CareWitness
Federal record · CMS Care Compare · CCN 345565 · Processed JUN 1 2026
CareWitnessNorth CarolinaClemmonsNursing HomesTrinity Elms

Trinity Elms

7449 Fair Oaks Drive, Clemmons, NC, 27012

Type
Nursing home
Medicare/Medicaid certified · CCN 345565Continuing-care retirement communityNonprofit

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections3 / 5
Staffing4 / 5
Quality measures1 / 5

Facility & Staffing

Ownership
Non profit - Church related · Chain: Lutheran Services Carolinas
Certified beds
100 · avg 90 residents/day
Total nursing staff turnover
51.5%near the North Carolina averageNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
RN turnover
63.6%higher than most North Carolina nursing homesNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
2 fines · $15,646 total

Medicare certification

CMS Certification Number
345565
Certified beds
100 beds · avg 90 residents/day
Ownership type
Non profit - Church related
Continuing-care community
Yes

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Lutheran Home - Forsyth County, Inc.
Chain affiliation
Lutheran Services Carolinas

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitCorporation

Chain affiliation

Part of the Lutheran Services Carolinas chain — 9 facilities. Chain-wide average overall rating 4.3 / 5.

Disclosed owners (11 on record)

  • Lsa Elms Property, Inc

    Adp of The Snf · since 2025

  • Lsa Management, Inc.

    Adp of The Snf · since 2025

  • Cynthia d Mccoy

    Operational/managerial Control · since 2023

  • Dawn p Owens-watterson

    Operational/managerial Control · since 2023

  • Douglas e Nelson

    Trustee of The Snf · since 2022

  • Richard Herman

    Managing Control - Governing Body · since 2022

+ 5 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

14 health citations on file2 immediate-jeopardy findings6 from complaints2 federal fines totalling $16K

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 14)

  • D0684·Mar 19, 2026Complaint

    Quality of Life and Care Deficiencies

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • D0580·Mar 19, 2026Complaint

    Resident Rights Deficiencies

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

  • D0656·Mar 19, 2026

    Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • D0655·Mar 19, 2026

    Resident Assessment and Care Planning Deficiencies

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • D0641·Mar 19, 2026

    Resident Assessment and Care Planning Deficiencies

    Ensure each resident receives an accurate assessment.

  • D0760·Apr 30, 2025Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • F0851·Jan 17, 2025

    Administration Deficiencies

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

  • D0761·Jan 17, 2025

    Pharmacy Service Deficiencies

    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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20242 fines · $16K

Most recent events

  • Aug 20, 2024Fine · $7,823
  • Aug 20, 2024Fine · $7,823

Largest single fine on record: $7,823.

Fire-safety citations

7 Life-Safety-Code citations on file. Most recent: Jan 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Trinity Elmsinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.