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Trinity Woods, Inc.

4134 East 31st Street, Tulsa, OK 74135 · Tulsa County · (918) 743-2565

84 certified beds, about 54 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375454 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 4, 2026, inspectors cited 3 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

None of its 4 health citations since June 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 5.57 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

36.5% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

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.

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
1F
Potential for minimal harm
0A
0B
0C
June 4, 2026Standard inspection · 3 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 1, 2026
    Inspectors wroteBased on observation, interview, facility policy review, and Centers for Disease Control and Prevention (CDC) and the National Institute for Occupational Safety and Health (NIOSH) guidance, the facility failed to ensure staff were fit tested for N95 respirator masks annually. [...]
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2026
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to notify a physician when a resident's vital signs were outside physician-ordered parameters for 1 (Resident #13) of 17 sampled residents. Specifically, a Physician wrote an order to be notified when Resident #13's systolic blood pressure (SBP) was above 160 millimeters of mercury (mm/Hg). The facility measured 35 blood pressure readings from 05/10/2026 through 05/31/2026 that were above 160 mm/Hg for Resident #13 that were not reported to the Physician.
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2026
    Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to implement a pharmacy recommendation for discontinuation of an antidepressant medication for 1 (Resident #5) of 5 residents reviewed for unnecessary medications. Specifically, the pharmacist recommended to review Resident #5's sertraline 12.5 milligrams (mg) via peg-tube once daily (QD) for depression. The Medical Director (MD) agreed with the recommendation to discontinue the medication, and the facility failed to follow the order to discontinue it.
July 3, 2024Standard inspection · 0 citations
June 15, 2023Standard inspection · 1 citation
  1. 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) July 17, 2023
    Inspectors wroteBased on record review and interview, the facility failed to have a documented water management plan for the prevention of water borne pathogens. The Resident Census and Conditions of Residents report, dated 06/13/23, documented 55 residents resided at the facility.

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.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)5.573.793.86
Registered nurses0.730.340.69
All nursing staff on weekends5.003.443.42
Nurse aides3.40
Licensed practical nurses1.45
Nursing staff turnover (share who left in a year)36.5%55.5%45.8%
Registered nurse turnover12.5%53.6%42.9%
Administrators who left0

CMS expects 3.35 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 5.81 on weekdays and 5.00 on weekends, 14% 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 5.34 in April to June 2025 to 5.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.570.735.815.00 0.0%0 of 9054
Oct to Dec 20255.540.655.745.01 0.0%0 of 9254
Jul to Sep 20255.430.545.605.00 0.0%0 of 9255
Apr to Jun 20255.340.625.534.89 0.0%0 of 9157
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oklahoma, Jan to Mar 20263.790.323.943.422.2%1.6% 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 Oklahoma

JobMedianMiddle halfEmployed
Oklahoma, all employers
CNAs (nursing assistants)$17.27$15.82 to $18.3919,410
LPNs and LVNs$28.04$24.06 to $29.8411,540
Registered nurses$39.87$37.19 to $47.5538,270
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOklahomaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
23.113.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.14.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.613.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.44.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.617.515.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.827.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.316.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.42.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.53.01.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Trinity Woods, Inc.'s Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

55.5% this home

No different from the national rate

US median of homes 51.5% · Oklahoma: 24 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 108 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Oklahoma: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 124 eligible stays.

Infections that led to a hospital stay

8.2% this home

No different from the national rate

US median of homes 7.1% · Oklahoma: 0 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 64 eligible stays.

Self-care and mobility at discharge

74.0% this home

Median of homes: Oklahoma54.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.

Falls with major injury

0.0% this home

Median of homes: Oklahoma0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 63 residents counted.

New or worsened pressure ulcers

1.9% this home

Median of homes: Oklahoma2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 63 residents counted.

Medication list given at discharge

92.6% this home

Median of homes: Oklahoma100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 27 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: TRINITY WOODS.

NameRoleTypeShareSince
Trinity Woods5% or greater direct ownership interestOrganization100%01/01/2021
Lee, GarrettCorporate officerIndividual05/06/2024
Steele, JeromeCorporate officerIndividual12/08/2022
Creswell, EmilieOperational/managerial controlIndividual08/28/2024
Creswell, EmilieAdp of the SNFIndividual08/28/2024
Lade, ArvidAdp of the SNFIndividual06/23/2025

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.

  1. 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 June 4, 2026: "Provide and implement an infection prevention and control program."
  2. 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 4, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 4, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."

Other nursing homes nearby

Oklahoma contacts for a concern about a nursing home

These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.

Common questions

What is Trinity Woods, Inc.'s Medicare star rating?
CMS rates Trinity Woods, Inc. 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Trinity Woods, Inc. get at its last inspection?
3 health deficiencies at the standard inspection on June 4, 2026. The Oklahoma average is 6.4.
Has Trinity Woods, Inc. been fined?
CMS lists no fines in the last three years.
Does Trinity Woods, Inc. 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 Woods, Inc.?
CMS lists 6 owners and managers. Legal business name: TRINITY WOODS.

Sources

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