01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-02 | 2 | 2026-04-02 | 1 |
| Cycle 2 | 2025-01-24 | 0 | 2023-08-31 | 3 |
| Cycle 3 | 2023-08-31 | 0 | 2022-03-30 | 0 |
CMS CCN 3450882026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Trinity Glen
849 Waterworks Road · Winston-Salem, NC 27101 · Forsyth County
Certified beds117CMS provider file
Recent citation rows6current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
6 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-02 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-03 · complaint2026-04-02 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-04-212026-04-02 · FIREK0362Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2026-07-242023-08-31 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-12-272023-08-31 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-12-272023-08-31 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-12-2703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GOINS, TEDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2004
- HERMAN, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2021
- MADDRY, KARENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/30/2007
- NELSON, DOUGLASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2022
- NICKERSON, KIRBYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2012
- SMITH, KESHAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2012
- MADDRY, KARENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/30/2007
- NICKERSON, KIRBYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2012
- LSA MANAGEMENT, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/29/2004
- LUTHERAN HOME WINSTON SALEM PROPERTY INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/18/2006
- GOINS, TEDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2004
- HERMAN, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/20/2023
- NICKERSON, KIRBYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/25/2012
- SMITH, KESHAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2012
- WILMOUTH, LOGANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/24/2023
- LUTHERAN SERVICES FOR THE AGING, INC.Organization · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/01/2004
- GOINS, TEDIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/01/2004
- HERMAN, RICHARDIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 06/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.16per resident day
RN hours0.54per resident day
Weekend nurse hours3.57per resident day
Staff turnover45.1%CMS reported field
06 / LOCAL RECORDS
Open the Winston-Salem ledger →Other published facilities nearby
Brookridge Retirement Community77 beds · CMS overall 5/513 citation rowsHomestead Hills40 beds · CMS overall 4/522 citation rowsMill Creek Center For Nursing And Rehabilitation66 beds · CMS overall 2/555 citation rowsSalemtowne100 beds · CMS overall 4/58 citation rowsThe Oaks131 beds · CMS overall 2/531 citation rowsWillow Valley Center For Nursing And Rehabilitatio230 beds · CMS overall 1/571 citation rows