Nursing homes › North Carolina › Trinity Elms
7449 Fair Oaks Drive, Clemmons, NC 27012 · 3367471153 · 100 certified beds
Per CMS filings, this facility is affiliated with Lutheran Services Carolinas, a group operating 9 facilities in 1 states. Group record: average rating 4.2/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $150,545 in federal fines. This facility rates below its group average (4.2/5).
Total nurse staffing: 4.96 (North Carolina median: 3.53). RN hours: 0.70. Weekend total: 4.71. Nursing staff turnover: 50%.
All-time on record: 14 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-02-04 |
| 2026-03-19 | Ensure each resident receives an accurate assessment. | D | Health | corrected 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 | D | Health | corrected 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. | D | Health | corrected 2026-03-31 |
| 2026-03-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-02-04 |
| 2025-04-30 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 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. | F | Health | corrected 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. | D | Health | corrected 2025-02-06 |
| 2025-01-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 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. | D | Health | corrected 2025-01-20 |
| 2024-08-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2024-08-01 |
| 2024-08-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-07-24 |
| 2023-08-30 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-09-18 |
| 2023-08-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B | complaint | corrected 2023-09-18 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-20 | Fine | $7,823 |
| 2024-08-20 | Fine | $7,823 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GOINS, TED | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2004 |
| HERMAN, RICHARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2022 |
| NELSON, DOUGLAS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/01/2022 |
| SMITH, KESHA | Corporate Director | Individual | NOT APPLICABLE | since 09/08/2003 |
| MADDRY, KAREN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2014 |
| NICKERSON, KIRBY | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2012 |
| LSA MANAGEMENT, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/28/2008 |
| LUTHERAN SERVICES FOR THE AGING, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/28/2008 |
| GOINS, TED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2004 |
| MCCOY, CYNTHIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/26/2023 |
| OWENS-WATTERSON, DAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/03/2023 |
| SMITH, KESHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2012 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345565. Corrections: data@carerecords.org.