Senior Care Inspection Finder
Last checked October 25, 2026 · 2,492 nursing homes and 2,174 assisted living licenses in 4 states · CMS data processed September 1, 2026

Home › Texas › Trinity County › Trinity Rehabilitation & Healthcare Center

Trinity Rehabilitation & Healthcare Center

314 E. Caroline St., Trinity, TX 75862 · CMS Certification Number (CCN) 676439

Special Focus Facility candidate CMS abuse icon

CMS shows the abuse icon when a nursing home was cited for abuse or neglect at the harm level or above (scope/severity G or higher) on its most recent inspection cycle, or at the potential-harm level (D or higher) on both of its two most recent cycles. CMS data dictionary

CMS lists this home in its data as a candidate for the Special Focus Facility (SFF) program, which CMS describes as for homes with a history of serious quality issues. CMS Technical Users’ Guide

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
66 in the last 3 inspection cycles (6 immediate jeopardy, 3 actual harm, 30 from complaints)
Fire safety citations
7
Fines (last 3 years)
4 fines, total $262,204
Payment denials
2
Most recent standard inspection
April 15, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 5
This facility did not submit staffing data.
1.92.9
Quality measures★★☆☆☆ 2 of 53.73.6
Long-stay quality★★★★☆ 4 of 5Not publishedNot published
Short-stay quality★☆☆☆☆ 1 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)April 15, 2026361521
Cycle 2February 27, 202523169

CMS weighted health inspection score: 567.25 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

66 health citations across 11 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

April 15, 2026: 15 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
E F-0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0942 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
E F-0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0839 Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/06/2026
D F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/06/2026
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
D F-0552 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/08/2026
March 4, 2026: 5 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/01/2026
D F-0726 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.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/01/2026
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/01/2026
G F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/10/2026
G F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/10/2026
January 28, 2026: 5 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/27/2026
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/27/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/27/2026
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/27/2026
D F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/27/2026
December 17, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/18/2025
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/18/2025
November 26, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/15/2025
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/15/2025
November 12, 2025: 7 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/08/2025
K F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/20/2025
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/08/2025
K F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/20/2025
H F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/08/2025
K F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/20/2025
July 27, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/12/2025
February 27, 2025: 16 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/24/2025
E F-0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/24/2025
E F-0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/24/2025
E F-0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/24/2025
F F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/28/2025
D F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/13/2025
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/14/2025
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/28/2025
D F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/28/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/28/2025
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/14/2025
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/14/2025
E F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 02/28/2025
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/13/2025
D F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 02/28/2025
D F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/28/2025
August 28, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/24/2024
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/24/2024
January 10, 2024: 8 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 02/01/2024
E F-0757 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
F F-0727 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.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
F F-0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
D F-0693 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.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
D F-0658 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 02/01/2024
November 5, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
K F-0700 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.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/06/2023
K F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/06/2023
K F-0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/06/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Fire safety inspections

7 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
04/15/2026FK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/29/2026
02/27/2025FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 03/14/2025
02/27/2025EK-0781Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 02/28/2025
02/27/2025EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 03/17/2025
02/27/2025FK-0222Add 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.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 02/28/2025
02/27/2025FE-0037Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 02/28/2025
01/10/2024CK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/01/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Penalties

DateTypeFine amountPayment denial
January 28, 2026Fine$12,425—
January 28, 2026Fine$12,425—
January 28, 2026Payment Denial—Starting April 2, 2026, 8 days
November 12, 2025Fine$68,640—
November 12, 2025Payment Denial—Starting December 11, 2025, 4 days
November 5, 2023Fine$168,714—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per dayThis facility did not submit staffing data.3.393.86
Registered nurse (RN) hours per resident per dayThis facility did not submit staffing data.0.430.69
LPN/LVN hours per resident per dayThis facility did not submit staffing data.Not publishedNot published
Nurse aide hours per resident per dayThis facility did not submit staffing data.Not publishedNot published
Total nurse staff hours per resident per day, weekendsThis facility did not submit staffing data.Not publishedNot published
RN hours per resident per day, weekendsThis facility did not submit staffing data.Not publishedNot published
Total nursing staff turnover (%)Staffing data not submitted or invalid for calculating turnover.55.345.8
Registered nurse turnover (%)Staffing data not submitted or invalid for calculating turnover.Not publishedNot published
Administrators who have leftStaffing data not submitted or invalid for calculating turnover.Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Facility details

Legal business name
Chambers County Public Hospital District No. 1
Ownership type
Government - Hospital district
Chain
Not published
Ownership changed in last 12 months
No
Certified beds
76
Average residents per day
56.3
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
January 24, 2018
County/parish
Trinity

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Owners and managers reported to CMS

8 ownership and management records
NameRoleTypeOwnership %Since
COOPER, KIMBERLYCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
NEWTON, ELIZABETHCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
TRINITY RHC LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
WHATLEY, DARCYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
TRINITY RHC LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
SCIARRINI, JOSEPHADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
SMITH, MICHAELADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
SQUYRES, HULENADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 25, 2026. Not a ranking or endorsement.