SNF
TRINITY TERRACE
CCN: 675238 · FORT WORTH, TX 76102 · Tarrant County
CCRC
Overview
- Address
- 1600 TEXAS ST, FORT WORTH, TX 76102
- Phone
- 8173382400
- Certified beds
- 52
- Avg daily residents
- 40 (77% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare
- Medicare/Medicaid since
- 1994-01-14
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.67 | 3.38 | 5.34 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.72 | 0.59 | 0.82 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.10 | 0.75 | 1.26 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.85 | 2.04 | 3.26 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.82 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.11
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
4.70
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
20.0%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.20
higher acuity than avg
Case-Mix Index Ratio
0.87
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-27 | 2 | 2 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2024-02-08 | 5 | 3 | 2 | 32 | 1 | 32 |
Total weighted health score
17.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (8)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
8 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-03-27 | 2025-04-21 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-03-27 | 2025-04-21 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-02-08 | 2024-02-16 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-08 | 2024-02-27 |
| 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. | E | 2024-02-08 | 2024-02-27 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-07 | 2024-01-08 |
| 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. | D | 2023-12-07 | 2024-01-08 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-12-22 | 2023-01-31 |
Financial Health (FY 2023)
Operating performance
Total Margin
1.7%
Occupancy Rate
69.4%
Cost per Resident Day
$47
Revenue & costs
Net Patient Revenue
$7.1M
Total Costs
$1.1M
Net Income
$736K
Balance sheet
Total Assets
$310.0M
Total Liabilities
$189.1M
Fund Balance
$121.0M
Current Ratio
4.18
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: PACIFIC RETIREMENT SERVICES
- Chain ID
391- Facilities in chain
- 10
- Legal business name
- THE CUMBERLAND REST INC
Chain-average star ratings (for peer context)
Overall
4.6
Health
4.3
Staffing
4.4
QM
4.5
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| PACIFIC RETIREMENT SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/1995 |
| US BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | since 12/29/2011 |
Owner / manager individuals (17)
| Name | Role | Association |
|---|---|---|
| AUSTIN, JAMES | CORPORATE DIRECTOR | since 12/18/2001 |
| BARR, ALAN | CORPORATE DIRECTOR | since 09/22/1998 |
| COULTER, BRIAN | CORPORATE DIRECTOR | since 10/01/2021 |
| FERNANDEZ, ROBERT | CORPORATE DIRECTOR | since 10/01/2014 |
| HYATT, MIKE | CORPORATE DIRECTOR | since 09/27/2010 |
| MCMAHON, MICHAEL | CORPORATE DIRECTOR | since 05/25/2011 |
| SMITH, GRETCHEN | CORPORATE DIRECTOR | since 09/27/2010 |
| STEMPEL, JUDY | CORPORATE DIRECTOR | since 10/01/2019 |
| TAFT, ANDY | CORPORATE DIRECTOR | since 10/01/2014 |
| TRAVIS, KARL | CORPORATE DIRECTOR | since 12/18/2007 |
| VOGEL, CARLELA | CORPORATE DIRECTOR | since 03/28/2006 |
| WHITTON, JAMES | CORPORATE DIRECTOR | since 12/18/2001 |
| WILSON, DOUG | CORPORATE DIRECTOR | since 09/27/2010 |
| YOUNG, BRIAN | CORPORATE DIRECTOR | since 07/01/2021 |
| MILLS, DON | CORPORATE OFFICER | since 09/23/2003 |
| SHOLTY, ERIC | CORPORATE OFFICER | since 05/27/2018 |
| THOMAS, MICHAEL | W-2 MANAGING EMPLOYEE | since 01/07/2019 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 111 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $47 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 4.18 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 15.8% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $736,072 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,133,045 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 69.4% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $310,022,626 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,066,690 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $120,956,841 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $189,065,785 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.25700 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.26028 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.82080 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.33808 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.69871 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 39.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.74999 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.03830 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.59116 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.37945 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.97863 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 391 | Chain ID |
| Provider Information | Chain Name | PACIFIC RETIREMENT SERVICES | Chain Name |
| Provider Information | City/Town | FORT WORTH | City/Town |
| Provider Information | CMS Certification Number (CCN) | 675238 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Tarrant | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-01-14 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 32.749 | Latitude |
| Provider Information | Legal Business Name | THE CUMBERLAND REST INC | Legal Business Name |
| Provider Information | Location | 1600 TEXAS ST,FORT WORTH,TX,76102 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -97.342 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 52 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.19719 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.86901 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1600 TEXAS ST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | TRINITY TERRACE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 910 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-02-08 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 32 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 32 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.37295 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 42.9 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.81869 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.10025 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.85370 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05535 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.71844 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.67239 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TX | State |
| Provider Information | Telephone Number | 8173382400 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.11276 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 20.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 17.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 76102 | ZIP Code |