Trinity Rehabilitation & Healthcare Center
314 E. CAROLINE ST., Trinity, TX, 75862
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 March 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 76 · avg 61 residents/day
- Total nursing staff turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $274,314 total
State licensing & capacity
- License number
- 308193
- Service type
- Medicare/medicaid
- Licensed capacity
- 76 beds
- Bed type breakdown
- 76 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- January 24, 2018
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Chambers County Public Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Trinity Rhc Llc
- Administrator
- Kimberly C Mostek
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (9 on record)
- Trinity Rhc Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2024
- Elizabeth Ann Newton
Corporate Director · since 2024
- Kimberly Cooper
Corporate Director · since 2024
- Chambers County Public Hospital District No. 1
5% or Greater Direct Ownership Interest · 100% · since 2021
- Darcy Whatley
Operational/managerial Control · since 2021
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
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 54)
- D0760·Jan 28, 2026Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0689·Jan 28, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Jan 28, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0609·Jan 28, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0600·Jan 28, 2026Complaint
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.
- D0694·Dec 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D0656·Dec 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0842·Nov 26, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20251 fine · $106K
- 20231 fine · $169K
Most recent events
- Nov 12, 2025Fine · $106K
- Nov 5, 2023Fine · $169K
Largest single fine on record: $169K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. 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 Mar 1, 2026.
About this community
Trinity Rehabilitation & Healthcare Center is a 76-bed Medicare/Medicaid nursing home in Trinity, TX, operated by a hospital district with day-to-day management by Trinity RHC LLC. CMS rates it 1 star overall — the lowest tier — with a 1-star health inspection rating and SFF Candidate status, meaning CMS has flagged a pattern of serious deficiencies. Two fines totaling $274,314 have been assessed. About 61 residents are in residence on a typical day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star overall, placing it in the bottom tier of nursing homes nationally. The health inspection rating is also 1 star, and CMS has designated it an SFF Candidate — a step below outright Special Focus Facility status, signaling a documented pattern of serious deficiencies that has drawn heightened federal attention.
Two CMS fines total $274,314. The state median for fined Texas nursing homes is about $20,699; this facility's total is roughly 13 times that figure. About 30% of Texas nursing homes have received no fines at all.
Staffing rates 2 stars. Residents receive about 205 minutes of nursing care per day — roughly 36 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating or lower.
Approximately 7 in 10 nursing staff left in the past year — above the 75th percentile for Texas, meaning turnover is worse than at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover, by contrast, is low: about 3 in 10 registered nurses left, better than roughly three-quarters of Texas facilities on that measure.
One administrator has turned over in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
SFF Candidate designation and remediation plan
Ask what specific deficiencies triggered the SFF Candidate flag and what concrete steps management has taken to address them.
The $274,314 in CMS fines
Ask what the two fines were for and whether the cited problems have been corrected, and when.
High nursing-staff turnover
With roughly 7 in 10 nursing staff leaving in the past year, ask how the facility maintains continuity of care for long-stay residents during frequent staffing changes.
Administrator transition and current leadership
One administrator turned over in the past year — ask how long the current administrator has been in place and who is responsible for day-to-day clinical oversight.
Hospital district ownership versus LLC management
The licensee is a public hospital district, but daily operations run through Trinity RHC LLC — ask who holds decision-making authority over staffing levels and care policies.
Resident Council access and grievance process
A Resident Council meets here but no Family Council exists — ask how families are formally notified of concerns or changes in a resident's care.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.