Nursing homeActive
Trinity Terrace
1600 Texas Street, Fort Worth, TX 76102817338240052 certified beds · 40 residentsNon profit - CorporationMedicare
Surveys on file
4
since 2023
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-29
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 · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-29 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-03-27 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-12-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission 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.
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-10Record 675238-20260529-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 675238-20260529-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-10Record 675238-20260529-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-21Record 675238-20250327-F812
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 2025-04-21Record 675238-20250327-F880
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 675238-20240208-F565
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-27Record 675238-20240208-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-27Record 675238-20240208-F761
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 675238-20231207-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 675238-20231207-F761
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.73
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.11
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.60
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover30%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover29%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.6% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.0% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.8% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.2% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.2% | 18.0% | 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 |
|---|---|---|---|---|
| Pacific Retirement Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Austin, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Barr, Alan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Coulter, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fernandez, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hyatt, Mike Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcmahon, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mills, Don Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sholty, Eric Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Gretchen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stempel, Judy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Taft, Andy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Thomas, Michael Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Travis, Karl Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Us Bank National Association Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Vogel, Carlela Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Whitton, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilson, Doug Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Young, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Pacific Retirement Services — 10 facilities
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 Texas.
No county cost figures on file for Tarrant.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| James L. West Center for Dementia Care Fort Worth | 0.1 mi | 2025-06-12 | 098 |
| The Stayton At Museum Way Fort Worth | 0.6 mi | 2025-11-24 | 0191 |
| Downtown Health and Rehabilitation Center Fort Worth | 0.7 mi | 2026-06-16 | 0493 |
| Arbor Lake Nursing & Rehabilitation, LLC Fort Worth | 0.9 mi | 2026-05-19 | 0253 |
| Fort Worth Transitional Care Center Fort Worth | 1.0 mi | 2026-04-08 | 0413 |
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 |