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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 CarolinaTrinity Elms

Trinity Elms

7449 Fair Oaks Drive, Clemmons, NC 270123367471153
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
4/5
Quality
1/5
Beds
100
certified
2 fine(s) totaling $15,646

Key Findings

• 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.

Beds
100
Avg Residents/Day
85.7
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 13, 2014
Sprinklers
Yes
Council
Resident
County
Forsyth
Last Inspection
Jan 17, 2025
Deficiencies (Cycle 1)
5
Weighted Score
35.0
Infection Citations
0

Deficiency Citations (11)

F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 30, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Jan 17, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Jan 17, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jan 17, 2025Corrected: NoCycle: 1
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Jan 17, 2025Corrected: NoCycle: 1
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 20, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Aug 20, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 30, 2023Corrected: NoCycle: 2
F0609Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 30, 2023Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 31, 2022Corrected: 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 31, 2022Corrected: NoCycle: 3
Total Fines
$15,646
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineAug 20, 2024
$7,823
FineAug 20, 2024
$7,823

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

Nurse Aide2.85 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.63 hrs
National avg: 0.68 hrs
Total Nursing4.28 hrs
National avg: 3.89 hrs
Weekend Total4.00 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
46.3%
RN Turnover
73.3%
Administrators Left
0

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

Ownership Type
Non profit - Church related
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
LSA MANAGEMENT, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 28, 2008
LUTHERAN SERVICES FOR THE AGING, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 28, 2008
GOINS, TEDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2004
MCCOY, CYNTHIAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 26, 2023
OWENS-WATTERSON, DAWNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 3, 2023
SMITH, KESHAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2012
SMITH, KESHACORPORATE DIRECTORIndividualN/ASep 8, 2003
MADDRY, KARENCORPORATE OFFICERIndividualN/AJan 1, 2014
NICKERSON, KIRBYCORPORATE OFFICERIndividualN/AOct 1, 2012

Nearby Nursing Homes

All North Carolina facilities

Cedar Hills Center for Nursing and Rehabilitation

Clemmons, NC · 94 beds

For profit$70,269 in fines
Health
Staffing
Quality
4625 ft

Frequently Asked Questions

What is the CMS rating for Trinity Elms?▾
Trinity Elms has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated below average.
Has Trinity Elms had any health inspection violations?▾
Trinity Elms had 5 deficiency citations in its most recent health inspection (Jan 17, 2025). The facility has been fined a total of $15,646 across 2 fine(s).
What are the staffing levels at Trinity Elms?▾
Trinity Elms provides 4.28 total nursing staff hours per resident per day, including 0.63 RN hours, 0.80 LPN hours, and 2.85 nurse aide hours. The total staff turnover rate is 46.3%.
How many beds does Trinity Elms have?▾
Trinity Elms has 100 certified beds with an average of 85.7 residents per day, resulting in approximately 86% occupancy. The facility is Non profit - Church related owned and is part of the Lutheran Services Carolinas chain.
Are there other nursing homes near Trinity Elms?▾
Yes, there are 1 other nursing home in Clemmons, North Carolina with an average rating of 1.5/5. You can compare all facilities on the Clemmons nursing homes page.

Part of Lutheran Services Carolinas

This chain operates 9 facilities. View all →