CareWitness
Federal record · CMS Care Compare · CCN 345554 · Processed JUN 1 2026
CareWitnessNorth CarolinaWilmingtonNursing HomesTrinity Grove

Trinity Grove

631 Junction Creek Drive, Wilmington, NC, 28412

Type
Nursing home
Medicare/Medicaid certified · CCN 345554Continuing-care retirement communityNonprofit

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall3 / 5
Health inspections2 / 5
Staffing5 / 5
Quality measures3 / 5

Facility & Staffing

Ownership
Non profit - Church related · Chain: Lutheran Services Carolinas
Certified beds
100 · avg 93 residents/day
Total nursing staff turnover
44.1%lower than most North Carolina nursing homesNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
RN turnover
34.6%lower than most North Carolina nursing homesNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
4 fines · $102,910 total

Medicare certification

CMS Certification Number
345554
Certified beds
100 beds · avg 93 residents/day
Ownership type
Non profit - Church related
Continuing-care community
Yes

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Lutheran Home - Wilmington, Inc.
Chain affiliation
Lutheran Services Carolinas

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitCorporation

Chain affiliation

Part of the Lutheran Services Carolinas chain — 9 facilities. Chain-wide average overall rating 4.3 / 5.

Parent entity

Lutheran Services For The Aging, Inc.

Disclosed owners (11 on record)

  • Lutheran Services For The Aging, Inc.

    Adp of The Snf · since 2025

  • Lutheran Home Wilmington Property, Inc

    Adp of The Snf · since 2025

  • Lsa Management, Inc.

    Adp of The Snf · since 2025

  • Douglas e Nelson

    Managing Control - Governing Body · since 2022

  • Audrey l Sutton-surak

    Operational/managerial Control · since 2022

  • James Parrish

    Operational/managerial Control · since 2022

+ 5 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

15 health citations on file2 immediate-jeopardy findings4 from complaints4 federal fines totalling $103K

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 15)

  • G0600·Sep 18, 2025Complaint

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • E0880·Sep 18, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • C0732·Sep 18, 2025

    Nursing and Physician Services Deficiencies

    Post nurse staffing information every day.

  • B0585·Sep 18, 2025

    Resident Rights Deficiencies

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • E0565·Sep 18, 2025

    Resident Rights Deficiencies

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • D0810·Oct 10, 2024

    Nutrition and Dietary Deficiencies

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  • D0607·Oct 10, 2024

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • G0600·Oct 10, 2024

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $65K
  • 20243 fines · $38K

Most recent events

  • Sep 18, 2025Fine · $65K
  • Oct 10, 2024Fine · $21K
  • Aug 5, 2024Fine · $8,543
  • Aug 5, 2024Fine · $8,542

Largest single fine on record: $65K.

Fire-safety citations

8 Life-Safety-Code citations on file. Most recent: Oct 10, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Trinity Groveinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.