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TRINITY TERRACE

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TRINITY TERRACE is a non profit - corporation facility in FORT WORTH, TX with 52 certified beds and a 5-star overall CMS rating. The facility has 8 deficiency records on file.

1600 TEXAS ST, FORT WORTH, TX 76102

Phone: 8173382400

Overall Rating

5/5

Health Inspection

5/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675238
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
52
Residents
40
In Hospital
No
County
Tarrant
Last Inspection
Mar 27, 2025

Staffing Data

RN Hours
0.72 (nat'l avg: 0.68)
LPN Hours
1.10
CNA Hours
2.85
Total Nursing Hours
4.67 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
20.0%
RN Turnover
42.9%

What the CMS Record Reveals About TRINITY TERRACE

TRINITY TERRACE operates 52 certified beds in FORT WORTH, TX with approximately 40 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (5★). 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.

The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.67 total nursing hours per resident day (national average 3.89), with RN coverage at 0.72 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, TRINITY TERRACE falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 20.0%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

E — Pattern - Minimal harm Mar 27, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 21, 2025

D — Isolated - Minimal harm Mar 27, 2025 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: Apr 21, 2025

E — Pattern - Minimal harm Feb 8, 2024 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: Feb 27, 2024

E — Pattern - Minimal harm Feb 8, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 27, 2024

E — Pattern - Minimal harm Feb 8, 2024 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Dec 7, 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: Jan 8, 2024

D — Isolated - Minimal harm Dec 7, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 8, 2024

D — Isolated - Minimal harm Dec 22, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 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 15.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for TRINITY TERRACE?
TRINITY TERRACE has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at TRINITY TERRACE?
TRINITY TERRACE reports 4.67 total nursing hours per resident day (national average: 3.89). RN hours are 0.72 per resident day (national average: 0.68). Nursing staff turnover is 20.0%.
How many beds does TRINITY TERRACE have?
TRINITY TERRACE has 52 certified beds with approximately 40 residents. The facility is located at 1600 TEXAS ST, FORT WORTH, TX 76102.
Does TRINITY TERRACE have any deficiencies on record?
Yes, TRINITY TERRACE has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has TRINITY TERRACE received any fines or penalties?
No, TRINITY TERRACE has no fines or penalties on record.
Who owns TRINITY TERRACE?
TRINITY TERRACE is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was TRINITY TERRACE last inspected?
The most recent health inspection for TRINITY TERRACE was on Mar 27, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for TRINITY TERRACE?
TRINITY TERRACE 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial