The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
The Graybrier Nursing and Retirement Center
Trinity, NC · Medicare-certified · 128 beds
In good standing
For-profit
Data as of September 1, 2026
3 of 5 overall
The Graybrier Nursing and Retirement Center in Trinity, NC has a 3-star overall rating, with a strong 4-star health inspection score but low 1-star staffing and 2-star quality ratings. It had no fines in the last 24 months, and recent citations included accident hazards/supervision, accurate assessments, and resident rights issues.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 61%
Registered nurse turnover: 60%
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
18.5%15.7%Improving
Residents with a fall causing major injury
1.1%5.5%Worsening
Residents with pressure ulcers (bedsores)
6.5%6.4%No change
Residents with a urinary tract infection
8%4.4%Improving
Residents who lost too much weight
2.7%7.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.2%25%Worsening
Residents whose ability to walk got worse
16.9%23.5%Worsening
Long-stay residents on antianxiety or sleep medication
20.3%26%Worsening
Short-stay residents newly given an antipsychotic
0%3.4%Worsening
Residents with a long-term catheter
0.8%0%Improving
Residents with new or worsening incontinence
18.5%24.1%Worsening
Residents with depressive symptoms
5.1%2.7%Improving
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%100%No change
Short-stay residents given the seasonal flu vaccine
—98.1%—
Short-stay residents given the pneumonia vaccine
98.9%98.8%No change
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited October 2024 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,512 in total fines.
- $8,512
Federal fine
Jan 19, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 98.2 residents on an average day (77% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.