631 Junction Creek Drive, Wilmington, NC 28412 (opens Google Maps) · New Hanover County · (910) 442-3000· 100 certified beds · avg 95 residents/day · certified since Jun 29, 2011 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Abuse citation flag (CMS)
Part of chain: LUTHERAN SERVICES CAROLINAS (9 facilities, chain avg rating 4.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · Aug 5, 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 (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 21, 2023 (Past Non-Compliance)
▲ Immediate jeopardy, pattern · Aug 5, 2024 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 21, 2023 (Past Non-Compliance)
▲ Actual harm, isolated · Sep 18, 2025 · 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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 26, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 10, 2024 · F-0600
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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 30, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
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 F-0600
The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. F-0565
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. F-0880
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | ▲ G · Actual harm, isolated | 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 · F-0600 |
| Sep 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Sep 18, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Sep 18, 2025 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Sep 18, 2025 | B · Potential for minimal harm, pattern | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Oct 10, 2024 | ▲ G · Actual harm, isolated | 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. · F-0600 |
| Oct 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Oct 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · F-0810 |
| Aug 5, 2024 | ▲ K · Immediate jeopardy, pattern | 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 · F-0600 |
| Aug 5, 2024 | ▲ K · Immediate jeopardy, pattern | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607 |
| Aug 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Jul 13, 2023 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 13, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jul 13, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jul 13, 2023 | D · Potential for more than minimal harm, isolated | The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes. · F-0811 |
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 6 | 3 | K ▲ |
| 2025 | 5 | 1 | G ▲ |
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.
How to file a complaint about care →
4 fines totaling $102,910.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 18, 2025 | Fine | $64,740 |
| Oct 10, 2024 | Fine | $21,085 |
| Aug 5, 2024 | Fine | $8,542 |
| Aug 5, 2024 | Fine | $8,543 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.83 | 4.01 | 3.95 | top 14% in North Carolina; top 16% in the U.S. |
| Registered Nurse hours | 0.92 | 0.64 | 0.69 | top 15% in North Carolina; top 20% in the U.S. |
| Weekend total nurse staffing | 4.26 | 3.56 | 3.50 | top 14% in North Carolina; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.41 | 0.48 | top 31% in North Carolina; top 44% in the U.S. |
| Total nursing staff turnover (%) | 45.5 | 49.0 | 45.8 | top 42% in North Carolina; bottom 49% in the U.S. |
| RN turnover (%) | 30.8 | 45.7 | 42.9 | top 25% in North Carolina; top 30% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.37, RN 0.83, weekend 3.85.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.37 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Trinity Grove. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Goins, Ted | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/04/2004 |
| Goins, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/04/2004 |
| Goins, Ted | Individual | Trustee of the SNF | NOT APPLICABLE | 11/04/2004 |
| Goins, Ted | Individual | ADP of the SNF | NOT APPLICABLE | 11/04/2004 |
| Herman, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2021 |
| Herman, Richard | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2021 |
| Lsa Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/30/2007 |
| Lsa Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2025 |
| Lutheran Home Wilmington Property, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/05/1988 |
| Lutheran Home Wilmington Property, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Lutheran Services for the Aging, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/30/2007 |
| Lutheran Services for the Aging, INC. | Organization | Trustee of the SNF | NOT APPLICABLE | 04/30/2007 |
| Lutheran Services for the Aging, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
| Maddry, Karen | Individual | Corporate Officer | NOT APPLICABLE | 04/30/2007 |
| Nelson, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2022 |
| Nelson, Douglas | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2022 |
| Nickerson, Kirby | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2012 |
| Nickerson, Kirby | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2012 |
| Parrish, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2022 |
| Parrish, James | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2022 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Lutheran Services Carolinas — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Autumn Care of Myrtle Grove | 1.0 mi | Wilmington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Azalea Health & Rehab Center | 3.0 mi | Wilmington, NC | ★★☆☆☆ | 2/5 | |
| August Healthcare at Wilmington | 4.3 mi | Wilmington, NC | ★★☆☆☆ | 3/5 | |
| Peak Resources-Wilmington, INC | 4.4 mi | Wilmington, NC | ★☆☆☆☆ | 1/5 | |
| Cypress Pointe Rehabilitation Center | 5.0 mi | Wilmington, NC | ★★★★★ | 5/5 | |
| Brunswick Cove Nursing Center | 6.3 mi | Winnabow, NC | ★★☆☆☆ | 3/5 | |
| Bradley Creek Health Center | 6.8 mi | Wilmington, NC | ★★★★★ | 5/5 | |
| Liberty Commons Rehabilitation Center | 7.0 mi | Wilmington, NC | ★★☆☆☆ | 2/5 | |
| Davis Health and Wellness Center at Cambridge Vill | 10.3 mi | Wilmington, NC | ★★☆☆☆ | 2/5 | |
| Northchase Nursing and Rehabilitation Center | 11.3 mi | Wilmington, NC | ★★☆☆☆ | 2/5 | |
| Davis Health Care Center | 12.3 mi | Wilmington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Liberty Commons Nursing & Rehab Center of Southpor | 16.5 mi | Southport, NC | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 345554.
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