Groveton Nursing Home
1020 W 1st St., Groveton, TX 75845 · Trinity County · (936) 642-1221
47 certified beds, about 31 residents a day · For profit - Corporation · Medicare and Medicaid since 2008
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676172 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 9, 2025, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 6 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $56,378 in the last three years; the largest was $56,378, and the latest is dated June 3, 2025.
Nurses and nurse aides worked 3.25 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
September 9, 2025Standard inspection · 3 citations
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 1 medication storage rooms reviewed for labeling and storage.1. The facility failed to label and remove a vial of expired Tuberculin (TB) testing solution on 9/8/2025 from the refrigerator in the medication room.2. The facility failed to remove expired insulin for Resident #16 from the refrigerator in the medication room on 9/8/2025. These failures could place residents at risk for improper glucose monitoring and could result in residents not receiving the intended therapeutic effects of their medications causing a health decline.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on record review and interviews the facility failed to ensure the arbitration agreement contained all the required elements for 1 of 1 facility reviewed for Arbitration Agreements. The facility did not ensure the arbitration agreement granted the resident or his/her representative the right to rescind the agreement within 30 calendar days of signing. This failure could place the residents or the residents' responsible parties in binding agreements not fully understood, have a loss of their legal rights, and cause negative psychological issues.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident's #14) and 2 of 4 staff (CNA A and NA B) reviewed for infection control. The facility failed to ensure CNA A and NA B performed hand hygiene and observed EBP by not following the instructions on the posted signage on Resident #14's door requiring the use of gown and gloves when providing care to Resident #14 on 9/08/25 and did not clarify with nursing staff when there was no PPE bin. This failure could place residents at risk of exposure to infectious diseases due to improper infection control practices.
June 3, 2025Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 2 (Resident #1) residents at risk for elopement reviewed for supervision. The facility failed to ensure the front lobby door alarm was functioning properly. On 4/8/2025 Resident #1 eloped from the facility and was found lying outside of the facility on the sidewalk where she had fallen and sustained a right hip fracture. An IJ was identified on 6/2/25. The IJ began on 4/8/2025 and was removed on 4/16/2025. The facility took action to remove the IJ before the survey began. [...]
August 7, 2024Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 5 residents reviewed for infection control. (Resident #5) The facility failed to ensure CNA A did not leave a trash bag containing a used brief on the floor of Resident #5's room on 8/5/24. The facility failed to implement enhanced barrier precautions for Resident #5 on 8/6/24. These failures could put residents at risk of infections and decreased quality of life.
May 24, 2023Standard inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to promote care for residents in a manner and in an environment that maintained or enhanced each resident's dignity for 1 of 4 (Resident #34) residents reviewed for dignity in that: The facility failed to ensure Resident #34's urinary drainage bag had a dignity/privacy cover while out of his room. This deficient practice could place residents in the facility at risk for a diminished quality of life, loss of dignity and self-worth.
Fire safety inspections
5 fire safety citations on file: 1 on September 9, 2025, 3 on August 7, 2024, 1 on May 24, 2023.
Every fire safety citation5 citations
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C Meet Health Care Facilities Code mechanical requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 3, 2025 | Fine | $56,378 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.25 | 3.39 | 3.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.73 | 2.98 | 3.42 |
| Nurse aides | 1.86 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.84 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.46 on weekdays and 2.73 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.25 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.25 | 0.40 | 3.46 | 2.73 | 2.8% | 0 of 90 | 31 |
| Oct to Dec 2025 | 3.51 | 0.61 | 3.69 | 3.06 | 7.3% | 0 of 92 | 31 |
| Jul to Sep 2025 | 4.34 | 2.83 | 4.49 | 3.97 | 7.9% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.65 | 0.76 | 3.96 | 2.87 | 11.5% | 0 of 91 | 29 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Texas
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.0 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.6 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 48.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: TRINITY MEMORIAL HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Trinity Memorial Hospital District | 5% or greater direct ownership interest | Organization | 100% | 12/01/2024 |
| Frye, Sunnie | Managing control - governing body | Individual | 12/01/2024 | |
| Hancock, Leonard | Managing control - governing body | Individual | 12/01/2024 | |
| Karnes, Charles | Managing control - governing body | Individual | 12/01/2024 | |
| Medlock, Michelle | Managing control - governing body | Individual | 12/01/2024 | |
| Pulvino, Marjory | Managing control - governing body | Individual | 12/01/2024 | |
| Rogers, Patricia | Managing control - governing body | Individual | 12/01/2024 | |
| Shelly, Deana | Managing control - governing body | Individual | 12/01/2024 | |
| Spearman, Cheryl | Managing control - governing body | Individual | 12/01/2024 | |
| Vanecek, Laura | Managing control - governing body | Individual | 12/01/2024 | |
| Pulvino, Marjory | Corporate officer | Individual | 12/01/2024 | |
| Willig, Zachary | Corporate officer | Individual | 12/01/2024 | |
| Ghc Groveton Operations, LLC | Operational/managerial control | Organization | 12/01/2024 | |
| Anderson, Jennifer | Operational/managerial control | Individual | 12/01/2024 | |
| Evans, Leon | Operational/managerial control | Individual | 12/01/2024 | |
| Ghc Groveton Operations, LLC | Adp of the SNF | Organization | 12/01/2024 | |
| Ghc Operations Holdco, LLC | Adp of the SNF | Organization | 07/01/2025 | |
| Anderson, Jennifer | Adp of the SNF | Individual | 12/01/2024 | |
| Evans, Leon | Adp of the SNF | Individual | 12/01/2024 | |
| Hekimian, Khoren | Adp of the SNF | Individual | 12/01/2024 | |
| Hill, Andrea | Adp of the SNF | Individual | 12/01/2024 | |
| Willig, Zachary | Adp of the SNF | Individual | 12/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 9, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 9, 2025: "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."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 9, 2025: "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 3, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.73 hours per resident per day, below the Texas average of 2.98.
Other nursing homes nearby
- Trinity Rehabilitation & Healthcare Center Trinity, 15.7 mi · 1 of 5 stars · 66 citations
- River Pointe of Trinity Healthcare and Rehabilitat Trinity, 16.4 mi · 4 of 5 stars · 18 citations
- Corrigan LTC Partners Corrigan, 19 mi · 1 of 5 stars · 30 citations
- Diboll Nursing and Rehab Diboll, 22 mi · 2 of 5 stars · 33 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Groveton Nursing Home's Medicare star rating?
- CMS rates Groveton Nursing Home 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Groveton Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on September 9, 2025. The Texas average is 9.4.
- Has Groveton Nursing Home been fined?
- Yes. CMS lists 1 fine totaling $56,378 in the last three years.
- Does Groveton Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Groveton Nursing Home?
- CMS lists 22 owners and managers, and links the home to Creative Solutions in Healthcare. Legal business name: TRINITY MEMORIAL HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.