Trinity Grove
Grade D — 64/100 composite score
CMS Star Ratings
Certified Beds
100
Ownership
Non profit - Church related
Total Fines
$137,770
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
LUTHERAN SERVICES FOR THE AGING, INC.
100%
LSA MANAGEMENT, INC.
LUTHERAN HOME WILMINGTON PROPERTY, INC
LUTHERAN SERVICES FOR THE AGING, INC.
GOINS, TED
PARRISH, JAMES
SMITH, KESHA
SUTTON-SURAK, AUDREY
SMITH, KESHA
MADDRY, KAREN
NICKERSON, KIRBY
Penalties & Fines (4)
| Date | Type | Description | Amount |
|---|---|---|---|
| Sep 18, 2025 | Fine | — | $99,600 |
| Oct 10, 2024 | Fine | — | $21,085 |
| Aug 5, 2024 | Fine | — | $8,542 |
| Aug 5, 2024 | Fine | — | $8,543 |
Health Inspection Deficiencies (16)
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
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
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for Trinity Grove?
Trinity Grove in Wilmington, North Carolina has a CareGrader grade of D (Below Average), with a composite score of 64 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for Trinity Grove?
Trinity Grove has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does Trinity Grove have?
Trinity Grove has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.
Has Trinity Grove been fined?
Yes. Trinity Grove has $137,770 in total fines from CMS enforcement actions across 4 penalties.
How many beds does Trinity Grove have?
Trinity Grove has 100 certified beds with approximately 93 current residents (93% occupancy). The facility is located at 631 Junction Creek Drive, Wilmington, North Carolina 28412. It is a non profit - church related facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.