CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GATEWOOD, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | Oct 1, 2010 |
| GATEWOOD, THOMAS | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2010 |
| DOLACK, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 27, 2024 |
| GATEWOOD, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2002 |
| MCSWAIN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 27, 2025 |
| DOLACK, CHRISTINA | ADP OF THE SNF | Individual | N/A | May 27, 2024 |
| GATEWOOD, THOMAS | ADP OF THE SNF | Individual | N/A | Oct 1, 2002 |
| MCSWAIN, ROBERT | ADP OF THE SNF | Individual | N/A | Jun 27, 2025 |
Compare CMS ratings and recorded fines for Big Elm Retirement and Nursing Centers and nearby alternatives.
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.