Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Trinity Ridge during CMS and state inspections, most recent first.
A facility failed to accurately code a Medicare 5-day MDS assessment for a resident's use of antipsychotic medication. The resident, with dementia and cognitive deficits, was receiving Seroquel as per physician orders, but the MDS assessment incorrectly indicated no antipsychotic use. Staff interviews revealed the MDS nurse was aware of the medication but miscoded it, and the DON confirmed the assessment should have reflected the resident's medication regimen.
A medication error rate of 7.14% was identified in an LTC facility due to improper use of a Lantus insulin pen. A nurse failed to prime the pen before administering two doses to a resident with diabetes, contrary to the manufacturer's instructions. The error was confirmed by a Consultant Pharmacist, who emphasized the importance of priming to ensure correct dosage delivery.
The facility failed to follow its Hand Hygiene policy during wound care for two residents. The DON and a nurse did not sanitize their hands between glove changes while treating pressure ulcers, breaching infection control practices.
Inaccurate MDS Coding for Antipsychotic Use
Penalty
Summary
The facility failed to accurately code a Medicare 5-day Minimum Data Set (MDS) assessment for a resident regarding the use of antipsychotic medications. The resident, who had been admitted with diagnoses including dementia with behaviors and cognitive communication deficit, was readmitted to the facility after a brief hospitalization. Upon review, it was found that the resident's MDS assessment incorrectly indicated that the resident was not receiving antipsychotic medications, despite having a physician's order for Seroquel, an antipsychotic medication, which was being administered as per the medication administration record. Interviews with facility staff revealed that the MDS nurse responsible for completing the assessment was aware of the resident's Seroquel prescription but had miscoded the information in error. The Director of Nursing confirmed that the resident returned to the facility with a new order for Seroquel and acknowledged that the MDS assessment should have accurately reflected the resident's current medication regimen. The facility administrator expressed the expectation that MDS assessments accurately represent residents' care needs, including their medication use.
Medication Error Due to Improper Insulin Pen Use
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, as evidenced by 2 medication errors out of 28 opportunities, resulting in a 7.14% error rate. This deficiency was observed during the administration of medication to one resident. Specifically, the error involved the improper administration of Lantus insulin using a prefilled insulin pen. The manufacturer's instructions for the insulin pen require priming before each injection to remove air bubbles and ensure the correct dosage is delivered. However, Nurse #1 did not prime the insulin pen before administering two separate doses of insulin to the resident. The resident involved had a diagnosis of diabetes mellitus and was prescribed 85 units of Lantus insulin daily. During the observation, Nurse #1 prepared the insulin pen for injection by setting the dose selector to 30 units and then to 55 units for the second injection, as the total dose exceeded the pen's capacity for a single injection. Despite attending skills training that included instructions on using insulin pens, Nurse #1 failed to follow the priming procedure. The Consultant Pharmacist confirmed the importance of priming to ensure the correct dosage is administered, as air bubbles can prevent the full dose from being delivered.
Failure to Follow Hand Hygiene Protocol During Wound Care
Penalty
Summary
The facility failed to adhere to its Hand Hygiene policy and procedure during wound care for two residents. The Director of Nursing (DON) did not perform hand hygiene after removing gloves and before donning a new pair while providing wound care to a resident with a stage 3 pressure ulcer on the coccyx. The DON washed her hands initially, donned gloves and a gown, and proceeded with the wound care. However, after removing the gloves, she did not sanitize her hands before putting on a new pair of gloves, which is a breach of the facility's hand hygiene protocol. Similarly, Nurse #2, while providing wound care to another resident with a stage 4 pressure ulcer on the right foot, also failed to perform hand hygiene between glove changes. After removing the old dressing and doffing her gloves, Nurse #2 did not sanitize her hands before donning a new pair of gloves to continue the wound care. This pattern repeated during the care of the resident's sacral pressure ulcers, where Nurse #2 again did not sanitize her hands between glove changes. The DON, who was assisting, also did not ensure compliance with the hand hygiene protocol during these procedures.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Illustrative
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Nursing homes near Hickory
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Greens At Hickory | 4.3 mi | — | 11 | 0 |
| The Greens At Viewmont | 4.4 mi | — | 1 | 1 |
| Trinity Village | 4.9 mi | — | 3 | 0 |
| Carolina Rehab Center Of Burke | 6.4 mi | — | 0 | 0 |
| Conover Nursing And Rehabilitation Center | 7.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.