Trinity Rehabilitation & Healthcare Center

Special Focus Facility candidate · CMS abuse icon · Trinity · TX · Government - Hospital district · 76 certified beds · CCN 676439 · CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1


Trinity Rehabilitation & Healthcare Center operates 76 certified beds in Trinity, Texas. Its Medicare and Medicaid certification dates to 2018-01-24. It averages 56.3 residents a day.

What harm was found in the violations cited at Trinity Rehabilitation & Healthcare Center?

CMS lists 66 health-inspection deficiencies for Trinity Rehabilitation & Healthcare Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-15.

Survey dateTagDeficiencySeverity
2026-04-15F0941, F0945, F0949Develop, 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. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2026-04-15F0552, F0644, F0655, F0657, F0755, F0804, F0839, F0880, F0940, F0942, F0943, F0947Ensure that residents are fully informed and understand their health status, care and treatments. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2026-03-04F0677, F0684Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-03-04F0689, F0726, F0880Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide and implement an infection prevention and control program.D
2026-01-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-01-28F0600, F0609, F0656, F0760Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that residents are free from significant medication errors.D
2025-12-17F0656, F0694Develop 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.D
2025-11-26F0677, F0842Provide 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.E
2025-11-12F0580, F0686, F0760Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors.K
2025-11-12F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H
2025-11-12F0755, F0880Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.E
2025-11-12F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-07-27F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2025-02-27F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-02-27F0655, F0880, F0941, F0945, F0947, F0949Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide and implement an infection prevention and control program. / 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.E
2025-02-27F0584, F0602, F0644, F0677, F0689, F0755, F0761, F0908Honor 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. / Protect each resident from the wrongful use of the resident's belongings or money. / 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. / Keep all essential equipment working safely.D
2024-08-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-08-28F0880Provide and implement an infection prevention and control program.D
2024-01-10F0725, F0727Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F
2024-01-10F0757, F0880Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.E
2024-01-10F0658, F0677, F0693, F0695Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed.D
2023-11-05F0604, F0607, F0700Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.K

Why was Trinity Rehabilitation & Healthcare Center fined 4 times?

DateTypeAmount
2026-01-28Fine$19,115
2026-01-28Fine$19,115
2025-11-12Fine$68,640
2023-11-05Fine$168,714

Has Trinity Rehabilitation & Healthcare Center had payment denied by Medicare more than once?

Payment denial startLength in days
2026-04-028
2025-12-114

How is Trinity Rehabilitation & Healthcare Center staffed?

MeasureThis facilityTX average
Average number of residents per day56.375.8

Who owns Trinity Rehabilitation & Healthcare Center?

Trinity Rehabilitation & Healthcare Center is registered with CMS as Government - Hospital district, operates under the legal business name CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1.

RoleOwnerAssociation date
CORPORATE DIRECTORCOOPER, KIMBERLY, NEWTON, ELIZABETHsince 01/29/2024
OPERATIONAL/MANAGERIAL CONTROLTRINITY RHC LLC, WHATLEY, DARCYsince 05/01/2021
ADP OF THE SNFTRINITY RHC LLC, SCIARRINI, JOSEPH, SMITH, MICHAEL, SQUYRES, HULENsince 05/01/2021

Were you or a family member harmed at Trinity Rehabilitation & Healthcare Center?