What is Trinity Terrace's Medicare star rating?

CMS rates Trinity Terrace 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Trinity Terrace get at its last inspection?

3 health deficiencies at the standard inspection on May 29, 2026. The Texas average is 9.4.

Has Trinity Terrace been fined?

CMS lists no fines in the last three years.

Does Trinity Terrace accept Medicaid?

CMS lists it as "Medicare", so it is not certified for Medicaid.

Who owns Trinity Terrace?

CMS lists 19 owners and managers, and links the home to Pacific Retirement Services. Legal business name: THE CUMBERLAND REST INC.

Trinity Terrace: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on May 29, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 10 health citations since December 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 4.11 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

30.2% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Pacific Retirement Services, an affiliated group of 10 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.

212/23

302/24

203/25

305/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 29, 2026Standard inspection · 3 citations

E

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

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2026

Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services to ensure accurate acquiring, receiving, dispensing, and administering of all medications for 1 of 3 residents (Resident #2) reviewed for medication administration. The facility failed to administrator Resident#2's Brimonidine Tartrate Ophthalmic Solution 0.2 % (Brimonidine Tartrate) as ordered from 05/15/26 to 05/27/26. The facility documented Resident #2's Brimonidine Tartrate Ophthalmic Solution 0.2 % (Brimonidine Tartrate) was administered when the medication had not been delivered to the facility from 05/15/26 at 7:00 P.M, 05/16/25 at 10:00 A.M. and 7:00 P.M till 5/19/26 was documented as administered. On 5/23/26 at 7:00 P.M till 06/25/26 was documented as administered. [...]
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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 26, 2026

Inspectors wroteBased on observation and interview, the facility failed to ensure that drugs and biologicals were stored in locked compartments and permit only authorized personnel to have access to the keys, for 1 (medication cart #1) of 2 medication carts observed for medication storage. On 05/27/2026 at 3:24 P.M., MA D failed to ensure medications were secured or attended to by authorized staff when MA D did not lock medication cart #1. These failures place residents at risk of access to medications or drug diversion. Findings Included:During an observation on 05/27/2026 at 3:24 P.M., medication cart #1 red panel was outwards to indicate the cart was unlocked. The medication cart was observed midway down the hallway with drawers facing outward and unlocked. Observation revealed three visitors and a housekeeper walked by the open medication cart. [...]
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to 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 disease and infections for 1 of 4 residents (Resident #17) reviewed for infection control. The facility failed to ensure CNA A performed hand hygiene in between glove changes while providing toileting care for Resident #17. These failures could place residents at risk of infections.

March 27, 2025Standard inspection · 2 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to 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 5 of 19 residents (Residents #11, #18, #19, #33 and #94) reviewed for infection control. MA A failed to sanitize a reusable blood pressure cuff between uses on Residents #11, #18, #19, #33 and #94. This failure could place residents at risk of cross contamination of infections from other residents.
D

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025

Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for food and nutrition services. Cook I failed to wear a hair restraint while in the facility's kitchen on 03/25/25. These failures could place residents at risk for food contamination and foodborne illness.

February 8, 2024Standard inspection · 3 citations

E

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

F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 16, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a private meeting space for residents' monthly council meetings for 4 of 4 reviewed for resident council. The facility failed to provide a private space for resident council meetings. This failure could place residents, who attended resident council meetings, at risk of not being able to voice concerns due to a lack of privacy.
E

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

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2024

Inspectors wroteBased on observation and interview, the facility failed to provide pharmaceutical services, including procedures that assure the accurate administering of all biologicals, to meet the needs of each resident for 2 of 4 glucose test strips reviewed for pharmacy services. Staff failed to remove expired glucose test strips, used to check residents' blood glucose levels, from the nurse medication cart. This failure could place the rresidents at risk of inaccurate blood testing results.
E

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls for 1 (Medication Aide Cart) of 6 carts reviewed for pharmacy services. The facility failed to ensure MA-B secured her medication cart before walking away from it. This failure could allow residents to access medications not prescribed to them.

December 7, 2023Complaint inspection · 2 citations

D

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

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 8, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate documentation and disposition of controlled substances for one of two medication carts (Med Cart #2) reviewed for pharmacy services. The facility failed to remove Resident #1 discontinued meds from the Med Cart #2. These failures placed the residents at risk for diversion of controlled substances.
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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 8, 2024

Inspectors wroteBased on interview and record review, the facility failed to secure all controlled medications. LVN A failed to secure controlled medication behind a double lock by placing it in an unsecured cabinet in the medication room. This failure placed residents at risk of their controlled medications being misappropriated and thereby worsening their medical condition.

