01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-29 | 3 | 2026-05-29 | 6 |
| Cycle 2 | 2025-03-27 | 2 | 2025-03-27 | 4 |
| Cycle 3 | 2024-02-08 | 5 | 2024-02-08 | 2 |
CMS CCN 6752382026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Trinity Terrace
1600 Texas Street · Fort Worth, TX 76102 · Tarrant County
Certified beds52CMS provider file
Recent citation rows22current 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
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-29 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service 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.
Correction field: Deficient, Provider has date of correction · 2026-06-262026-05-29 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-05-29 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has no plan of correction2026-05-29 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has no plan of correction2026-05-29 · FIREK0342Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has no plan of correction2026-05-29 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has no plan of correction2026-05-29 · FIREK0379Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have proper openings in smoke barrier doors.
Correction field: Deficient, Provider has no plan of correction2026-05-29 · FIREK0918Severity F · widespread; 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 no plan of correction2025-03-27 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-03-27 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-04-292025-03-27 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-04-212025-03-27 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-04-212025-03-27 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-04-252025-03-27 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2025-04-152024-02-08 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2024-02-162024-02-08 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-02-272024-02-08 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service 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.
Correction field: Deficient, Provider has date of correction · 2024-02-272024-02-08 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-02-092024-02-08 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-02-152023-12-07 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-01-08 · complaint2023-12-07 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service 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.
Correction field: Deficient, Provider has date of correction · 2024-01-08 · complaint03 / 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
- US BANK NATIONAL ASSOCIATIONOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 12/29/2011
- THOMAS, MICHAELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/07/2019
- AUSTIN, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/18/2001
- BARR, ALANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/22/1998
- COULTER, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2021
- FERNANDEZ, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2014
- HYATT, MIKEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/27/2010
- MCMAHON, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/25/2011
- SMITH, GRETCHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/27/2010
- STEMPEL, JUDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2019
- TAFT, ANDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2014
- TRAVIS, KARLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/18/2007
- VOGEL, CARLELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/28/2006
- WHITTON, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/18/2001
- WILSON, DOUGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/27/2010
- YOUNG, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- MILLS, DONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/23/2003
- SHOLTY, ERICIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/27/2018
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 hours4.11per resident day
RN hours0.73per resident day
Weekend nurse hours3.60per resident day
Staff turnover30.2%CMS reported field
06 / LOCAL RECORDS
Open the Fort Worth ledger →Other published facilities nearby
Arbor Lake Nursing & Rehabilitation, Llc123 beds · CMS overall 2/538 citation rowsArlington Heights Health And Rehabilitation Center170 beds · CMS overall 1/552 citation rowsAvir At Fort Worth120 beds · CMS overall 2/568 citation rowsCityview Nursing And Rehabilitation Center210 beds · CMS overall 2/565 citation rowsDfw Nursing & Rehab98 beds · CMS overall 1/595 citation rowsDowntown Health And Rehabilitation Center161 beds · CMS overall 1/564 citation rowsEstates Healthcare And Rehabilitation Center141 beds · CMS overall 1/582 citation rowsFort Worth Transitional Care Center136 beds · CMS overall 1/562 citation rows