Trinity Care Center
1000 E Main St, Round Rock, TX 78664 · Williamson County · 179 certified beds · avg 147 residents/day · certified since Dec 1, 1995
Part of chain: CARADAY HEALTHCARE (8 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 18, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 18, 2024 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 23, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 23, 2026 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 23, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 23, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 23, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 23, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jul 9, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 9, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jul 9, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Oct 31, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Aug 3, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Aug 3, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Jul 18, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 18, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 29, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 30, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 9 | 2 | J ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,293.
| Date | Type | Amount / length |
|---|---|---|
| Jul 18, 2024 | Fine | $10,293 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.13 | 3.46 | 3.95 | bottom 33% in Texas; bottom 19% in the U.S. |
| Registered Nurse hours | 0.29 | 0.44 | 0.69 | bottom 26% in Texas; bottom 9% in the U.S. |
| Weekend total nurse staffing | 2.84 | 3.04 | 3.50 | bottom 43% in Texas; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.34 | 0.48 | bottom 21% in Texas; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 51.3 | 55.3 | 45.8 | top 48% in Texas; bottom 34% in the U.S. |
| RN turnover (%) | 33.3 | 54.6 | 42.9 | top 20% in Texas; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.12, RN 0.29, weekend 2.83. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cara Capital LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Caraday Healthcare, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2020 |
| Caraday Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Choi, Maryann | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Choi, Robert | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Daybach Investments, LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| E&r Cunningham Investments LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| O'Donoghue-Stallard, Maire | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Stallard, Thomas | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Tala Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Wood, Stephen | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Ysmlc Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2020 |
| Granite Round Rock, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2020 |
| Granite Round Rock, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Krol, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Moore, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Moore, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Wallace, Christy | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| San Gabriel Rehabilitation and Care Center | 1.7 mi | Round Rock, TX | ★☆☆☆☆ | 1/5 | abuse |
| Hearthstone Nursing and Rehabilitation | 2.6 mi | Round Rock, TX | ★★★☆☆ | 3/5 | |
| Park Valley Inn Health Center | 3.0 mi | Round Rock, TX | ★★☆☆☆ | 1/5 | abuse |
| Ignite Medical Resort Round Rock, LLC | 3.9 mi | Austin, TX | ★★☆☆☆ | 1/5 | |
| Bel Air at Teravista | 3.9 mi | Round Rock, TX | ★★★☆☆ | 2/5 | |
| Five Points of Pflugerville | 4.2 mi | Pflugerville, TX | ★☆☆☆☆ | 1/5 | |
| The Center at Parmer | 4.4 mi | Austin, TX | ★★★★★ | 4/5 | |
| Pflugerville Nursing and Rehabilitation Center | 5.2 mi | Pflugerville, TX | ★★★★★ | 4/5 | |
| Falcon Ridge Rehabilitation | 5.3 mi | Hutto, TX | ★★☆☆☆ | 3/5 | |
| Avir at Park Bend | 7.4 mi | Austin, TX | ★★★☆☆ | 3/5 | |
| Gracy Woods II Living Center | 7.8 mi | Austin, TX | ★★★★☆ | 4/5 | |
| Gracy Woods Nursing Center | 7.8 mi | Austin, TX | —/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 675546.