nursing home in Kannapolis, NC
Big Elm Retirement and Nursing Centers
1285 West A Street, Kannapolis, NC 28081 · (704) 932-0000
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Big Elm Retirement and Nursing Centers at a glance
Big Elm Retirement and Nursing Centers is a 50-bed for-profit nursing home in Kannapolis, North Carolina (Rowan County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 5.1 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (August 28, 2025) found 4 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 42% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1991
- Resident/family council
- Resident
- County
- Rowan County
- CMS Certification Number
- 345342
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.10 hrs | 3.85 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.58 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.60 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.27 hrs | 3.42 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 42% | 49% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 15 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 105 | 107 | |
| Average residents per day | 45 | 87 | 86 | |
| Occupancy | 90.8% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.6% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 22.3% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 11.5% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.8% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 26.8% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.7% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.1% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 30.1% | 5.9% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 32.3% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 34.3% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.1% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 86.3% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.9% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 28, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 28, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 28, 2025 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 28, 2025 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | B No harm, pattern | Corrected September 22, 2025 |
| July 11, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 11, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 4, 2024 |
| July 11, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 4, 2024 |
| July 11, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 4, 2024 |
| July 11, 2024 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | C No harm, widespread | Corrected August 4, 2024 |
| July 11, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | B No harm, pattern | Corrected August 4, 2024 |
| March 29, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected June 25, 2023 |
| March 29, 2023 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | D Potential harm, isolated | Corrected June 25, 2023 |
| March 29, 2023 Fire safety | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Tag K0111 | D Potential harm, isolated | Corrected June 25, 2023 |
| March 29, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected June 25, 2023 |
| March 29, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 25, 2023 |
| March 29, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 25, 2023 |
| March 29, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 25, 2023 |
| March 29, 2023 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | L Immediate jeopardy, widespread | Corrected March 29, 2023 |
| March 29, 2023 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected March 29, 2023 |
| March 29, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected March 29, 2023 |
| March 29, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected April 17, 2023 |
| March 29, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 29, 2023 |
| March 29, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 29, 2023 |
| March 29, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected March 29, 2023 |
| October 29, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected December 28, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GATEWOOD, THOMAS Individual | 5% or greater direct ownership interest | 100% | 10/01/2010 |
| DOLACK, CHRISTINA Individual | adp of the snf | NOT APPLICABLE | 05/27/2024 |
| GATEWOOD, THOMAS Individual | adp of the snf | NOT APPLICABLE | 10/01/2002 |
| MCSWAIN, ROBERT Individual | adp of the snf | NOT APPLICABLE | 06/27/2025 |
| GATEWOOD, THOMAS Individual | corporate director | NOT APPLICABLE | 10/01/2010 |
| DOLACK, CHRISTINA Individual | operational/managerial control | NOT APPLICABLE | 05/27/2024 |
| GATEWOOD, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 10/01/2002 |
| MCSWAIN, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 06/27/2025 |
Other nursing homes near Big Elm Retirement and Nursing Centers
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★★★★★2Below averageThe Greens at Cabarrus
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★★★★★5Much above averageFive Oaks Rehabilitation and Care Center
413 Winecoff School Road, Concord, NC 28027 · 4.6 mi
For-profit · 160 beds · Part of Venza Care Management
★★★★★2Below averageCopperfield Health & Rehabilitation
515 Lake Concord Road NE, Concord, NC 28025 · 5.1 mi
For-profit · 120 beds
- Abuse citation
★★★★★1Much below averageCabarrus Health and Rehabilitation Center
430 Brookwood Avenue NE, Concord, NC 28025 · 6.4 mi
For-profit · 120 beds · Part of Lifeworks Rehab
- Abuse citation
★★★★★1Much below averageThe Gardens of Taylor Glen Retirement Community
3700 Taylor Glen Lane, Concord, NC 28027 · 7 mi
Non-profit · 8 beds
★★★★★4Above average
Frequently asked questions
What is Big Elm Retirement and Nursing Centers's rating?
Big Elm Retirement and Nursing Centers has 4 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Big Elm Retirement and Nursing Centers receive?
Its most recent standard health inspection found 4 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Big Elm Retirement and Nursing Centers accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Big Elm Retirement and Nursing Centers?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Big Elm Retirement and Nursing Centers and how do I contact it?
Big Elm Retirement and Nursing Centers is at 1285 West A Street, Kannapolis, NC 28081. Phone: (704) 932-0000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.