D64

Trinity Grove

Grade D 64/100 composite score

Non profit - Church relatedAbuse Citation

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
3/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

100

Ownership

Non profit - Church related

Total Fines

$137,770

Last Survey

N/A

631 Junction Creek Drive, Wilmington, NC 28412
9104423000

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.09h
LPN
0.80h
CNA
3.05h
Total
4.94h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LUTHERAN SERVICES FOR THE AGING, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2007

100%

LSA MANAGEMENT, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2007

LUTHERAN HOME WILMINGTON PROPERTY, INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 1988

LUTHERAN SERVICES FOR THE AGING, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2007

GOINS, TED

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2004

PARRISH, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2022

SMITH, KESHA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2012

SUTTON-SURAK, AUDREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2022

SMITH, KESHA

IndividualCORPORATE DIRECTORSince Sep 2003

MADDRY, KAREN

IndividualCORPORATE OFFICERSince Apr 2007

NICKERSON, KIRBY

IndividualCORPORATE OFFICERSince Oct 2012

Penalties & Fines (4)

$137,770total fines
DateTypeDescriptionAmount
Sep 18, 2025Fine$99,600
Oct 10, 2024Fine$21,085
Aug 5, 2024Fine$8,542
Aug 5, 2024Fine$8,543

Health Inspection Deficiencies (16)

September 18, 2025Health5 deficiencies1 severe
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Oct 8, 2025
0585BNo harm, Pattern

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

Corrected Oct 8, 2025
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Oct 8, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 8, 2025
0600GActual harm, Isolated

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

Corrected Sep 26, 2025
October 10, 2024Health3 deficiencies1 severe
0600GActual harm, Isolated

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

Corrected Oct 30, 2024
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 30, 2024
0810DMinimal harm, Isolated

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Nutrition and Dietary Deficiencies

Corrected Oct 30, 2024
August 5, 2024Health3 deficiencies2 severe
0600KImmediate jeopardy, Pattern

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

Corrected Nov 21, 2023
0607KImmediate jeopardy, Pattern

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 21, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 25, 2024
July 13, 2023Health4 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Aug 15, 2023
0761EMinimal harm, Pattern

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

Corrected Aug 15, 2023
0811DMinimal harm, Isolated

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

Corrected Aug 15, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 15, 2023
May 9, 2023Health1 deficiency
0607EMinimal harm, Pattern

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 13, 2023

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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.