Nursing HomeMedicaid Investigative

Trinity Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1000 E Main St, Round Rock, TX 78664|179 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 87 Google reviews

(512) 634-3000 Directions Website

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5/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (2/5 stars)
Low staffing rating (2/5 stars)

Below average in Texas · Critically understaffed (RN) · Below chain average · $10,293 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing rehabilitation and a compassionate admissions process, particularly due to the strength of the therapy team. However, you must be vigilant regarding clinical care; specifically, ask the nursing supervisor about their protocols for pressure ulcer prevention and medication timing to ensure the serious concerns raised by other families are being addressed.

Google Reviews

87 reviews on Google

“Trinity Care Center is highly regarded by many families for its compassionate nursing staff and exceptional rehabilitation/therapy programs. While many reviewers praise the warm, home-like atmosphere, there are serious, recurring allegations regarding medication timing errors, inadequate wound care (specifically bed sores), and inconsistent cleanliness.”

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing staff
Effective rehabilitation and physical therapy programs
Helpful and communicative admissions process
Warm, home-like atmosphere

Concerns

Inadequate wound care and development of bed sores (mentioned by 2 reviewers)
Medication administration errors or delays (mentioned by 2 reviewers)
Inconsistent cleanliness of rooms and facility (mentioned by 3 reviewers)
Poor food quality and temperature (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 91 analyzed

How They Respond to Reviews

90%response rate

Good

The owner frequently uses personalized greetings by name and acknowledges specific staff members mentioned in reviews. While many responses rely on templates, they vary the phrasing enough to avoid feeling entirely robotic, and they handle negative reviews by providing a direct contact number for resolution.

Questions for Your Tour

1It is wonderful to see how much the management engages with feedback from the community; how has the facility implemented recent changes to improve the dining experience and food temperature?
2With the focus on rehabilitation being a strength here, could you tell us more about how the physical therapy program integrates into a resident's daily routine?
3What specific protocols are in place to ensure medication is administered accurately and on a consistent schedule?
4How does the nursing team monitor and manage skin integrity and wound care to prevent issues like bed sores?
5Can you describe the cleaning schedule for the resident rooms to ensure a consistently tidy and hygienic environment?
6What is the process for notifying family members if a medical emergency occurs after hours?

Personalized based on this facility's data

Key Review Excerpts

“The therapy team is attentive and focused on helping patients recover safely and confidently.”

Local Guide/Professional Partner · 2025★★★★★

“My dad was not a positive man often and to go on my daily visit and hear him say 'I had a great day today, Tess, I just wanted you to hear something positive for once' just brought tears to my eyes.”

Long-term resident's family · 2025★★★★★

“Yvette and the whole Trinity team were amazing. We had to quickly transfer my mother from another facility which was a nightmare. When we called Trinity to explain the situation, Yvert moved heaven and earth to get my mom transferred.”

Rehab patient's family · 2022★★★★★

Source: 87 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.24hrs

32%

Registered nurses for medical care

Total Nursing

3.18hrs

78%

All nurses + aides combined

Staff Turnover

52%

Lower is better (< 30% = good)

RN Turnover

25%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.6%

Better than Avg

Here

0.6%

12.1%

2.5%

Williamson

4.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility8.0%

Better than Avg

Here

8.0%

15.4%

9.4%

Williamson

12.0%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility91.4%

Worse than Avg

Here

91.4%

93.4%

96.9%

Williamson

91.4%

⚠️

Residents who fell and were seriously hurt

↓ Lower is better

This Facility8.1%

Worse than Avg

Here

8.1%

3.2%

3.3%

Williamson

4.0%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility98.6%

Better than Avg

Here

98.6%

95.5%

98.0%

Williamson

94.0%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility18.5%

Mixed vs Avgs

Here

18.5%

19.4%

14.2%

Williamson

15.6%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility55.9%

Worse than Avg

Here

55.9%

81.8%

89.2%

Williamson

79.2%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility71.2%

Worse than Avg

Here

71.2%

79.7%

88.0%

Williamson

80.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.8%

Worse than Avg

Here

1.8%

1.6%

1.5%

Williamson

1.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies

1penalties

Above state avg (9.1)

12 complaint-triggered

$10,293 in fines

Families have filed multiple complaint reports triggering inspections, with recurring issues in resident rights, care planning, and protection from abuse. The facility has faced deficiencies in maintaining dignity and self-determination, developing proper care plans, and preventing neglect across multiple surveys from 2022 to 2025. While most violations show correction dates, the pattern of ongoing complaints and repeated problem areas suggests persistent care quality concerns that families should carefully investigate before placement.

Jan 23, 2026Routine8 findings

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0521Minimal · PatternResolved (past non-compliance)

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Nov 19, 2025Complaint1 finding

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jul 9, 2025Complaint3 findings

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Jun 18, 2025Complaint1 finding

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Oct 31, 2024Routine8 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0521Minimal · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0521Minimal · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Aug 3, 2024Complaint2 findings

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Federal Penalties

Fine

Jul 18, 2024

$10,293

Ownership & Operations

Who Operates This Facility

Owner / Operator

Caraday Trinity, LLC

Organization Type

for profit

Management Company

CARADAY MANAGEMENT LLC

Administrator

CHRISTY K WALLACE

Chain Affiliation

Chain Name

Caraday Healthcare

Chain Size

9 facilities nationwide

Chain avg rating: 2.6/5 · Rank 6 of 9

Ownership & Management

Owners

Caraday Healthcare, LLC

Owner · Organization

100%

Cara Capital LLC