North Carolina › Rowan County › Kannapolis
Big Elm Retirement and Nursing Centers
1285 West A Street, Kannapolis, NC 28081
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 50 beds, Big Elm Retirement and Nursing Centers serves Kannapolis in Rowan County, North Carolina and has taken Medicare and Medicaid residents since 1991.
CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (4, 5, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 32.0 per 100 beds, more than the state median of 15.6.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.1 hours per resident per day (0.6 RN), above the North Carolina median of 3.5; nursing staff turnover is 42.0%.
Compared with county, state and nation
| Measure | This facility | Rowan Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 16 | 28.7 |
| Citations per 100 beds | 32.0 | 18.9 | 15.6 | 26.8 |
| Total nurse hours per resident day | 5.1 | 3.3 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 42.0% | 42.0% | 48.6% | 45.8% |
| Fines listed | $0 | $10,039 | $8,512 | — |
County and state figures are medians across facilities (9 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 11 Jul 2024.
Severity mix: L ×1 D ×6 E ×4 F ×1 B ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 Aug 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 22 Sep 2025 |
| 28 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Sep 2025 |
| 28 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Sep 2025 |
| 28 Aug 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | Standard survey | 22 Sep 2025 |
| 11 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Aug 2024 |
| 11 Jul 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 4 Aug 2024 |
| 11 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 4 Aug 2024 |
| 11 Jul 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 4 Aug 2024 |
| 11 Jul 2024 | F0584 | 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. | B | Standard survey | 4 Aug 2024 |
| 29 Mar 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | L | Standard survey | 29 Mar 2023 |
| 29 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Mar 2023 |
| 29 Mar 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 17 Apr 2023 |
| 29 Mar 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 29 Mar 2023 |
| 29 Mar 2023 | F0887 | 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. | E | Standard survey | 29 Mar 2023 |
| 29 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Mar 2023 |
| 29 Mar 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 29 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 42.0%, RNs 28.6%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.8% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 11.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.7% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.3% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rowan County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Trinity Oaks | Salisbury | 115 | 5 | 4 | 5 | 15 | 13.0 | — | 24 Feb 2025 |
| Autumn Care of Salisbury | Salisbury | 97 | 4 | 3 | 2 | 20 | 20.6 | — | 2 Apr 2026 |
| Nc State Veterans Home - Salisbury | Salisbury | 99 | 4 | 2 | 5 | 17 | 17.2 | $12K | 12 Dec 2025 |
| Compass Healthcare and Rehab Rowan, LLC | Spencer | 70 | 3 | 3 | 2 | 9 | 12.9 | $10K | 10 Dec 2025 |
| Liberty Commons Nsg and Rehab Ctr of Rowan County | Salisbury | 90 | 3 | 3 | 3 | 17 | 18.9 | — | 19 Nov 2025 |
| The Laurels of Salisbury | Salisbury | 80 | 3 | 3 | 3 | 15 | 18.8 | $46K | 13 Feb 2026 |
| Piedmont Health & Rehab Center | Salisbury | 58 | 2 | 2 | 3 | 15 | 25.9 | $33K | 13 May 2026 |
| Meadowbrook Health & Rehabilitation | Salisbury | 185 | 1 | 1 | 3 | 37 | 20.0 | $47K | 2 Jan 2026 |
All 9 facilities in Rowan County
Questions and answers
How many deficiencies has Big Elm Retirement and Nursing Centers been cited for?
16 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Big Elm Retirement and Nursing Centers been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Big Elm Retirement and Nursing Centers compare?
Reported total nurse staffing is 5.1 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Big Elm Retirement and Nursing Centers?
Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Big Elm Retirement and Nursing Centers last inspected?
The most recent survey or investigation in the CMS record is dated 28 Aug 2025; the most recent standard health survey was 28 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.