F

Trinity Grove

631 Junction Creek Drive, Wilmington, NC 28412
Score: 38 / 100

With a score of 38/100, Trinity Grove ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Trinity Grove exceed national averages, with 4.36 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.96 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 16 deficiencies at Trinity Grove, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.36 3.8 Above Average
Registered Nurses (RN) 0.96 0.7 Above Average
Licensed Practical Nurses (LPN) 0.70 0.7 Average
Certified Nursing Assistants (CNA) 2.69 2.4 Above Average
Weekend Total Nursing 3.86 3.8 Average
Weekend RN Hours 0.48 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Sep 17, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 12 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Sep 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0565 Severity E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    Sep 17, 2025 · Resident Rights Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Sep 17, 2025 · Infection Control Deficiencies
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Oct 9, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Oct 9, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.0% 4.5% Worse
Falls with major injury 4.3% 3.0% Worse
On antipsychotic medication 17.3% 14.5% Worse
Urinary tract infections 4.4% 2.5% Worse
ADL decline (daily activities) 18.4% 14.0% Worse
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 28.8% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $137,770

How This Grade Was Calculated

This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 17, 2025
Deficiencies (Cycle 1)
5