Trinity Terrace
Fort Worth, Tarrant County, Texas · CCN 675238 · Non-profit (Corporation) · part of Pacific Retirement Services (10 facilities, chain average 4.6 stars)
CMS rates Trinity Terrace 5 of 5 overall as of August 2026. 52 certified beds, 40 residents a day on average. 10 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.11338 hours per resident per day |
|---|---|
| Registered nurses | 0.72892 hours per resident per day |
| Weekend total | 3.5964 hours per resident per day |
| Nursing staff turnover | 30.2% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-10 |
| 2026-05-29 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-26 |
| 2026-05-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-10 |
| 2025-03-27 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-21 |
| 2025-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-21 |
| 2024-02-08 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-16 |
| 2024-02-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-27 |
| 2024-02-08 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-27 |
| 2023-12-07 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-08 |
| 2023-12-07 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-08 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| US Bank National Association Organization | 5% or greater security interest | — | 2011-12-29 |
| Pacific Retirement Services Inc. Organization | operational/managerial control | — | 1995-11-01 |
| Austin, James Individual | corporate director | — | 2001-12-18 |
| Barr, Alan Individual | corporate director | — | 1998-09-22 |
| Coulter, Brian Individual | corporate director | — | 2021-10-01 |
| Fernandez, Robert Individual | corporate director | — | 2014-10-01 |
| Hyatt, Mike Individual | corporate director | — | 2010-09-27 |
| Mcmahon, Michael Individual | corporate director | — | 2011-05-25 |
| Smith, Gretchen Individual | corporate director | — | 2010-09-27 |
| Stempel, Judy Individual | corporate director | — | 2019-10-01 |
| Taft, Andy Individual | corporate director | — | 2014-10-01 |
| Travis, Karl Individual | corporate director | — | 2007-12-18 |
| Vogel, Carlela Individual | corporate director | — | 2006-03-28 |
| Whitton, James Individual | corporate director | — | 2001-12-18 |
| Wilson, Doug Individual | corporate director | — | 2010-09-27 |
| Young, Brian Individual | corporate director | — | 2021-07-01 |
| Mills, Don Individual | corporate officer | — | 2003-09-23 |
| Sholty, Eric Individual | corporate officer | — | 2018-05-27 |
| Thomas, Michael Individual | w-2 managing employee | — | 2019-01-07 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Trinity Terrace.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Tarrant County.