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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaBig Elm Retirement and Nursing Centers

Big Elm Retirement and Nursing Centers

1285 West A Street, Kannapolis, NC 280817049320000
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
2/5
Beds
50
certified
1 fine(s) totaling $15,873

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 50 certified beds with an average of 46.8 residents per day (94% occupancy)

• Last health inspection found 4 deficiencies (inspected Aug 28, 2025)

• Has been fined a total of $15,873 across 1 fine(s)

• Total nursing staff: 4.78 hours per resident per day

• Staff turnover rate: 45.8%

Big Elm Retirement and Nursing Centers is a 2-star Medicare and Medicaid certified nursing home in Kannapolis, North Carolina with 50 certified beds. It has been operating since 1991. The facility scored below average compared to North Carolina facilities.

Beds
50
Avg Residents/Day
46.8
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
58.8
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
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
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
F0554Potential for Harm

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

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
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
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
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
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
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
F0607Immediate Jeopardy

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

Survey: Mar 29, 2023Corrected: NoCycle: 3
Total Fines
$15,873
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 29, 2023
$15,873

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

Nurse Aide3.34 hrs
National avg: 2.35 hrs
LPN0.88 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.68 hrs
Total Nursing4.78 hrs
National avg: 3.89 hrs
Weekend Total4.14 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
45.8%
RN Turnover
25.0%
Administrators Left
1

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

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
GATEWOOD, THOMAS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2005
GATEWOOD, THOMASCORPORATE DIRECTORIndividualN/ANov 7, 2005
ENNIS, ANNW-2 MANAGING EMPLOYEEIndividualN/AMar 2, 2010

Nearby Nursing Homes

All North Carolina facilities

Kannapolis Health and Rehabilitation

Kannapolis, NC · 107 beds

For profit$133,864 in fines
Health
Staffing
Quality
3.8 mi

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 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
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 facility has been fined a total of $15,873 across 1 fine(s).
What are the staffing levels at Big Elm Retirement and Nursing Centers?▾
Big Elm Retirement and Nursing Centers provides 4.78 total nursing staff hours per resident per day, including 0.56 RN hours, 0.88 LPN hours, and 3.34 nurse aide hours. The total staff turnover rate is 45.8%.
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 46.8 residents per day, resulting in approximately 94% occupancy. The facility is For profit - Individual owned.
Are there other nursing homes near Big Elm Retirement and Nursing Centers?▾
Yes, there are 1 other nursing home in Kannapolis, North Carolina with an average rating of 1.5/5. You can compare all facilities on the Kannapolis nursing homes page.