Trinity Grove
Nursing Home · Wilmington, NC
CMS certification number345554
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
631 Junction Creek DriveWilmington, NC 28412
New Hanover County
- Phone
- (910) 442-3000
- ZIP code
- 28412 – all care providers
Facility details
- Certified beds
- 100
- Residents per day
- 94.9 (95% occupied)
- Ownership
- Non profit - Church related
- Legal name
- Lutheran Home - Wilmington, INC.
- Chain
- Lutheran Services Carolinas (9 facilities, avg 4.2★)
- Medicare certified since
- June 29, 2011
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.37 (state 3.83 · U.S. 3.86)
- Registered nurses (RN)
- 0.83 (state 0.61 · U.S. 0.69)
- Licensed practical nurses
- 0.79 (state 0.89 · U.S. 0.86)
- Nurse aides
- 2.75 (state 2.34 · U.S. 2.32)
- Weekend total
- 3.85 (state 3.40 · U.S. 3.42)
- Nursing staff turnover
- 45.5 (state 49.0 · U.S. 45.8)%
- RN turnover
- 30.8 (state 45.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- September 18, 2025
- Health deficiencies (last cycle)
- 5.0 (state 4.8 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 15 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-09-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-09-26 |
| 2025-09-18 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-08 |
| 2025-09-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-08 |
| 2025-09-18 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-10-08 |
| 2025-09-18 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-10-08 |
| 2024-10-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
Corrected 2024-10-30 |
| 2024-10-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-30 |
| 2024-10-10 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-30 |
| 2024-08-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2024-08-05 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2024-08-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-25 |
| 2023-07-13 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-15 |
| 2023-07-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-15 |
| 2023-07-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-15 |
| 2023-07-13 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. F0811 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $102,910 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-18 | Fine | $64,740 |
| 2024-10-10 | Fine | $21,085 |
| 2024-08-05 | Fine | $8,543 |
| 2024-08-05 | Fine | $8,542 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Goins, Ted (individual) | Administrator · NOT APPLICABLE | |
| Lsa Management, INC. (organization) | Administrator · NOT APPLICABLE | |
| Lutheran Home Wilmington Property, INC (organization) | Administrator · NOT APPLICABLE | |
| Lutheran Services for the Aging, INC. (organization) | Administrator · NOT APPLICABLE | |
| Nickerson, Kirby (individual) | Administrator · NOT APPLICABLE | |
| Parrish, James (individual) | Administrator · NOT APPLICABLE | |
| Sutton-Surak, Audrey (individual) | Administrator · NOT APPLICABLE | |
| Smith, Kesha (individual) | Corporate Director · NOT APPLICABLE | |
| Maddry, Karen (individual) | Corporate Officer · NOT APPLICABLE | |
| Nickerson, Kirby (individual) | Corporate Officer · NOT APPLICABLE | |
| Goins, Ted (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Herman, Richard (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Nelson, Douglas (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Goins, Ted (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lsa Management, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Lutheran Home Wilmington Property, INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Lutheran Services for the Aging, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Parrish, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Smith, Kesha (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sutton-Surak, Audrey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Goins, Ted (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Herman, Richard (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Lutheran Services for the Aging, INC. (organization) | Trustee Of The Snf · NOT APPLICABLE | |
| Nelson, Douglas (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Trinity Grove?
Trinity Grove has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.
How many beds does Trinity Grove have?
It has 100 certified beds and cares for about 95 residents per day.
Has Trinity Grove been fined?
Yes. CMS lists 4 penalties totaling $102,910 in the last three years.
Who owns Trinity Grove?
It is part of Lutheran Services Carolinas and is classified as non profit - church related. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Trinity Grove?
(910) 442-3000. The facility is located at 631 Junction Creek Drive, Wilmington, NC 28412.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.