Trinity Village
1265 21 Street NE, Hickory, NC 28601
Trinity Village is a nursing home in Hickory, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (828) 328-2006
- Last standard health inspection
- March 11, 2026 (8 months ago)
- Certified beds
- 104
- Residents per day, on average
- 97.9
- Ownership type
- Non profit - Corporation
- Legal business name
- Lutheran Home-Hickory, INC.
- Chain
- Lutheran Services Carolinas
- Takes part in
- Medicare and Medicaid
Fewer health citations than the North Carolina average (5 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
3 citations
Health inspection on March 11, 2026
CMS lists this as a standard inspection.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on April 1, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 3, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 1, 2026.
2 citations
Fire safety inspection on March 11, 2026
CMS lists this as a standard inspection.
Citation K0271. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on June 22, 2026.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 22, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 5 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 6.5 to 2.2 hours per resident per day.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from April 23, 2024 from $13,095 to $8,512.
2 citations
Fire safety inspection on January 15, 2025
CMS lists this as a standard inspection.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 31, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 31, 2025.
CMS has cited this home for K0918 2 times since 2023.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 6.9 to 6.2 hours per resident per day.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
2 citations
Health inspection on April 23, 2024
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
76 of 419 North Carolina homes (18%) got a citation at the actual harm level in 2024.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 3, 2024.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on January 3, 2024.
Fine
April 23, 2024 (2 years ago)
CMS fine of $8,512 on April 23, 2024.
CMS update of February 29, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
3 citations
Fire safety inspection on October 31, 2023
CMS lists this as a standard inspection.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 14, 2023.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 14, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 14, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LSA MANAGEMENT, INC.Operational/managerial control · not applicable · since 10/01/2004
- LUTHERAN HOME HICKORY WEST PROPERTY, INC.Operational/managerial control · not applicable · since 10/01/2004
- LUTHERAN SERVICES FOR THE AGING, INC.Operational/managerial control · not applicable · since 10/01/2004
- DESANTIS, MICHAELOperational/managerial control · not applicable · since 07/03/1995
- GOINS, TEDOperational/managerial control · not applicable · since 10/01/2004
- HENDREN, KENDRAOperational/managerial control · not applicable · since 01/01/2024
- NELSON, DOUGLASOperational/managerial control · not applicable · since 09/01/2022
- NICKERSON, KIRBYOperational/managerial control · not applicable · since 10/01/2012
- SMITH, KESHAOperational/managerial control · not applicable · since 10/01/2012
Questions
When was Trinity Village last inspected?
CMS lists March 11, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Trinity Village have?
CMS lists 5 health citations since April 23, 2024. CMS also calls these deficiencies.
Has Trinity Village been fined?
CMS lists 1 fine in the past three years, $8,512 in total.
What is the CMS star rating of Trinity Village?
Its CMS overall star rating is 5 of 5.
Is Trinity Village a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.