CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
TRINITY, TX · Trinity County · Government - Hospital district · 76 certified beds
📍 314 E Caroline St, Trinity, TX 75862 · 📞 (936) 744-1300
Medicare ID: 676439 · Last Medicare inspection: Jan 28, 2026
CMS has identified this as a facility with a history of serious quality issues that requires enhanced oversight and more frequent inspections.
Score Breakdown
What the numbers mean
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 scored 22 out of 100 — 33 points below the state average of 55.
📋 Inspections: 46 citations over the last 36 months — 23 more than the state average (23). 7 were rated serious (G+) — inspectors found actual or potential harm to residents.
🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.
⚠️ Penalties & enforcement: CMS has recorded 2 enforcement actions totaling $274,314 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.
⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.
💚 Resident quality outcomes: This facility's star-rated quality measures are in the strong range. Key indicators like fall rates, antipsychotic use, and vaccination coverage compare favorably to national benchmarks — a positive signal for day-to-day resident care.
What inspectors found (last 3 surveys)
Top concern areas
⚖ Penalties & Enforcement
Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.
⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.
📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.
Resident Wellbeing — Key Indicators
These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.
Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.
See every citation, score history, ownership, and get monthly alerts
Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.