North Carolina › Forsyth County › Clemmons
Trinity Elms
7449 Fair Oaks Drive, Clemmons, NC 27012
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.
Trinity Elms, in Clemmons, North Carolina, is certified for 100 beds under non-profit, church related ownership and belongs to the Lutheran Services Carolinas chain.
CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 3, staffing 4 and quality measures 1.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (5, 7, 2 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 14.0 per 100 beds, about the same as the state median of 15.6.
CMS lists 2 penalties in the period covered: fines totalling $16K.
Reported nurse staffing is 5.0 hours per resident per day (0.7 RN), above the North Carolina median of 3.5; nursing staff turnover is 50.5%.
Compared with county, state and nation
| Measure | This facility | Forsyth Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 14 | 16 | 28.7 |
| Citations per 100 beds | 14.0 | 15.2 | 15.6 | 26.8 |
| Total nurse hours per resident day | 5.0 | 3.8 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 50.5% | 59.3% | 48.6% | 45.8% |
| Fines listed | $15,646 | $0 | $8,512 | — |
County and state figures are medians across facilities (14 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: 19 Mar 2026, 17 Jan 2025.
Severity mix: J ×2 D ×10 F ×1 B ×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 |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 4 Feb 2026 |
| 19 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Mar 2026 |
| 19 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Mar 2026 |
| 19 Mar 2026 | 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 | 31 Mar 2026 |
| 19 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Feb 2026 |
| 30 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 30 Apr 2025 |
| 17 Jan 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 15 Nov 2024 |
| 17 Jan 2025 | F0578 | 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. | D | Standard survey | 6 Feb 2025 |
| 17 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Feb 2025 |
| 17 Jan 2025 | F0761 | 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. | D | Standard survey | 20 Jan 2025 |
| 20 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 1 Aug 2024 |
| 20 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Jul 2024 |
| 30 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 Sep 2023 |
| 30 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B | Complaint investigation | 18 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Aug 2024 | Fine | $7,823 | |
| 20 Aug 2024 | Fine | $7,823 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 50.5%, RNs 66.7%; 1 administrator 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 | 27.8% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 44.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.4% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.7% | 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: non-profit, church related. Legal business name: Lutheran Home - Forsyth County, Inc.. Chain: Lutheran Services Carolinas (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lsa Management, Inc. | Operational/managerial control | NOT APPLICABLE | 08/28/2008 |
| Lutheran Services For the Aging, Inc. | Operational/managerial control | NOT APPLICABLE | 08/28/2008 |
| Lutheran Services For the Aging, Inc. | Trustee of the snf | NOT APPLICABLE | 08/28/2008 |
| Lsa Elms Property, Inc | Adp of the snf | NOT APPLICABLE | 03/16/2025 |
| Lsa Management, Inc. | Adp of the snf | NOT APPLICABLE | 03/16/2025 |
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 Forsyth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Brookridge Retirement Community | Winston-Salem | 77 | 5 | 4 | 4 | 5 | 6.5 | — | 1 Aug 2025 |
| North Carolina State Veterans Home Kernersville | Kernersville | 120 | 5 | 5 | 4 | 0 | 0.0 | — | — |
| Arbor Acres United Methodist Retirement Community | Winston Salem | 6 | 4 | 4 | — | 1 | 16.7 | — | 17 Mar 2026 |
| Homestead Hills | Winston-Salem | 40 | 4 | 4 | 4 | 7 | 17.5 | — | 1 Jul 2026 |
| Salemtowne | Winston-Salem | 100 | 4 | 4 | 4 | 4 | 4.0 | — | 26 Mar 2026 |
| Silas Creek Rehabilitation Center | Winston Salem | 90 | 4 | 4 | 3 | 3 | 3.3 | — | 12 Jun 2026 |
| Trinity Glen | Winston-Salem | 117 | 4 | 4 | 4 | 2 | 1.7 | — | 2 Apr 2026 |
| Piney Grove Nursing and Rehabilitation Center | Kernersville | 92 | 3 | 3 | 3 | 14 | 15.2 | $11K | 27 Jan 2026 |
All 14 facilities in Forsyth County
Questions and answers
How many deficiencies has Trinity Elms been cited for?
14 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Trinity Elms been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Trinity Elms compare?
Reported total nurse staffing is 5.0 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Trinity Elms?
It is part of the Lutheran Services Carolinas chain. Ownership type is non-profit, church related. Organisations in the CMS ownership record include Lsa Management, Inc. and Lutheran Services For the Aging, Inc.. Individual owners and managers are not listed on this site.
When was Trinity Elms last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
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.