Trinity Grove
631 Junction Creek Drive, Wilmington, NC, 28412
Yes. Federal inspectors cited 5 deficiencies against Trinity Grove in Wilmington, North Carolina at its most recent standard inspection on 2025-09-18, 1 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 4 times, totalling $102,910. CMS currently flags this home for abuse. Medicare rates it 3 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 15 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-09-18 · from a complaint · Actual harm to a resident
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · F0565 · 2025-09-18 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-09-18 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-09-18 · standard survey · No actual harm, potential for minimal harm
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.
Resident Rights Deficiencies · F0585 · 2025-09-18 · standard survey · No actual harm, potential for minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-10-10 · standard survey · Actual harm to a resident
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2024-10-10 · standard survey · No actual harm, potential for more than minimal harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · F0810 · 2024-10-10 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-08-05 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2024-08-05 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-08-05 · from a complaint · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0811 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Trinity Grove
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| GOINS, TED | Individual | NOT APPLICABLE | since 11/04/2004 |
| HERMAN, RICHARD | Individual | NOT APPLICABLE | since 06/01/2021 |
| NELSON, DOUGLAS | Individual | NOT APPLICABLE | since 09/01/2022 |
| SMITH, KESHA | Individual | NOT APPLICABLE | since 09/08/2003 |
| MADDRY, KAREN | Individual | NOT APPLICABLE | since 04/30/2007 |
| NICKERSON, KIRBY | Individual | NOT APPLICABLE | since 10/01/2012 |
| LSA MANAGEMENT, INC. | Organization | NOT APPLICABLE | since 04/30/2007 |
| LUTHERAN HOME WILMINGTON PROPERTY, INC | Organization | NOT APPLICABLE | since 04/05/1988 |
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | NOT APPLICABLE | since 04/30/2007 |
| GOINS, TED | Individual | NOT APPLICABLE | since 11/04/2004 |
| PARRISH, JAMES | Individual | NOT APPLICABLE | since 02/25/2022 |
| SMITH, KESHA | Individual | NOT APPLICABLE | since 10/01/2012 |
Part of the LUTHERAN SERVICES CAROLINAS group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345554.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction