PlainNursing
CMS Nursing Home Compare · August 2026

Trinity Grove

631 Junction Creek Drive, Wilmington, NC 28412 · All homes in Wilmington

Trinity Grove, a 100-bed non profit - church related nursing facility in Wilmington, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #174 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9104423000

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3 / 5
Average · CMS overall · nat'l 3.0
#174 of 415
In-state rank among rated NC homes
4.37
Above average · nurse hrs/day · nat'l 3.86
15
Inspection findings · 4 serious

The verdict

Trinity Grove, a 100-bed non profit - church related nursing facility in Wilmington, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #174 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#174 of 415
In-state rank among rated NC homes
4.37
Nurse hrs/resident-day · national 3.86
15
Inspection findings · 4 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as Non profit - Church related. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
345554
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
100
Residents
95
In Hospital
No
County
New Hanover
Last Inspection
Sep 18, 2025
Abuse citation on record

Staffing Data

How the 4.37 total nursing hours per resident-day are staffed:

RN Hours
0.83 (nat'l avg: 0.69)
LPN Hours
0.79
CNA Hours
2.75
Total Nursing Hours
4.37 (nat'l avg: 3.86)
PT Hours
0.08
Nursing Turnover
45.5%
RN Turnover
30.8%

What the CMS Record Reveals About Trinity Grove

According to CMS Nursing Home Compare, Trinity Grove ranks #174 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Trinity Grove operates 100 certified beds in Wilmington, NC with approximately 95 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 5★ · quality 3★).

The inspection file contains 15 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $103K against this provider. Per resident day, this facility reports 4.37 total nursing hours (national average 3.86) and 0.83 RN hours.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Trinity Grove falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

B - Pattern - No harm Sep 18, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Oct 8, 2025

C - Widespread - No harm Sep 18, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 8, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 8, 2025

E - Pattern - Minimal harm Sep 18, 2025 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Oct 8, 2025

G - Isolated - Actual harm Sep 18, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 26, 2025

D - Isolated - Minimal harm Oct 10, 2024 Tag: 0810

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 30, 2024

D - Isolated - Minimal harm Oct 10, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 30, 2024

G - Isolated - Actual harm Oct 10, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 30, 2024

D - Isolated - Minimal harm Aug 5, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2024

K - Pattern - Jeopardy Aug 5, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 21, 2023

K - Pattern - Jeopardy Aug 5, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 21, 2023

D - Isolated - Minimal harm Jul 13, 2023 Tag: 0811

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2023

D - Isolated - Minimal harm Jul 13, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 15, 2023

E - Pattern - Minimal harm Jul 13, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2023

E - Pattern - Minimal harm Jul 13, 2023 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 38.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 91.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 78.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 80.3% No

Penalty History 4 penalties totaling $103K

Date Type Amount
Sep 18, 2025 Fine $65K
Oct 10, 2024 Fine $21K
Aug 5, 2024 Fine $9K
Aug 5, 2024 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Trinity Grove, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Trinity Grove

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Trinity Grove?
Trinity Grove has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (3★).
Where does Trinity Grove rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Trinity Grove ranks 174th among 415 rated nursing homes in NC (#174 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Trinity Grove?
Trinity Grove reports 4.37 total nursing hours per resident day (national average: 3.86). RN hours are 0.83 per resident day (national average: 0.69). Nursing staff turnover is 45.5%.
How many beds does Trinity Grove have?
Trinity Grove has 100 certified beds with approximately 95 residents. The facility is located at 631 Junction Creek Drive, Wilmington, NC 28412.
Does Trinity Grove have any deficiencies on record?
Yes, Trinity Grove has 15 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Trinity Grove received any fines or penalties?
Yes, Trinity Grove has received 4 penalties totaling $103K.
Who owns Trinity Grove?
Trinity Grove is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was Trinity Grove last inspected?
The most recent health inspection for Trinity Grove was on Sep 18, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Trinity Grove?
Trinity Grove is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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