Penalties in last 3 years
4 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Sep 18, 2025 | 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. | B |
| — | Sep 18, 2025 | Post nurse staffing information every day. | C |
| — | Sep 18, 2025 | Provide and implement an infection prevention and control program. | E |
| — | Sep 18, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| — | Sep 18, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E |
1.0 RN Hours / Resident / Day
4.4 Total Nurse Hours / Resident / Day
41.7% RN Turnover Rate
2.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
93.1 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LUTHERAN SERVICES FOR THE AGING, INC.
OPERATIONAL/MANAGERIAL CONTROL LSA MANAGEMENT, INC.
OPERATIONAL/MANAGERIAL CONTROL LUTHERAN HOME WILMINGTON PROPERTY, INC
OPERATIONAL/MANAGERIAL CONTROL LUTHERAN SERVICES FOR THE AGING, INC.
OPERATIONAL/MANAGERIAL CONTROL GOINS, TED
OPERATIONAL/MANAGERIAL CONTROL PARRISH, JAMES
OPERATIONAL/MANAGERIAL CONTROL SMITH, KESHA
OPERATIONAL/MANAGERIAL CONTROL SUTTON-SURAK, AUDREY
CORPORATE DIRECTOR SMITH, KESHA
CORPORATE OFFICER MADDRY, KAREN
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Sep 18, 2025 | Fine | $99,600 |
| Oct 10, 2024 | Fine | $21,085 |
| Aug 5, 2024 | Fine | $8,542 |
| Aug 5, 2024 | Fine | $8,543 |
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