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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D10 | E5 | F2 |
| Minimal | A· | B1 | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Sep 18, 2025 | Health | Health Complaint, Health Standard | 5 | Actual harm | — | Open → |
| Oct 10, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Oct 10, 2024 | Health | Health Standard | 3 | Actual harm | — | Open → |
| Aug 5, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jul 13, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 13, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 28, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 18, 2025 | Civil money penalty (fine) | $64,740 | — | 345554|Fine|136099 |
| Oct 10, 2024 | Civil money penalty (fine) | $21,085 | — | 345554|Fine|42610 |
| Aug 5, 2024 | Civil money penalty (fine) | $8,543 | — | 345554|Fine|42477 |
| Aug 5, 2024 | Civil money penalty (fine) | $8,542 | — | 345554|Fine|42551 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D10 | E5 | F2 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 18, 2025 | F-0600 | 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 · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Sep 26, 2025 | Complaint |
| Sep 18, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 8, 2025 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
9 facilities in 1 states. CMS chain ID 327.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ted Goins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 4, 2004 |
| Richard Herman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Douglas Nelson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2022 |
| Lsa Management, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 30, 2007 |
| Lutheran Home Wilmington Property, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 5, 1988 |
| Lutheran Services for the Aging, Inc |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Trinity Glen 849 Waterworks Road, Winston-Salem, NC 27101 CCN 345088 | 117 | Apr 2, 2026 | 6 | — | |
| Trinity Ridge 2140 Medical Park Drive, Hickory, NC 28602 CCN 345106 | 120 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Autumn Care of Myrtle Grove 5725 Carolina Beach Road, Wilmington, NC 28412 CCN 345507Abuse icon | 1.5 km | 90 | Dec 3, 2025 | 526 IJ3 harm1 open | $142k | |
| Azalea Health & Rehab Center 3800 Independence Boulevard, Wilmington, NC 28412 CCN 345557 | 4.8 km | 80 | Jul 30, 2026 | 521 IJ1 harm3 open | $24k | |
| August Healthcare at Wilmington 820 Wellington Avenue, Wilmington, NC 28401 CCN 345236 | 6.9 km | 120 | Jul 17, 2026 | 381 IJ5 open | $27k | |
| Peak Resources-Wilmington, Inc 2305 Silver Stream Lane, Wilmington, NC 28401 CCN 345537 | 7.1 km | 110 | May 22, 2026 | 401 IJ2 harm6 open | $70k | |
| Cypress Pointe Rehabilitation Center 2006 South 16th Street, Wilmington, NC 28401 CCN 345002 | 8.1 km | 90 | May 7, 2026 | 104 open | — | |
| Brunswick Cove Nursing Center 1478 River Road, Winnabow, NC 28479 CCN 345318 | 10.1 km | 175 | Feb 20, 2026 | 341 open | $57k | |
| Bradley Creek Health Center 740 Diamond Shoals Road, Wilmington, NC 28403 CCN 345571 | 10.9 km | 30 | Jul 2, 2026 | 94 open | — | |
| Liberty Commons Rehabilitation Center 121 Racine Drive, Wilmington, NC 28403 CCN 345468 | 11.3 km | 82 | Mar 18, 2026 | 313 harm1 open | $31k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345554 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345554 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Sep 18, 2025 |
| F-0880 |
| Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention |
| E · Potential harm Pattern |
| Corrected Oct 8, 2025 |
| Sep 18, 2025 | F-0585 | 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 · Resident rights & abuse/neglect | B · Minimal Pattern | No revisit needed Oct 8, 2025 |
| Sep 18, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | No revisit needed Oct 8, 2025 |
| Oct 10, 2024 | F-0600 | 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 · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Oct 30, 2024 |
| Oct 10, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 3, 2024 |
| Oct 10, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 3, 2024 |
| Oct 10, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 3, 2024 |
| Oct 10, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 3, 2024 |
| Oct 10, 2024 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 3, 2024 |
| Oct 10, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 3, 2024 |
| Oct 10, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2024 |
| Oct 10, 2024 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 30, 2024 |
| Aug 5, 2024 | F-0600 | 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 · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Past non-compliance Nov 21, 2023 | Complaint |
| Aug 5, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Past non-compliance Nov 21, 2023 | Complaint |
| Aug 5, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 25, 2024 | Complaint |
| Jul 13, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 20, 2023 |
| Jul 13, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 20, 2023 |
| Jul 13, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0761 | 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 · Medication management | E · Potential harm Pattern | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0811 | 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 · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.81 (case-mix index 1.25).
| Organization |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 30, 2007 |
| Ted Goins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 4, 2004 |
| James Parrish | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 25, 2022 |
| Kesha Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2012 |
| Audrey Sutton-Surak | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 25, 2022 |
| Kesha Smith | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2003 |
| Karen Maddry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 30, 2007 |
| Kirby Nickerson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2012 |
| Lutheran Services for the Aging, Inc | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Apr 30, 2007 |
| Ted Goins | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Nov 4, 2004 |
| Richard Herman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 1, 2021 |
| Douglas Nelson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Sep 1, 2022 |
| Lsa Management, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 16, 2025 |
| Lutheran Home Wilmington Property, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Lutheran Services for the Aging, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 25, 2025 |
| Ted Goins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 4, 2004 |
| Kirby Nickerson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2012 |
| James Parrish | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2022 |
| Audrey Sutton-Surak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2012 |
| Jun 18, 2026 |
112 open |
| — |
| Trinity Place 24724 South Business 52, Albemarle, NC 28001 CCN 345109 | 76 | Nov 20, 2025 | 121 harm1 open | $8,788 |
| Trinity Village 1265 21 Street NE, Hickory, NC 28601 CCN 345152 | 104 | Mar 11, 2026 | 121 harm | $8,512 |
| Trinity Oaks 820 Klumac Road, Salisbury, NC 28144 CCN 345153 | 115 | Apr 2, 2026 | 24 | — |
| Glenflora 5701 N. Fayetteville Road, Lumberton, NC 28360 CCN 345194 | 52 | May 28, 2026 | 131 IJ1 harm1 open | $30k |
| Aston Park Health Care Center 380 Brevard Road, Asheville, NC 28806 CCN 345198 | 120 | Apr 16, 2026 | 279 open | — |
| Trinity Elms 7449 Fair Oaks Drive, Clemmons, NC 27012 CCN 345565 | 100 | Aug 18, 2026 | 252 IJ2 harm1 open | $16k |