Federal inspection record · CMS data as of October 1, 2026

Trinity Village Medical Center

6400 Trinity Drive, Pine Bluff, AR · (870) 879-3117

CMS overall rating

3 of 5

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Certified beds
94
Residents per day
79
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 17, 2010

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Arkansas homes

Trinity Village Medical Center carries 39 inspection points. That is fewer than 23% of Arkansas's 218 rated homes.

5★4★3★2★1★+7 homes above 110.7505102550100inspection points → fewer is better on the leftThis home · 39 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–18 pts
  • 3★ 18–29 pts
  • 2★ 29–44 pts
  • 1★ over 44 pts

Bars show every rated home in Arkansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

31 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 22 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary8F
  1. E

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

    July 24, 2025 · Standard · F812 · Corrected August 15, 2025

  2. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    January 16, 2025 · Standard · F803 · Corrected February 17, 2025

  3. E

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

    January 16, 2025 · Standard · F812 · Corrected February 17, 2025

  4. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    January 16, 2025 · Standard · F805 · Corrected February 17, 2025

  5. F

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

    July 18, 2024 · Standard · F812 · Corrected August 16, 2024

  6. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    July 18, 2024 · Standard · F803 · Corrected August 16, 2024

  7. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    July 18, 2024 · Standard · F805 · Corrected August 16, 2024

  8. E

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

    July 18, 2024 · Standard · F806 · Corrected August 16, 2024

Quality of Life and Care7E
  1. D

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

    July 24, 2025 · Standard · F689 · Corrected August 15, 2025

  2. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    January 16, 2025 · Standard · F700 · Corrected February 17, 2025

  3. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    January 16, 2025 · Standard · F688 · Corrected February 17, 2025

  4. E

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

    July 18, 2024 · Standard · F689 · Corrected August 16, 2024

  5. E

    Provide safe and appropriate respiratory care for a resident when needed.

    July 18, 2024 · Standard · F695 · Corrected August 16, 2024

  6. D

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

    July 18, 2024 · Standard · F677 · Corrected August 16, 2024

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    July 18, 2024 · Standard · F690 · Corrected August 16, 2024

Pharmacy Service6E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    January 16, 2025 · Standard · F759 · Corrected February 17, 2025

  2. E

    Ensure that residents are free from significant medication errors.

    January 16, 2025 · Standard · F760 · Corrected February 17, 2025

  3. E

    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.

    January 16, 2025 · Standard · F761 · Corrected February 17, 2025

  4. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    January 16, 2025 · Standard · F758 · Corrected February 17, 2025

  5. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    July 18, 2024 · Standard · F756 · Corrected August 16, 2024

  6. E

    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.

    July 18, 2024 · Standard · F761 · Corrected August 16, 2024

Resident Assessment and Care Planning3E
  1. E

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

    July 24, 2025 · Standard · F656 · Corrected August 15, 2025

  2. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 16, 2025 · Standard · F657 · Corrected February 17, 2025

  3. D

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

    July 18, 2024 · Standard · F656 · Corrected August 16, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    July 24, 2025 · Standard · F880 · Corrected August 15, 2025

  2. E

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Standard · F880 · Corrected February 17, 2025

  3. E

    Provide and implement an infection prevention and control program.

    July 18, 2024 · Standard · F880 · Corrected August 16, 2024

Resident Rights2E
  1. E

    Keep residents' personal and medical records private and confidential.

    January 16, 2025 · Standard · F583 · Corrected February 17, 2025

  2. E

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    July 18, 2024 · Standard · F582 · Corrected August 16, 2024

Nursing and Physician Services1E
  1. E

    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.

    July 18, 2024 · Standard · F726 · Corrected August 16, 2024

Administration1E
  1. E

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    July 18, 2024 · Standard · F847 · Corrected August 16, 2024

Inspection history

  1. 2025-07-24

    4 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-01-16

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2024-07-18

    15 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 32 min of nursing staff time a day, 21 min of it from a registered nurse.

This home

3 h 32 min

Arkansas average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 57% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts worse2.51.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine27.7 pts worse67.4%95.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better95.8%95.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse5.1%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms1.4 pts better0.0%1.4%13.5%
Percentage of long-stay residents who lose too much weight1 pts worse5.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.6 pts better12.2%21.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.6 pts better3.3%10.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.7 pts worse13.9%9.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better7.4%9.1%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.3%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection2.3 pts worse3.4%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts worse14.2%12.9%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse4.7%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.1 pts worse20.8%81.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts worse15.5%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse3.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.7 pts better78.6%75.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better21.4%23.4%23.4%

·

Who owns and runs it

21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Atkinson, CatherineCorporate Officer · Individual0%1 facilities
Brown, LaurelCorporate Officer · Individual0%1 facilities
Brown, ThomasCorporate Officer · Individual0%4 facilities
Carr, JacquisueCorporate Officer · Individual0%1 facilities
Clement, JoeCorporate Officer · Individual0%1 facilities
Cosner, ZacharyCorporate Officer · Individual0%1 facilities
Cromwell, KayCorporate Officer · Individual0%1 facilities
Dunn, ValerieCorporate Director · Individual0%1 facilities
Dunn, ValerieAdp Of The SNF · Individual0%1 facilities
Hardin, BarrieCorporate Officer · Individual0%1 facilities
Harris, DonCorporate Officer · Individual0%1 facilities
Harris, JohnCorporate Officer · Individual0%7 facilities
Harris, JohnAdp Of The SNF · Individual0%7 facilities
Kelley, ThomasOperational/Managerial Control · Individual0%3 facilities
Kelley, ThomasAdp Of The SNF · Individual0%3 facilities
Morgan, CappiCorporate Officer · Individual0%1 facilities
Powell, RonCorporate Officer · Individual0%1 facilities
Powell, RonOperational/Managerial Control · Individual0%1 facilities
Self, SabrinaCorporate Officer · Individual0%1 facilities
Trotter, HenryCorporate Officer · Individual0%1 facilities
Whitaker, DeborahCorporate Officer · Individual0%1 facilities

·

Fire safety

6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    January 16, 2025 · K341 · Corrected February 17, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 16, 2025 · K353 · Corrected February 17, 2025

  3. F

    Provide properly protected cooking facilities.

    July 18, 2024 · K324 · Corrected August 16, 2024

Egress1F
  1. F

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    January 16, 2025 · K223 · Corrected February 17, 2025

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    July 18, 2024 · E41 · Corrected August 16, 2024

Miscellaneous1F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 18, 2024 · K761 · Corrected August 16, 2024

·

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