• CMS rates this facility 2/5 stars (below average)
• Has 100 certified beds with an average of 85.7 residents per day (86% occupancy)
• Last health inspection found 5 deficiencies (inspected Jan 17, 2025)
• Has been fined a total of $15,646 across 2 fine(s)
• Total nursing staff: 4.28 hours per resident per day
• Staff turnover rate: 46.3%
• Part of the Lutheran Services Carolinas chain (9 facilities)
Trinity Elms is a 2-star Medicare and Medicaid certified nursing home in Clemmons, North Carolina with 100 certified beds. It has been operating since 2014. The facility scored below average compared to North Carolina facilities.
Ensure that residents are free from significant medication errors.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure medication error rates are not 5 percent or greater.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 |
|---|---|---|---|---|
| LSA MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 28, 2008 |
| LUTHERAN SERVICES FOR THE AGING, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 28, 2008 |
| GOINS, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2004 |
| MCCOY, CYNTHIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 26, 2023 |
| OWENS-WATTERSON, DAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 3, 2023 |
| SMITH, KESHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2012 |
| SMITH, KESHA | CORPORATE DIRECTOR | Individual | N/A | Sep 8, 2003 |
| MADDRY, KAREN | CORPORATE OFFICER | Individual | N/A | Jan 1, 2014 |
| NICKERSON, KIRBY | CORPORATE OFFICER | Individual | N/A | Oct 1, 2012 |
This chain operates 9 facilities. View all →