Fire safety inspections

12 fire safety citations on file: 6 on May 29, 2026, 4 on March 27, 2025, 2 on February 8, 2024.

Every fire safety citation12 citations

F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · May 29, 2026 · Corrected (the home has a date of correction)
F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

K 342 · May 29, 2026 · Corrected (the home has a date of correction)
F
Have proper openings in smoke barrier doors.

K 379 · May 29, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · May 29, 2026 · Corrected (the home has a date of correction)
E
Have an enclosure around a vertical opening shaft.

K 311 · May 29, 2026 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · May 29, 2026 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · March 27, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · March 27, 2025 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · March 27, 2025 · Corrected (the home has a date of correction)
F
Install a fire alarm system that can be heard throughout the facility.

K 341 · March 27, 2025 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · February 8, 2024 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · February 8, 2024 · Corrected (the home has a date of correction)

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	Texas	United States
All nursing staff (RN, LPN and aides)	4.11	3.39	3.86
Registered nurses	0.73	0.43	0.69
All nursing staff on weekends	3.60	2.98	3.42
Nurse aides	2.46
Licensed practical nurses	0.92
Nursing staff turnover (share who left in a year)	30.2%	55.3%	45.8%
Registered nurse turnover	28.6%	54.6%	42.9%
Administrators who left	0

CMS expects 3.29 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 4.32 on weekdays and 3.60 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.68 in April to June 2025 to 4.11 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	4.11	0.73	4.32	3.60	2.1%	0 of 90	40
Oct to Dec 2025	4.46	0.81	4.62	4.03	3.4%	0 of 92	40
Jul to Sep 2025	4.67	0.72	4.89	4.11	0.1%	0 of 92	40
Apr to Jun 2025	4.68	0.72	4.96	3.97	0.2%	0 of 91	40
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.

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	11.8	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	0.8	0.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.9	3.3	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	9.4	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	0.0	9.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	21.6	25.7	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	5.2	12.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.6	2.2	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.7	2.1	1.8

Owners and operators

Legal business name: THE CUMBERLAND REST INC. CMS links this home to Pacific Retirement Services, a group of 10 nursing homes averaging 4.6 stars overall.

Name	Role	Type	Since
Us Bank, N.a.	5% or greater security interest	Organization	12/29/2011
Thomas, Michael	W-2 managing employee	Individual	01/07/2019
Austin, James	Corporate director	Individual	12/18/2001
Barr, Alan	Corporate director	Individual	09/22/1998
Coulter, Brian	Corporate director	Individual	10/01/2021
Fernandez, Robert	Corporate director	Individual	10/01/2014
Hyatt, Mike	Corporate director	Individual	09/27/2010
McMahon, Michael	Corporate director	Individual	05/25/2011
Smith, Gretchen	Corporate director	Individual	09/27/2010
Stempel, Judy	Corporate director	Individual	10/01/2019
Taft, Andy	Corporate director	Individual	10/01/2014
Travis, Karl	Corporate director	Individual	12/18/2007
Vogel, Carlela	Corporate director	Individual	03/28/2006
Whitton, James	Corporate director	Individual	12/18/2001
Wilson, Doug	Corporate director	Individual	09/27/2010
Young, Brian	Corporate director	Individual	07/01/2021
Mills, Don	Corporate officer	Individual	09/23/2003
Sholty, Eric	Corporate officer	Individual	05/27/2018
Pacific Retirement Services Inc	Operational/managerial control	Organization	11/01/1995

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.

How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on May 29, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
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 May 29, 2026: "Provide and implement an infection prevention and control program."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 27, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 8, 2024: "Honor the resident's right to organize and participate in resident/family groups in the facility."

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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 Trinity Terrace's Medicare star rating?: CMS rates Trinity Terrace 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Trinity Terrace get at its last inspection?: 3 health deficiencies at the standard inspection on May 29, 2026. The Texas average is 9.4.
Has Trinity Terrace been fined?: CMS lists no fines in the last three years.
Does Trinity Terrace accept Medicaid?: CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Trinity Terrace?: CMS lists 19 owners and managers, and links the home to Pacific Retirement Services. Legal business name: THE CUMBERLAND REST 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.