Trinity Grove
631 Junction Creek Drive, Wilmington, NC, 28412
CMS ownership records associate this facility with Lutheran Services Carolinas · Non profit - Church related.
At a glance
- CMS overall
- 3
- of 5
- Health inspection
- 2
- of 5
- Staffing
- 5
- of 5
- Quality measures
- 3
- of 5
- Certified beds
- 100
- CMS-reported
CMS rating profile
The four CMS ratings on one aligned scale, with county and state averages for context.
Rating profile
How this facility's overall rating relates to its three CMS component ratings.
CMS-reported data · updated 2026-07-17
Comparative context
This facility's CMS overall rating next to its county and state averages.
CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating
Methodology
Inspections and citations
Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.
Citation profile
How many citations CMS reports, how severe, and when they occurred.
CMS-reported data · updated 2026-07-17
Methodology
Federal records
Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.
Federal fines (CMP)
Fine records over time, sized by amount.
- Sep 18, 2025$64,740
- Oct 10, 2024$21,085
- Aug 5, 2024$8,543
- Aug 5, 2024$8,542
CMS-reported data · updated 2026-07-17
Payment denials
Payment-denial records over time, sized by duration.
No payment-denial records are included in this data for this facility.
CMS-reported data · updated 2026-07-17
Methodology
Staffing and care
Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.
Selected care measures
How this facility's reported care indicators sit against a typical level.
Long-stay residents given antipsychotic medication.
Long-stay residents with new or worsened pressure ulcers.
Long-stay residents with one or more falls with major injury.
CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating
Methodology
Ownership
Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.
| Owner / organization | Role |
|---|---|
| Goins, Ted | MANAGING CONTROL - GOVERNING BODY |
| Herman, Richard | MANAGING CONTROL - GOVERNING BODY |
| Nelson, Douglas | MANAGING CONTROL - GOVERNING BODY |
| Smith, Kesha | CORPORATE DIRECTOR |
| Maddry, Karen | CORPORATE OFFICER |
| Nickerson, Kirby | CORPORATE OFFICER |
| Lsa Management, Inc. | OPERATIONAL/MANAGERIAL CONTROL |
| Lutheran Home Wilmington Property, Inc | OPERATIONAL/MANAGERIAL CONTROL |
| Lutheran Services for the Aging, Inc. | OPERATIONAL/MANAGERIAL CONTROL |
| Goins, Ted | OPERATIONAL/MANAGERIAL CONTROL |
| Parrish, James | OPERATIONAL/MANAGERIAL CONTROL |
| Smith, Kesha | OPERATIONAL/MANAGERIAL CONTROL |
| Sutton-Surak, Audrey | OPERATIONAL/MANAGERIAL CONTROL |
| Lutheran Services for the Aging, Inc. | TRUSTEE OF THE SNF |
| Goins, Ted | TRUSTEE OF THE SNF |
| Herman, Richard | TRUSTEE OF THE SNF |
| Nelson, Douglas | TRUSTEE OF THE SNF |
| Lsa Management, Inc. | ADP OF THE SNF |
| Lutheran Home Wilmington Property, Inc | ADP OF THE SNF |
| Lutheran Services for the Aging, Inc. | ADP OF THE SNF |
| Goins, Ted | ADP OF THE SNF |
| Nickerson, Kirby | ADP OF THE SNF |
| Parrish, James | ADP OF THE SNF |
| Sutton-Surak, Audrey | ADP OF THE SNF |
Nearby facilities
Other CMS-certified nursing homes near New Hanover County.
