Trinity Village
1265 21 Street NE, Hickory, NC 28601 · Catawba County · 104 certified beds · avg 98 residents/day · certified since Jul 1, 1976
Part of chain: LUTHERAN SERVICES CAROLINAS (9 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 23, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 3, 2024 (Past Non-Compliance)
All citations in the current public record (5)
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 |
|---|---|---|
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 11, 2026 | 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. |
| Mar 11, 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. |
| Apr 23, 2024 | ▲ G · Actual harm, 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 |
| Apr 23, 2024 | D · Potential for harm, one-off | 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 1 | G ▲ |
| 2026 | 3 | 0 | D |
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 $8,512.
| Date | Type | Amount / length |
|---|---|---|
| Apr 23, 2024 | Fine | $8,512 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.52 | 4.01 | 3.95 | top 4% in North Carolina; top 2% in the U.S. |
| Registered Nurse hours | 1.12 | 0.64 | 0.69 | top 9% in North Carolina; top 12% in the U.S. |
| Weekend total nurse staffing | 5.88 | 3.56 | 3.50 | top 5% in North Carolina; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.71 | 0.41 | 0.48 | top 10% in North Carolina; top 15% in the U.S. |
| Total nursing staff turnover (%) | 28.1 | 49.0 | 45.8 | top 7% in North Carolina; top 11% in the U.S. |
| RN turnover (%) | 18.5 | 45.7 | 42.9 | top 11% in North Carolina; top 12% 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 6.50, RN 1.12, weekend 5.86. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Desantis, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/03/1995 |
| Desantis, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/1995 |
| Goins, Ted | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2004 |
| Goins, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2004 |
| Goins, Ted | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2004 |
| Hendren, Kendra | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Hendren, Kendra | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| 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 | 10/01/2004 |
| Lsa Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Lutheran Home Hickory West Property, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2004 |
| Lutheran Home Hickory West Property, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Lutheran Services for the Aging, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2004 |
| Lutheran Services for the Aging, INC. | Organization | Trustee of the SNF | NOT APPLICABLE | 10/01/2004 |
| Maddry, Karen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/30/2007 |
| Maddry, Karen | Individual | Corporate Officer | NOT APPLICABLE | 04/30/2007 |
| Nelson, Douglas | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2022 |
| Nelson, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Nelson, Douglas | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2022 |
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?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "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 |
|---|---|---|---|---|---|
| The Greens at Viewmont | 1.0 mi | Hickory, NC | ★★☆☆☆ | 2/5 | |
| The Greens at Hickory | 2.3 mi | Hickory, NC | ★★☆☆☆ | 2/5 | |
| Trinity Ridge | 4.9 mi | Hickory, NC | ★★★★★ | 4/5 | |
| Conover Nursing and Rehabilitation Center | 6.3 mi | Conover, NC | ★★★★★ | 5/5 | |
| Hickory Falls Health and Rehabilitation | 7.6 mi | Granite Falls, NC | ★★★★☆ | 4/5 | |
| Carolina Rehab Center of Burke | 8.6 mi | Connelly Spring, NC | ★★★☆☆ | 3/5 | |
| Valley Nursing and Rehabilitation Center | 10.3 mi | Taylorsville, NC | ★☆☆☆☆ | 1/5 | abuse |
| Abernathy Laurels | 10.9 mi | Newton, NC | ★★★★★ | 5/5 | |
| College Pines Health and Rehabilitation | 10.9 mi | Connelly Springs, NC | ★★★★★ | 4/5 | |
| Shaire Nursing Center | 13.7 mi | Lenoir, NC | ★★★★☆ | 3/5 | |
| Autumn Care of Drexel | 15.5 mi | Morganton, NC | ★★★★☆ | 3/5 | |
| Hibriten Mountain Nursing and Rehabilitation | 16.8 mi | Lenoir, NC | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345152.