nursing home in Clemmons, NC
Trinity Elms
7449 Fair Oaks Drive, Clemmons, NC 27012 · (336) 747-1153
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Trinity Elms at a glance
Trinity Elms is a 100-bed non-profit nursing home in Clemmons, North Carolina (Forsyth County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 5 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (March 19, 2026) found 5 health citations. The North Carolina average is 4.7.
Federal regulators fined it 2 times in the past three years, totaling $15,646.
Nursing staff turnover is 50.5% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lutheran Services Carolinas
- Medicare-certified since
- November 13, 2014
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Forsyth County
- CMS Certification Number
- 345565
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.96 hrs | 3.85 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.70 hrs | 0.62 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 3.46 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.71 hrs | 3.42 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 50.5% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 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) | 5 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 33 | 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) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $15,646 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 105 | 107 | |
| Average residents per day | 91 | 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) | 4.1% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.4% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.7% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.1% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.8% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 44.3% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.8% | 5.9% | 12.8% | Better |
| 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) | 19.6% | 21.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 30.6% | 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) | 97.9% | 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) | 0.3% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 83.1% | 78.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.4% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 27, 2026 |
| March 19, 2026 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 June 27, 2026 |
| March 19, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 4, 2026 |
| March 19, 2026 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 31, 2026 |
| March 19, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 19, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 19, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 4, 2026 |
| April 30, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 30, 2025 |
| January 17, 2025 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 May 2, 2025 |
| January 17, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected May 2, 2025 |
| January 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 2, 2025 |
| January 17, 2025 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 May 2, 2025 |
| January 17, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected November 15, 2024 |
| January 17, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected February 6, 2025 |
| January 17, 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 February 6, 2025 |
| January 17, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 20, 2025 |
| August 20, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected August 1, 2024 |
| August 20, 2024 Complaint | 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 | J Immediate jeopardy, isolated | Corrected July 24, 2024 |
| August 30, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 11, 2023 |
| August 30, 2023 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 November 11, 2023 |
| August 30, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | C No harm, widespread | Corrected November 11, 2023 |
| August 30, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 18, 2023 |
| August 30, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | B No harm, pattern | Corrected September 18, 2023 |
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 1 federal penalty in the past three years, including $7,823 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 20, 2024 | Fine | $7,823 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GOINS, TED Individual | adp of the snf | NOT APPLICABLE | 10/01/2004 |
| LSA ELMS PROPERTY, INC Organization | adp of the snf | NOT APPLICABLE | 03/16/2025 |
| LSA MANAGEMENT, INC. Organization | adp of the snf | NOT APPLICABLE | 03/16/2025 |
| MCCOY, CYNTHIA Individual | adp of the snf | NOT APPLICABLE | 06/26/2003 |
| NICKERSON, KIRBY Individual | adp of the snf | NOT APPLICABLE | 10/01/2012 |
| OWENS-WATTERSON, DAWN Individual | adp of the snf | NOT APPLICABLE | 05/03/2023 |
| SMITH, KESHA Individual | adp of the snf | NOT APPLICABLE | 10/01/2012 |
| SMITH, KESHA Individual | corporate director | NOT APPLICABLE | 09/08/2003 |
| MADDRY, KAREN Individual | corporate officer | NOT APPLICABLE | 01/01/2014 |
| NICKERSON, KIRBY Individual | corporate officer | NOT APPLICABLE | 10/01/2012 |
| GOINS, TED Individual | managing control - governing body | NOT APPLICABLE | 10/01/2004 |
| HERMAN, RICHARD Individual | managing control - governing body | NOT APPLICABLE | 06/01/2022 |
| NELSON, DOUGLAS Individual | managing control - governing body | NOT APPLICABLE | 09/01/2022 |
| GOINS, TED Individual | operational/managerial control | NOT APPLICABLE | 10/01/2004 |
| LSA MANAGEMENT, INC. Organization | operational/managerial control | NOT APPLICABLE | 08/28/2008 |
| LUTHERAN SERVICES FOR THE AGING, INC. Organization | operational/managerial control | NOT APPLICABLE | 08/28/2008 |
| MCCOY, CYNTHIA Individual | operational/managerial control | NOT APPLICABLE | 06/26/2023 |
| OWENS-WATTERSON, DAWN Individual | operational/managerial control | NOT APPLICABLE | 05/03/2023 |
| SMITH, KESHA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2012 |
| GOINS, TED Individual | trustee of the snf | NOT APPLICABLE | 10/01/2004 |
| LUTHERAN SERVICES FOR THE AGING, INC. Organization | trustee of the snf | NOT APPLICABLE | 08/28/2008 |
| NELSON, DOUGLAS Individual | trustee of the snf | NOT APPLICABLE | 09/01/2022 |
Other nursing homes near Trinity Elms
Cedar Hills Center for Nursing and Rehabilitation
3905 Clemmons Road, Clemmons, NC 27012 · under 1 mi
For-profit · 94 beds · Part of Alliance Health Group
- Special Focus candidate
★★★★★1Much below averageBermuda Village Retirement Center
142 Bermuda Village Drive, Bermuda Run, NC 27006 · 2.4 mi
For-profit · 36 beds
★★★★★4Above averageBermuda Commons Nursing and Rehabilitation Center
316 Nc Highway 801 South, Advance, NC 27006 · 2.5 mi
For-profit · 117 beds · Part of Liberty Senior Living
★★★★★3AverageHomestead Hills
2101 Homestead Hills Drive, Winston-Salem, NC 27103 · 6.1 mi
For-profit · 40 beds · Part of Senior Living Communities
★★★★★2Below averageSilas Creek Rehabilitation Center
3350 Silas Creek Parkway, Winston Salem, NC 27103 · 6.9 mi
For-profit · 90 beds · Part of Sovereign Healthcare Holdings
★★★★★4Above averageThe Oaks
901 Bethesda Road, Winston-Salem, NC 27103 · 7.3 mi
For-profit · 131 beds · Part of Liberty Senior Living
★★★★★2Below average
Frequently asked questions
What is Trinity Elms's rating?
Trinity Elms has 2 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 Trinity Elms receive?
Its most recent standard health inspection found 5 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Trinity Elms 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 Trinity Elms?
It is non profit - church related and part of Lutheran Services Carolinas. The ownership section on this page lists the owners and managers reported to CMS.
Where is Trinity Elms and how do I contact it?
Trinity Elms is at 7449 Fair Oaks Drive, Clemmons, NC 27012. Phone: (336) 747-1153.
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.