Trinity Care Center

1000 E Main St · Round Rock, TX · 78664 · 5126343000

179 certified beds For profit - Corporation Chain: Caraday Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 58
Staffing 20% 48
Federal penalties 15% 76
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.183.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $10,293

Inspection citations (26 in the current record)

  • Potential for harm · D January 23, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected February 6, 2026 · Resident Rights

  • Potential for harm · E January 23, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 6, 2026 · Resident Rights

  • Potential for harm · E January 23, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 6, 2026 · Quality of Life and Care

  • Potential for harm · E January 23, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 6, 2026 · Pharmacy Service

  • Potential for harm · E January 23, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 6, 2026 · Pharmacy Service

  • Potential for harm · E January 23, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 6, 2026 · Nutrition and Dietary

  • Potential for harm · E January 23, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2026 · Infection Control

  • Potential for harm · D November 19, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 9, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · E July 9, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · E July 9, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 18, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected June 25, 2025 · Environmental

  • Potential for harm · D October 31, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F October 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 21, 2024 · Nutrition and Dietary

  • Potential for harm · D October 31, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected November 21, 2024 · Environmental

  • Potential for harm · D August 3, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 3, 2024 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected August 9, 2024 · Nutrition and Dietary

  • Immediate jeopardy · J July 18, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J July 18, 2024 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected July 19, 2024 · Nursing and Physician Services

  • Potential for harm · D July 18, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 29, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 24, 2024 · Resident Rights

  • Potential for harm · D August 30, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected September 26, 2023 · Resident Rights

  • Potential for harm · E August 30, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 26, 2023 · Quality of Life and Care

  • Potential for harm · D August 30, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 26, 2023 · Quality of Life and Care

  • Potential for harm · D August 30, 2023

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected September 26, 2023 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 18, 2024Fine$10,293

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675546 · certified since December 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.