Verify the current location and license with official sources.
| Facility | Location | Overall | Health | Staffing | CMS abuse icon | Federal penalties |
|---|---|---|---|---|---|---|
| Autumn Care Of Biscoe CCN 345000 | Biscoe, NC | 3 | 3 | 2 | Not shown | $15,350 |
| Hillcrest Convalescent Center CCN 345001 | Durham, NC | 5 | 5 | 5 | Not shown | $0 |
| Cypress Pointe Rehabilitation Center CCN 345002 | Wilmington, NC | 5 | 5 | 4 | Not shown | $0 |
| Silas Creek Rehabilitation Center CCN 345003 | Winston Salem, NC | 5 | 5 | 3 | Not shown | $0 |
| Person Memorial Hospital CCN 345004 | Roxboro, NC | 1 | 2 | 1 | Not shown | $65,099 |
| Blumenthal Health and Rehabilitation Center CCN 345006 | Greensboro, NC | 1 | 1 | 2 | Shown | $217,768 |
Related research
Frequently asked questions
What is Trinity Grove's CMS rating?
Trinity Grove has a 3-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 2 for health inspections, 5 for staffing, and 3 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.
Where is Trinity Grove located?
Trinity Grove is located at 631 Junction Creek Drive, Wilmington, NC, 28412 in New Hanover County, and CMS lists 100 certified beds.
Does Trinity Grove have federal penalties or payment denials on record?
The CMS data includes $102,910 in federal fine amounts and 0 payment-denial records for Trinity Grove over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.
How does Trinity Grove's rating compare to nearby facilities?
Trinity Grove's CMS overall rating is 3 of 5. For comparison, the average CMS overall rating is 2.55 across 11 facilities in New Hanover County, and 2.94 across North Carolina. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.
How can I verify Trinity Grove's current information?
SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Trinity Grove's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.
Technical appendix
Record identifiers
- CMS provider number (CCN)
- 345554
- Ownership type
- Non profit - Church related
- Certified beds
- 100
- Data snapshot
- 2026-07-17
All 16 citation records
| Date | CMS tag | Severity | Type | CMS deficiency status | Correction date |
|---|---|---|---|---|---|
| Sep 18, 2025 | 0565 | E | Standard | Deficient, Provider has date of correction | Oct 8, 2025 |
| Sep 18, 2025 | 0585 | B | Standard | No revisit needed | Oct 8, 2025 |
| Sep 18, 2025 | 0732 | C | Standard | No revisit needed | Oct 8, 2025 |
| Sep 18, 2025 | 0880 | E | Standard | Deficient, Provider has date of correction | Oct 8, 2025 |
| Sep 18, 2025 | 0600 | G | Complaint | Deficient, Provider has date of correction | Sep 26, 2025 |
| Oct 10, 2024 | 0600 | G | Standard | Deficient, Provider has date of correction | Oct 30, 2024 |
| Oct 10, 2024 | 0607 | D | Standard | Deficient, Provider has date of correction | Oct 30, 2024 |
| Oct 10, 2024 | 0810 | D | Standard | Deficient, Provider has date of correction | Oct 30, 2024 |
| Aug 5, 2024 | 0600 | K | Complaint | Past Non-Compliance | Nov 21, 2023 |
| Aug 5, 2024 | 0607 | K | Complaint | Past Non-Compliance | Nov 21, 2023 |
| Aug 5, 2024 | 0684 | D | Complaint | Deficient, Provider has date of correction | Aug 25, 2024 |
| Jul 13, 2023 | 0550 | D | Standard | Deficient, Provider has date of correction | Aug 15, 2023 |
| Jul 13, 2023 | 0761 | E | Standard | Deficient, Provider has date of correction | Aug 15, 2023 |
| Jul 13, 2023 | 0811 | D | Standard | Deficient, Provider has date of correction | Aug 15, 2023 |
| Jul 13, 2023 | 0812 | E | Standard | Deficient, Provider has date of correction | Aug 15, 2023 |
| May 9, 2023 | 0607 | E | Complaint | Deficient, Provider has date of correction | Jul 13, 2023 |
How to verify this data
- The current CMS profile on Medicare’s Care Compare
- Your state survey agency’s latest inspection reports
- Any recent complaint investigations
- Current ownership and license status
SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.