Tri-County Nursing Home
7280 Sw State Rd 26, Trenton, FL 32693 · Gilchrist County · (352) 463-1222
81 certified beds, about 76 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105770 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 1 health deficiency (the Florida average is 7.1, the national average 9.2).
None of its 6 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.84 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
32.9% of nursing staff left within the year CMS measured (Florida average 41.4%).
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.
April 9, 2026Standard inspection · 1 citation
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident records were accurate for 6 of 10 residents reviewed for medication management, Residents #3, #15, #44, #46, #48, and #61, and for 1 of 3 residents reviewed for change in condition, Resident #4.
November 7, 2024Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene while providing direct care to the residents and failed to ensure staff used proper PPE (Personal Protective Equipment) while providing high-contact care to the residents on enhanced barrier precautions to prevent the possible spread of infection and communicable diseases.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received nutritional supplements for 1 (Resident #62) of 2 residents reviewed for nutrition.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medical records were accurate for 1 (Resident #69) of 2 residents reviewed for oxygen therapy.
July 20, 2023Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 2 residents sampled for nutrition, Resident #19.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident records were accurate for 1 of 7 residents reviewed for advanced directives, Resident #67, and 1 of 2 residents reviewed for nutrition, Resident #19.
Fire safety inspections
4 fire safety citations on file: 2 on April 9, 2026, 2 on July 20, 2023.
Every fire safety citation4 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.84 | 3.82 | 3.86 |
| Registered nurses | 0.50 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.55 | 3.49 | 3.42 |
| Nurse aides | 2.59 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 32.9% | 41.4% | 45.8% |
| Registered nurse turnover | 30.0% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.32 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 3.96 on weekdays and 3.55 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.84 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 | 3.84 | 0.50 | 3.96 | 3.55 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.80 | 0.49 | 3.92 | 3.48 | 0.5% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.86 | 0.51 | 4.01 | 3.50 | 1.2% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.78 | 0.54 | 3.89 | 3.53 | 1.3% | 0 of 91 | 77 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.3 | 8.7 | 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 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.4 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.1 | 1.8 |
Owners and operators
Legal business name: HEALTH FACILITIES INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Marks, Jonathan | W-2 managing employee | Individual | 10/01/2012 | |
| Crowley, Lorinda | Corporate officer | Individual | 02/01/2018 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 9, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on November 7, 2024: "Provide and implement an infection prevention and control program."
- 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 November 7, 2024: "Provide enough food/fluids to maintain a resident's health."
Other nursing homes nearby
- Ayers Health and Rehabilitation Center Trenton, 6.8 mi · 2 of 5 stars · 17 citations
- Cross City Nursing and Rehabilitation Center Cross City, 12.7 mi · 5 of 5 stars · 11 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Tri-County Nursing Home's Medicare star rating?
- CMS rates Tri-County Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Tri-County Nursing Home get at its last inspection?
- 1 health deficiency at the standard inspection on April 9, 2026. The Florida average is 7.1.
- Has Tri-County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Tri-County 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 Tri-County Nursing Home?
- CMS lists 2 owners and managers. Legal business name: HEALTH FACILITIES INC..
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.