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Nursing home report

Avalon Place Trinity

Registered name: River Pointe of Trinity Healthcare and Rehabilitat

TRINITY, TX · Medicare-certified · 104 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
4 of 5 overall

Avalon Place Trinity in Trinity, TX has a 4-star overall rating, with strong health inspection and quality measures scores but a 1-star staffing rating. Reported nurse staffing is below the federal benchmark (3.21 vs. 4.1 hours per resident per day), and the facility had $15,203 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.2108 hrs/resident/day

Quality measures

Last inspection: June 16, 2026Penalties, last 24 months: $15,203recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2108.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
0.75
Nurse aides
2.14
Weekend nursing
2.57

Hours per resident per day.

Total staff turnover: 48%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

3.7%2.5%Improving

Residents with a fall causing major injury

2%3.2%Worsening

Residents with pressure ulcers (bedsores)

2.3%2.2%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

2.6%4.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.1%8.3%Improving

Residents whose ability to walk got worse

0%0%No change

Long-stay residents on antianxiety or sleep medication

10.5%18%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

16.2%10.9%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

100%96.8%Worsening

Short-stay residents given the seasonal flu vaccine

—100%—

Short-stay residents given the pneumonia vaccine

98.9%85.2%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: G

The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited May 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 837 — 42 CFR §483.70 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to properly assess a resident after a major change in condition. Cited June 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 637 — 42 CFR §483.20(b)(2) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $15,203 was recorded.

  6. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  7. PENALTY

    A federal fine of $14,901 was recorded.

  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  10. PENALTY

    A federal fine of $4,823 was recorded.

  11. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $20,026 in total fines.

  • Federal fine

    Jul 29, 2025

    $15,203
  • Federal fine

    May 13, 2024

    $4,823

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
Occupancy
73.1 residents on an average day (70% of 104 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.