Skip to main content
ReadyRule homepageReadyRule

Public Record

Trinity Elms

Nursing HomeClemmons, NCCMS 345565
16 citations on record

Operated by Lutheran Services Carolinas

From CMS

Facility profile

CMS overall rating
2 / 5

*CMS Five-Star

Certified beds
100

*CMS

Avg. residents per day
89.5

*CMS

Inspection record

On record from CMS

Health citations
16

*CMS

Fire safety findings
7

*CMS

Inspections on file
7

*CMS

Last inspection
2026-03-19

*CMS

Citations

16 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0655Generalpotential for harm

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

  • 0656Generalpotential for harm

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

  • 0684Generalpotential for harm

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

  • 0580Generalpotential for harm

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

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0578Generalpotential for harm

    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.

  • 0761Generalpotential for harm

    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.

  • 0851Generalpotential for harm

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

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0689Seriousimmediate jeopardy

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0580Seriousimmediate jeopardy

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

  • 0609Generalno actual harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

Ownership

Lutheran Services Carolinas

9nursing homes nationwide, in CMS records

See the full ownership footprint

FAQ

Questions and answers

What is Trinity Elms?
Trinity Elms is a Medicare- and Medicaid-certified nursing home in Clemmons, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345565.
What is the CMS rating for Trinity Elms?
Trinity Elms has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Trinity Elms have?
Trinity Elms is certified for 100 beds. It serves an average of 89.5 residents per day.
How many citations does Trinity Elms have?
Trinity Elms has 16 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Trinity Elms last inspected?
Trinity Elms was last inspected on March 19, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

/nursing-home/345565-trinity-elms