Nursing homeActive
Trinity Woods, Inc.
4134 East 31st Street, Tulsa, OK 74135918743256584 certified beds · 54 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
5
● 0● 5● 0
Penalties · 3 yrs
—
none on file
Last survey
2024-07-03
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Oklahoma State Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-07-03 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-06-15 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2019-12-06 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Oklahoma State Department of Health 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.
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 375454-20230615-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-06Record 375454-20191206-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-06Record 375454-20191206-F625
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-06Record 375454-20191206-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-06Record 375454-20191206-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.73
Facility
Oklahoma
National
Oklahoma 0.34 · National 0.69
Total nurse hours per resident day5.57
Facility
Oklahoma
National
Oklahoma 3.79 · National 3.86
Weekend total nurse hours5.00
Facility
Oklahoma
National
Oklahoma 3.44 · National 3.42
Total nursing staff turnover37%
Facility
Oklahoma
National
Oklahoma 56% · National 46%
Registered nurse turnover13%
Facility
Oklahoma
National
Oklahoma 54% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Oklahoma | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.4% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.1% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.6% | 17.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 23.1% | 13.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.8% | 3.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.2% | 25.7% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Trinity Woods Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Creswell, Emilie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Creswell, Emilie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lade, Arvid Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lee, Garrett Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Steele, Jerome Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
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 Oklahoma.
No county cost figures on file for Tulsa.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Oklahoma Memory Care Institute Tulsa | 0.6 mi | 2026-03-18 | 0271 |
| Gracewood Health & Rehab Tulsa | 1.3 mi | 2026-04-06 | 0231 |
| Southern Hills Rehabilitation Center Tulsa | 2.2 mi | 2025-07-10 | 0121 |
| Emerald Care Center Tulsa Tulsa | 2.5 mi | 2025-11-25 | 0441 |
| Colonial Manor Nursing Home Tulsa | 2.8 mi | 2026-03-05 | 0141 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |