Elder Care Record

North Carolina › Rowan County › Salisbury

Trinity Oaks

820 Klumac Road, Salisbury, NC 28144

CCN 345153 · Non-profit, corporation · 115 certified beds · chain Lutheran Services Carolinas

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Oaks, in Salisbury, North Carolina, is certified for 115 beds under non-profit, corporation ownership and belongs to the Lutheran Services Carolinas chain.

CMS gives it 5 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.

Inspectors recorded 15 health deficiencies across the three most recent survey cycles (0, 6, 9 by cycle, most recent first), none at the actual-harm level. That is 13.0 per 100 beds, about the same as the state median of 15.6.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.3 hours per resident per day (0.8 RN), close to the North Carolina median of 3.5; nursing staff turnover is 30.1%.

15health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.3nurse hours per resident per daystate median 3.5
94%occupancy (residents ÷ beds)108 residents a day

Compared with county, state and nation

MeasureThis facilityRowan Co. medianNorth Carolina medianUS average
Overall star rating5333.0
Health citations, 3 cycles15161628.7
Citations per 100 beds13.018.915.626.8
Total nurse hours per resident day4.33.33.53.9
RN hours per resident day0.80.60.50.7
Nursing staff turnover30.1%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

Cycle 1 (latest)0
Cycle 26
Cycle 39

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Apr 2026, 24 Feb 2025.

Severity mix: D ×11 E ×3 F ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Feb 2025F0584Honor 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.EStandard survey6 Mar 2025
24 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 Mar 2025
24 Feb 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey6 Mar 2025
24 Feb 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey20 Mar 2025
24 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation14 Mar 2025
24 Feb 2025F0761Ensure 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.DStandard survey13 Mar 2025
26 Oct 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey17 Nov 2023
26 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey17 Nov 2023
26 Oct 2023F0814Dispose of garbage and refuse properly.EStandard survey17 Nov 2023
26 Oct 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation17 Nov 2023
26 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey17 Nov 2023
26 Oct 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey17 Nov 2023
26 Oct 2023F0761Ensure 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.DStandard survey17 Nov 2023
26 Oct 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey17 Nov 2023
26 Oct 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey17 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.3 h
Nurse aides2.93 h
LPN0.54 h
RN0.83 h
Weekend total3.7 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 30.1%, RNs 19.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay25.5%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.0%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.3%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay30.7%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.4%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay3.4%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, corporation. Legal business name: Lutheran Home At Trinity Oaks, Inc.. Chain: Lutheran Services Carolinas (9 facilities).

OrganisationRole in the CMS recordInterestSince
Lsa Management, Inc.Operational/managerial controlNOT APPLICABLE07/29/2004
Lutheran Home At Trinity Oaks Property IncOperational/managerial controlNOT APPLICABLE07/29/2004
Lutheran Services For the Aging, Inc.Trustee of the snfNOT APPLICABLE07/29/2004
Lsa Management, Inc.Adp of the snfNOT APPLICABLE04/14/2025
Lutheran Home At Trinity Oaks Property IncAdp of the snfNOT APPLICABLE04/25/2025

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 Rowan County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Autumn Care of SalisburySalisbury974322020.6—2 Apr 2026
Big Elm Retirement and Nursing CentersKannapolis504441632.0—28 Aug 2025
Nc State Veterans Home - SalisburySalisbury994251717.2$12K12 Dec 2025
Compass Healthcare and Rehab Rowan, LLCSpencer70332912.9$10K10 Dec 2025
Liberty Commons Nsg and Rehab Ctr of Rowan CountySalisbury903331718.9—19 Nov 2025
The Laurels of SalisburySalisbury803331518.8$46K13 Feb 2026
Piedmont Health & Rehab CenterSalisbury582231525.9$33K13 May 2026
Meadowbrook Health & RehabilitationSalisbury1851133720.0$47K2 Jan 2026

All 9 facilities in Rowan County

Questions and answers

How many deficiencies has Trinity Oaks been cited for?

15 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has Trinity Oaks been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Trinity Oaks compare?

Reported total nurse staffing is 4.3 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Trinity Oaks?

It is part of the Lutheran Services Carolinas chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Lsa Management, Inc. and Lutheran Home At Trinity Oaks Property Inc. Individual owners and managers are not listed on this site.

When was Trinity Oaks last inspected?

The most recent survey or investigation in the CMS record is dated 24 Feb 2025; the most recent standard health survey was 2 Apr 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.