Home / North Carolina / Hickory
Trinity Village
1265 21 Street Ne, Hickory, NC 28601 · Catawba County · (828) 328-2006
104 certified beds, about 98 residents a day · Non profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345152 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 11, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 5 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,512 in the last three years; the largest was $8,512, and the latest is dated April 23, 2024.
Nurses and nurse aides worked 6.50 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.
28.1% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Lutheran Services Carolinas, an affiliated group of 9 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 5 health citations on file.
March 11, 2026Standard inspection · 3 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and staff interviews, the facility failed to update and revise an individualized person-centered comprehensive care plan for 1 of 5 residents whose comprehensive care plans were reviewed (Resident #72).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews, the facility failed to provide care in a safe manner when a resident was rolled out of bed hitting the floor face first during incontinence care. This deficient practice affected 1 of 3 residents reviewed for accidents (Resident #72).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to follow their Hand Hygiene Policy when the Wound Care Nurse failed to doff her gloves, sanitize her hands, and don clean gloves after cleaning Resident #57's sacral wound and surrounding area and prior to cutting and placing the alginate with silver (highly absorbent wound dressing) on his wound bed during wound care. The deficient practice occurred for 1 of 8 staff observed for infection control practices (Wound Care Nurse).
January 15, 2025Standard inspection · 0 citations
April 23, 2024Complaint inspection · 2 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to protect resident's right to be free from abuse for 1 of 3 residents reviewed for abuse, when Nurse Aide (NA) #1 struck Resident #1 in the shoulder two times with an open hand during incontinence care, resulting in Resident #1 crying.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on observations, record reviews, staff and resident interviews the facility failed to protect a resident from further abuse when Nurse Aide #2 witnessed NA #1 striking Resident #1 when she became combative during care and did not immediately report the incident to her supervisors which resulted in NA #1 striking Resident #1 a second time, resulting in Resident #1 crying for 1 of 3 residents reviewed for abuse.
October 31, 2023Standard inspection · 0 citations
Fire safety inspections
7 fire safety citations on file: 2 on March 11, 2026, 2 on January 15, 2025, 3 on October 31, 2023.
Every fire safety citation7 citations
- D Have exits that are accessible at all times.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 23, 2024 | Fine | $8,512 |
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 | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 6.50 | 3.85 | 3.86 |
| Registered nurses | 1.12 | 0.62 | 0.69 |
| All nursing staff on weekends | 5.86 | 3.42 | 3.42 |
| Nurse aides | 4.71 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 28.1% | 49.0% | 45.8% |
| Registered nurse turnover | 18.5% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.83 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 6.76 on weekdays and 5.86 on weekends, 13% 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 6.59 in April to June 2025 to 6.50 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 | 6.50 | 1.12 | 6.76 | 5.86 | 0.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 6.59 | 1.09 | 6.87 | 5.90 | 0.0% | 0 of 92 | 97 |
| Jul to Sep 2025 | 6.60 | 1.09 | 6.91 | 5.81 | 0.0% | 0 of 92 | 98 |
| Apr to Jun 2025 | 6.59 | 1.14 | 6.86 | 5.91 | 0.0% | 0 of 91 | 99 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 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 | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.7 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.0 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.0 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
Owners and operators
Legal business name: LUTHERAN HOME-HICKORY, INC.. CMS links this home to Lutheran Services Carolinas, a group of 9 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Goins, Ted | Managing control - governing body | Individual | 10/01/2004 | |
| Herman, Richard | Managing control - governing body | Individual | 06/01/2021 | |
| Maddry, Karen | Managing control - governing body | Individual | 04/30/2007 | |
| Smith, Kesha | Corporate director | Individual | 10/01/2012 | |
| Maddry, Karen | Corporate officer | Individual | 04/30/2007 | |
| Nelson, Douglas | Corporate officer | Individual | 09/01/2022 | |
| Nickerson, Kirby | Corporate officer | Individual | 10/01/2012 | |
| Lsa Management, Inc. | Operational/managerial control | Organization | 10/01/2004 | |
| Lutheran Home Hickory West Property, Inc. | Operational/managerial control | Organization | 10/01/2004 | |
| Lutheran Services for the Aging, Inc. | Operational/managerial control | Organization | 10/01/2004 | |
| Desantis, Michael | Operational/managerial control | Individual | 07/03/1995 | |
| Goins, Ted | Operational/managerial control | Individual | 10/01/2004 | |
| Hendren, Kendra | Operational/managerial control | Individual | 01/01/2024 | |
| Nelson, Douglas | Operational/managerial control | Individual | 09/01/2022 | |
| Nickerson, Kirby | Operational/managerial control | Individual | 10/01/2012 | |
| Smith, Kesha | Operational/managerial control | Individual | 10/01/2012 | |
| Lutheran Services for the Aging, Inc. | Trustee of the SNF | Organization | 10/01/2004 | |
| Goins, Ted | Trustee of the SNF | Individual | 10/01/2004 | |
| Herman, Richard | Trustee of the SNF | Individual | 06/01/2021 | |
| Nelson, Douglas | Trustee of the SNF | Individual | 09/01/2022 | |
| Lsa Management, Inc. | Adp of the SNF | Organization | 05/01/2025 | |
| Lutheran Home Hickory West Property, Inc. | Adp of the SNF | Organization | 05/01/2025 | |
| Desantis, Michael | Adp of the SNF | Individual | 07/03/1995 | |
| Hendren, Kendra | Adp of the SNF | Individual | 01/01/2024 | |
| Nickerson, Kirby | Adp of the SNF | Individual | 10/01/2012 | |
| Smith, Kesha | Adp of the SNF | Individual | 10/01/2012 |
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 allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 23, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 11, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- 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 March 11, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 March 11, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- The Greens at Viewmont Hickory, 1 mi · 2 of 5 stars · 19 citations
- The Greens at Hickory Hickory, 2.3 mi · 2 of 5 stars · 18 citations
- Trinity Ridge Hickory, 4.9 mi · 5 of 5 stars · 5 citations
- Conover Nursing and Rehabilitation Center Conover, 6.2 mi · 5 of 5 stars · 4 citations
- Hickory Falls Health and Rehabilitation Granite Falls, 7.6 mi · 4 of 5 stars · 3 citations
- Carolina Rehab Center of Burke Connelly Spring, 8.6 mi · 3 of 5 stars · 20 citations
- Valley Nursing and Rehabilitation Center Taylorsville, 10.3 mi · 1 of 5 stars · 28 citations
- Abernathy Laurels Newton, 10.9 mi · 5 of 5 stars · 3 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. 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: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Trinity Village's Medicare star rating?
- CMS rates Trinity Village 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Trinity Village get at its last inspection?
- 3 health deficiencies at the standard inspection on March 11, 2026. The North Carolina average is 4.7.
- Has Trinity Village been fined?
- Yes. CMS lists 1 fine totaling $8,512 in the last three years.
- Does Trinity Village 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 Trinity Village?
- CMS lists 26 owners and managers, and links the home to Lutheran Services Carolinas. Legal business name: LUTHERAN HOME-HICKORY, 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.