Nursing homeActive

Trinity Glen

849 Waterworks Road, Winston-Salem, NC 271013365952166117 certified beds · 107 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
2
020
Penalties · 3 yrs
none on file
Last survey
2026-04-02
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-02Standard020CMS-2567 (Care Compare)
2025-01-24Standard000CMS-2567 (Care Compare)
2023-08-31Standard000CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-02Standard survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 345088-20260402-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-21Record 345088-20260402-F756

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.54
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day4.16
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.57
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover45%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover14%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.3%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.4%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.8%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.7%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.2%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
21.8%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.7%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.5%21.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Goins, Ted
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Herman, Christopher
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lsa Management, Inc.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lutheran Home Winston Salem Property Inc.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nickerson, Kirby
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Smith, Kesha
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wilmouth, Logan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Goins, Ted
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Goins, Ted
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Herman, Christopher
Individual
ADP OF THE SNFNOT APPLICABLE
Herman, Richard
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Herman, Richard
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Lsa Management, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Lutheran Home Winston Salem Property Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Lutheran Services For The Aging, Inc.
Organization
TRUSTEE OF THE SNFNOT APPLICABLE
Maddry, Karen
Individual
CORPORATE OFFICERNOT APPLICABLE
Maddry, Karen
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nelson, Douglas
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Nelson, Douglas
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nickerson, Kirby
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Nickerson, Kirby
Individual
CORPORATE OFFICERNOT APPLICABLE
Nickerson, Kirby
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nickerson, Kirby
Individual
ADP OF THE SNFNOT APPLICABLE
Smith, Kesha
Individual
ADP OF THE SNFNOT APPLICABLE
Smith, Kesha
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wilmouth, Logan
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Lutheran Services Carolinas9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.

No county cost figures on file for Forsyth.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Willow Valley Center for Nursing and Rehabilitatio
Winston-Salem
3.8 mi2026-02-203334
Arbor Acres United Methodist Retirement Community
Winston Salem
4.0 mi2026-03-17010
Brookridge Retirement Community
Winston-Salem
4.8 mi2025-08-01030
The Oaks
Winston-Salem
5.4 mi2025-08-223210
Mill Creek Center for Nursing and Rehabilitation
Winston-Salem
5.8 mi2026-05-282253
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01