• CMS rates this facility 4/5 stars (above average)
• Has 115 certified beds with an average of 109.1 residents per day (95% occupancy)
• Last health inspection found 6 deficiencies (inspected Feb 24, 2025)
• No fines on record
• Total nursing staff: 4.76 hours per resident per day
• Staff turnover rate: 29.5%
• Part of the Lutheran Services Carolinas chain (9 facilities)
Trinity Oaks is a 4-star Medicare and Medicaid certified nursing home in Salisbury, North Carolina with 115 certified beds. It has been operating since 1976. The facility scored above average compared to North Carolina facilities.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dispose of garbage and refuse properly.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
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 |
|---|---|---|---|---|
| LUTHERAN SERVICES FOR THE AGING, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Oct 1, 2004 |
| LSA MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 29, 2004 |
| LUTHERAN HOME AT TRINITY OAKS PROPERTY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 29, 2004 |
| AMIN, CHETAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2012 |
| CORNELISON, TIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 2, 2022 |
| GOINS, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 30, 2007 |
| NICKERSON, KIRBY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2012 |
| SMITH, KESHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2012 |
| SMITH, KESHA | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2012 |
| MADDRY, KAREN | CORPORATE OFFICER | Individual | N/A | Apr 1, 1982 |
| NICKERSON, KIRBY | CORPORATE OFFICER | Individual | N/A | Oct 1, 2012 |
This chain operates 9 facilities. View all →