• CMS rates this facility 1/5 stars (below average)
• Has 76 certified beds with an average of 60.9 residents per day (80% occupancy)
• Last health inspection found 28 deficiencies (inspected Feb 27, 2025)
• Has been fined a total of $261,114 across 2 fine(s)
• Total nursing staff: 3.41 hours per resident per day
• Staff turnover rate: 66.7% (high)
Trinity Rehabilitation & Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in Trinity, Texas with 76 certified beds. It has been operating since 2018. The facility scored below average compared to Texas facilities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Keep all essential equipment working safely.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Protect each resident from the wrongful use of the resident's belongings or money.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
+ 19 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 1, 2021 |
| TRINITY RHC LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2021 |
| WHATLEY, DARCY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2021 |
| COOPER, KIMBERLY | CORPORATE DIRECTOR | Individual | N/A | Jan 29, 2024 |
| NEWTON, ELIZABETH | CORPORATE DIRECTOR | Individual | N/A | Feb 22, 2024 |