Nursing Care Index

Trinity Elms

Clemmons, Forsyth County, North Carolina · CCN 345565 · Non-profit (Church related) · part of Lutheran Services Carolinas (9 facilities, chain average 4.2 stars)

CMS rates Trinity Elms 2 of 5 overall as of August 2026. 100 certified beds, 91 residents a day on average. 14 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $15,646.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★☆ 4 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / 1 of 5

Staffing

Total nurse staffing4.96022 hours per resident per day
Registered nurses0.70382 hours per resident per day
Weekend total4.71286 hours per resident per day
Nursing staff turnover50.5% (registered nurses 66.7%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-19
complaint survey
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 No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-02-04
2026-03-19 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-31
2026-03-19 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-31
2026-03-19 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-31
2026-03-19
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-02-04
2025-04-30
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-30
2025-01-17 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 No actual harm, with potential for more than minimal harm; widespread Past Non-Compliance
2024-11-15
2025-01-17 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-06
2025-01-17 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-06
2025-01-17 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-20
2024-08-20
complaint survey
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 to resident health or safety; isolated Past Non-Compliance
2024-08-01
2024-08-20
complaint survey
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 to resident health or safety; isolated Past Non-Compliance
2024-07-24
2023-08-30 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-18
2023-08-30
complaint survey
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 actual harm, with potential for minimal harm; pattern Deficient, Provider has plan of correction
2023-09-18

Fines and payment denials

DatePenaltyAmount
2024-08-20Fine$7,823
2024-08-20Fine$7,823

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Lsa Elms Property, Inc.
Organization
adp of the snf2025-03-16
Lsa Management, Inc.
Organization
adp of the snf2025-03-16
Lsa Management, Inc.
Organization
operational/managerial control2008-08-28
Lutheran Services For The Aging, Inc.
Organization
operational/managerial control2008-08-28
Lutheran Services For The Aging, Inc.
Organization
trustee of the snf2008-08-28
Goins, Ted
Individual
adp of the snf2004-10-01
Mccoy, Cynthia
Individual
adp of the snf2003-06-26
Nickerson, Kirby
Individual
adp of the snf2012-10-01
Owens-Watterson, Dawn
Individual
adp of the snf2023-05-03
Smith, Kesha
Individual
adp of the snf2012-10-01
Smith, Kesha
Individual
corporate director2003-09-08
Maddry, Karen
Individual
corporate officer2014-01-01
Nickerson, Kirby
Individual
corporate officer2012-10-01
Goins, Ted
Individual
managing control - governing body2004-10-01
Herman, Richard
Individual
managing control - governing body2022-06-01
Nelson, Douglas
Individual
managing control - governing body2022-09-01
Goins, Ted
Individual
operational/managerial control2004-10-01
Mccoy, Cynthia
Individual
operational/managerial control2023-06-26
Owens-Watterson, Dawn
Individual
operational/managerial control2023-05-03
Smith, Kesha
Individual
operational/managerial control2012-10-01
Goins, Ted
Individual
trustee of the snf2004-10-01
Nelson, Douglas
Individual
trustee of the snf2022-09-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Forsyth County.