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HomeNorth CarolinaBig Elm Retirement and Nursing Centers

Big Elm Retirement and Nursing Centers

1285 West A Street, Kannapolis, NC 280817049320000WebsiteGoogle Maps
3.2on Google(20 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
4/5
Quality
4/5
Beds
50
certified

How Big Elm Retirement and Nursing Centers Compares in North Carolina

Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
NC average
2.9/5
Above state average
Health inspection rating
4/5
NC average
2.9/5
Above state average
Staffing rating
4/5
NC average
2.7/5
Above state average
Nursing hours per resident
5.10 hrs/day
NC average
3.82 hrs/day
Above state average
RN hours per resident
0.58 hrs/day
NC average
0.61 hrs/day
Close to state average
Staff turnover
42.0%
NC average
49.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the North Carolina average of 2.9/5.
Its 4/5 health inspection rating is above the North Carolina average of 2.9/5.
Reported nursing time is 5.10 hours per resident per day, above the state average of 3.82.
Staff turnover is 42.0%, lower than the North Carolina average of 49.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
5
deficiency citations
Inspected Jul 11, 2024
Most recent cycle
4
deficiency citations
Inspected Aug 28, 2025
The most recent cycle recorded 1 fewer deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Rowan County 65+
26,035
17.7% of county
County Population
147,067
Rowan County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Big Elm Retirement and Nursing Centers is a 4-star Medicare and Medicaid certified nursing home in Kannapolis, North Carolina with 50 certified beds. It has been operating since 1991. Its overall CMS rating is 4 out of 5.

Beds
50
Avg Residents/Day
45.4
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1991
Sprinklers
Yes
Council
Resident
County
Rowan
Last Inspection
Aug 28, 2025
Deficiencies (Cycle 1)
4
Weighted Score
15.0
Infection Citations
0

Deficiency Citations (16)

F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Aug 28, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Aug 28, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Aug 28, 2025Corrected: NoCycle: 1
F0568Minimal Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Aug 28, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0576Minimal Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0584Minimal Harm

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.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Mar 29, 2023Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Mar 29, 2023Corrected: NoCycle: 3
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Mar 29, 2023Corrected: NoCycle: 3
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Mar 29, 2023Corrected: NoCycle: 3
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Mar 29, 2023Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Mar 29, 2023Corrected: NoCycle: 3
F0623Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 29, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.60 hrs
National avg: 2.32 hrs
LPN0.92 hrs
National avg: 0.86 hrs
RN0.58 hrs
National avg: 0.69 hrs
Total Nursing5.10 hrs
National avg: 3.86 hrs
Weekend Total4.27 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
42.0%
RN Turnover
28.6%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
GATEWOOD, THOMAS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual100%Oct 1, 2010
GATEWOOD, THOMASCORPORATE DIRECTORIndividualN/AOct 1, 2010
DOLACK, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 27, 2024
GATEWOOD, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2002
MCSWAIN, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 27, 2025
DOLACK, CHRISTINAADP OF THE SNFIndividualN/AMay 27, 2024
GATEWOOD, THOMASADP OF THE SNFIndividualN/AOct 1, 2002
MCSWAIN, ROBERTADP OF THE SNFIndividualN/AJun 27, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Big Elm Retirement and Nursing Centers and nearby alternatives.

All North Carolina facilities
Big Elm Retirement and Nursing Centers
Kannapolis, NCCurrent facility
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Kannapolis Health and Rehabilitation
Kannapolis, NC3.8 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $151,209
The Greens at Cabarrus
Concord, NC4.4 mi
CMS
5/5
Health
4/5
Staffing
2/5
Recorded fines: $15,269
Five Oaks Rehabilitation and Care Center
Concord, NC4.6 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $17,345
Copperfield Health & Rehabilitation
Concord, NC5.1 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $158,405
Cabarrus Health and Rehabilitation Center
Concord, NC6.4 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $138,723
The Gardens of Taylor Glen Retirement Community
Concord, NC7.0 mi
CMS
4/5
Health
4/5
Staffing
N/A
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Big Elm Retirement and Nursing Centers
Kannapolis, NC · Current facility
—4/54/54/5None recorded
Kannapolis Health and Rehabilitation
Kannapolis, NC
3.8 mi2/52/53/5$151,209
The Greens at Cabarrus
Concord, NC
4.4 mi5/54/52/5$15,269
Five Oaks Rehabilitation and Care Center
Concord, NC
4.6 mi2/52/52/5$17,345
Copperfield Health & Rehabilitation
Concord, NC
5.1 mi1/51/51/5$158,405
Cabarrus Health and Rehabilitation Center
Concord, NC
6.4 mi1/51/51/5$138,723
The Gardens of Taylor Glen Retirement Community
Concord, NC
7.0 mi4/54/5N/ANone recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Big Elm Retirement and Nursing Centers?▾
Big Elm Retirement and Nursing Centers has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated above average.
How much does Big Elm Retirement and Nursing Centers cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Big Elm Retirement and Nursing Centers participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Big Elm Retirement and Nursing Centers had any health inspection violations?▾
Big Elm Retirement and Nursing Centers had 4 deficiency citations in its most recent health inspection (Aug 28, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Big Elm Retirement and Nursing Centers?▾
Big Elm Retirement and Nursing Centers provides 5.10 total nursing staff hours per resident per day, including 0.58 RN hours, 0.92 LPN hours, and 3.60 nurse aide hours. The total staff turnover rate is 42.0%.
How many beds does Big Elm Retirement and Nursing Centers have?▾
Big Elm Retirement and Nursing Centers has 50 certified beds with an average of 45.4 residents per day, resulting in approximately 91% occupancy. The facility is For profit - Individual owned.
Are there other nursing homes near Big Elm Retirement and Nursing Centers?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 1 in Kannapolis. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Big Elm Retirement and Nursing Centers?▾
On Google Maps, Big Elm Retirement and Nursing Centers has a rating of 3.2 out of 5 based on 20 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.