Trinity Village

1265 21 Street NE
Hickory, NC, 28601
8283282006
CCN: 345152
5
Overall
4
Health
5
Staffing
3
Quality
ChainLUTHERAN SERVICES CAROLINAS→
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
SMITH, KESHACORPORATE DIRECTORNOT APPLICABLE
MADDRY, KARENCORPORATE OFFICERNOT APPLICABLE
NELSON, DOUGLASCORPORATE OFFICERNOT APPLICABLE
NICKERSON, KIRBYCORPORATE OFFICERNOT APPLICABLE
GOINS, TEDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HENDREN, KENDRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LSA MANAGEMENT, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NICKERSON, KIRBYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMITH, KESHAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NELSON, DOUGLASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LUTHERAN HOME HICKORY WEST PROPERTY, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LUTHERAN SERVICES FOR THE AGING, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DESANTIS, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-04-23Fine$9K
Health Deficiencies (3)
2024-04-23 · Health
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
G
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-04-28 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
6.60
3.68
RN Hrs/Resident/Day
1.09
0.54
LPN Hrs/Resident/Day
0.67
0.81
CNA Hrs/Resident/Day
4.83
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01