Nursing homes › North Carolina › Salisbury › Trinity Oaks
820 Klumac Road, Salisbury, NC 28144 · (704) 637-3784 · 115 certified beds
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Open your comparisonCMS overall star rating: this provider 5/5; median among 415 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Lutheran Services Carolinas, a group operating 9 facilities in 1 state. Group record: average rating 4.2/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $150,545 in federal fines. This facility rates above its group average (4.2/5).
Total nurse staffing: 4.30 (North Carolina median: 3.53). RN hours: 0.83. Weekend total: 3.70. Nursing staff turnover: 30%.
In the downloaded CMS dataset: 15 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-02-24 | 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. | E | Health | corrected 2025-03-06 |
| 2025-02-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-03-06 |
| 2025-02-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-03-06 |
| 2025-02-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-03-20 |
| 2025-02-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-03-14 |
| 2025-02-24 | 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 2025-03-13 |
| 2023-10-26 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2023-11-17 |
| 2023-10-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-11-17 |
| 2023-10-26 | Dispose of garbage and refuse properly. | E | Health | corrected 2023-11-17 |
| 2023-10-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-11-17 |
| 2023-10-26 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-11-17 |
| 2023-10-26 | Ensure 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. | D | Health | corrected 2023-11-17 |
| 2023-10-26 | 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 2023-11-17 |
| 2023-10-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2023-11-17 |
| 2023-10-26 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Health | corrected 2023-11-17 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GOINS, TED | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/30/2007 |
| HERMAN, RICHARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2022 |
| MADDRY, KAREN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2004 |
| NELSON, DOUGLAS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/01/2022 |
| SMITH, KESHA | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2012 |
| MADDRY, KAREN | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/1982 |
| NICKERSON, KIRBY | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2012 |
| LSA MANAGEMENT, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/29/2004 |
| LUTHERAN HOME AT TRINITY OAKS PROPERTY INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/29/2004 |
| AMIN, CHETAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2012 |
| CORNELISON, TIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/02/2022 |
| GOINS, TED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/30/2007 |
| NICKERSON, KIRBY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2012 |
| SMITH, KESHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2012 |
How to cite this page: CareRecords, “Trinity Oaks — compliance, penalty and ownership record” (CCN 345153), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/trinity-oaks-salisbury-nc/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345153. Corrections: data@carerecords.org.