Trinity Terrace

Name: Trinity Terrace
Address: 1600 Texas Street, Fort Worth, TX, 76102, US
Telephone: 8173382400

1600 Texas Street, Fort Worth, TX 76102 · Tarrant County · 52 certified beds · avg 40 residents/day · certified since Jan 14, 1994

Part of chain: PACIFIC RETIREMENT SERVICES (10 facilities, chain avg rating 4.6★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.80

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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.

All citations in the current public record (10)

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
May 29, 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.
May 29, 2026	D · Potential for harm, one-off	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.
May 29, 2026	D · Potential for harm, one-off	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.
Mar 27, 2025	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.
Mar 27, 2025	D · Potential for harm, one-off	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.
Feb 8, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Feb 8, 2024	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.
Feb 8, 2024	E · Potential for harm, repeated	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.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Dec 7, 2023	D · Potential for harm, one-off	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. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2023	2	D
2024	3	E
2025	2	E
2026	3	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)

No fines or payment denials in the published 3-year window.

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)	4.80	3.46	3.95	top 5% in Texas; top 17% in the U.S.
Registered Nurse hours	0.85	0.44	0.69	top 5% in Texas; top 24% in the U.S.
Weekend total nurse staffing	4.19	3.04	3.50	top 6% in Texas; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.45	0.34	0.48	top 19% in Texas; top 40% in the U.S.
Total nursing staff turnover (%)	30.2	55.3	45.8	top 5% in Texas; top 14% in the U.S.
RN turnover (%)	28.6	54.6	42.9	top 15% in Texas; top 26% 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 4.11, RN 0.73, weekend 3.60. Staffing rating: 5/5.

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

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Austin, James	Individual	Corporate Director	NOT APPLICABLE	12/18/2001
Barr, Alan	Individual	Corporate Director	NOT APPLICABLE	09/22/1998
Coulter, Brian	Individual	Corporate Director	NOT APPLICABLE	10/01/2021
Fernandez, Robert	Individual	Corporate Director	NOT APPLICABLE	10/01/2014
Hyatt, Mike	Individual	Corporate Director	NOT APPLICABLE	09/27/2010
McMahon, Michael	Individual	Corporate Director	NOT APPLICABLE	05/25/2011
Mills, Don	Individual	Corporate Officer	NOT APPLICABLE	09/23/2003
Pacific Retirement Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/1995
Sholty, Eric	Individual	Corporate Officer	NOT APPLICABLE	05/27/2018
Smith, Gretchen	Individual	Corporate Director	NOT APPLICABLE	09/27/2010
Stempel, Judy	Individual	Corporate Director	NOT APPLICABLE	10/01/2019
Taft, Andy	Individual	Corporate Director	NOT APPLICABLE	10/01/2014
Thomas, Michael	Individual	W-2 Managing Employee	NOT APPLICABLE	01/07/2019
Travis, Karl	Individual	Corporate Director	NOT APPLICABLE	12/18/2007
Us Bank National Association	Organization	5% or Greater Security Interest	NOT APPLICABLE	12/29/2011
Vogel, Carlela	Individual	Corporate Director	NOT APPLICABLE	03/28/2006
Whitton, James	Individual	Corporate Director	NOT APPLICABLE	12/18/2001
Wilson, Doug	Individual	Corporate Director	NOT APPLICABLE	09/27/2010
Young, Brian	Individual	Corporate Director	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"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
James L. West Center for Dementia Care	0.1 mi	Fort Worth, TX	★★★☆☆	2/5	abuse
The Stayton at Museum Way	0.6 mi	Fort Worth, TX	★★★★★	4/5
Downtown Health and Rehabilitation Center	0.7 mi	Fort Worth, TX	★☆☆☆☆	2/5	abuse
Arbor Lake Nursing & Rehabilitation, LLC	0.9 mi	Fort Worth, TX	★★☆☆☆	2/5	abuse
Fort Worth Transitional Care Center	1.0 mi	Fort Worth, TX	★☆☆☆☆	1/5
DFW Nursing & Rehab	1.0 mi	Fort Worth, TX	★☆☆☆☆	1/5	abuseSFF
Arlington Heights Health and Rehabilitation Center	3.3 mi	Fort Worth, TX	★☆☆☆☆	2/5	abuse
River Oaks Health and Rehabilitation Center	3.5 mi	Fort Worth, TX	★☆☆☆☆	1/5	abuse
Stonegate Nursing and Rehabilitation	3.6 mi	Fort Worth, TX	★★★★★	4/5
Park View Care Center	3.7 mi	Fort Worth, TX	★☆☆☆☆	1/5
Marine Creek Nursing & Rehabilitation	4.4 mi	Fort Worth, TX	★☆☆☆☆	2/5	abuse
Fort Worth Wellness & Rehabilitation	4.4 mi	Fort Worth, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 675238.

The Care File

Visit checklist — Trinity Terrace

1600 Texas Street, Fort Worth, TX 76102 · 8173382400

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675238 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)