Occupancy rate
82%
In line with North Carolina averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Clemmons
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Trinity Elms
Nursing Home in Clemmons
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Trinity Elms
Trinity Elms is a vibrant Continuum of Care Retirement Community (CCRC) located in Clemmons, North Carolina. It offers a warm and welcoming environment designed to support residents at every stage of life, providing compassionate care and enriching experiences. The community is part of Lutheran Services Carolinas, which serves the aging population.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
104
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.7%
Residents per day (avg)
90
Occupancy rate
81.7%
Residents per day (avg)
90
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
39% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
54% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$16.2M
Surplus of revenue
$834.9K
Voluntary non-profit community
Operated by a church.
Home revenue
$16.2M
Surplus of revenue
$834.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.4M
104-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with North Carolina averageOccupied beds
85 / 104
Average residents
85 per day
StatusActive
CountyForsyth
License NumberHAL-034-085
CMS Certification Number345565
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
Health & Rehab
Specific ProgramsAssisted Living, Memory Care, Health & Rehab, Lifestyle, Activities
Inspection History
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
16 visits/inspections
Results
14 with citations
0 without citations
North Carolina average: 19 inspections with citations
Show Inspection Reports
Latest inspection
Date
April 30, 2025
Complaint Investigation56 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
North Carolina average: 46 deficiencies
Health Inspection History
Inspections
Total health inspections
5
North Carolina average 4
Last Health inspection on Apr 2025
Total health citations
11
North Carolina average 20.9
Citations per inspection
2.2
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 11 citations resulted from standard inspections; 3 of 11 resulted from complaint investigations; and 1 of 11 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
54% worse than North Carolina averageNorth Carolina average: 1.3
Serious Health citations
0
0
100% better than North Carolina averageNorth Carolina average: 0.9
2 critical citations
0 serious citations
8 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 30, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 30, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 17, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Clemmons The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
Filter by care type
Trinity Elms
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Clemmons
100
81.7%
+7%
4.09
+3%
2
11
2.2
2
90
-
-
-
$16.0M
$5.0M
31.2%
345565
Trinity Elms Health and Rehab
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
N
Nursing
Clemmons
100
81.7%
+7%
4.09
+3%
2
11
2.2
2
90
-
26
-
$16.0M
$5.0M
31.2%
345565
Cedar Hills Center for Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
N
Nursing
Clemmons
94
85.5%
+12%
3.62
-9%
2
45
9.0
2
81
-
28
Accordius Health At Clemmons, Llc
$10.2M
$1.9M
18.6%
345131
Always Best Care Senior Services
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
N
Nursing
Kernersville
-
-
-
-
-
0
0
0.0
0
-
A+
30
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
161
Employees
131
Contractors
30
Staff to resident ratio
1.81:1
0% compared with North Carolina averageNorth Carolina average ratio: 1.85:1
Avg staff/day
57
Average shift
7.5 hours
6% worse than North Carolina averageNorth Carolina average: 8 hours
Total staff hours (quarter)
39,096
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
62
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9.3%
3,649 contractor hours this quarter
Qualified Social Worker: 8
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 6
Physical Therapy Aide: 5
Speech Language Pathologist: 3
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 62 | 0 | 62 | 18,805 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 25 | 0 | 25 | 6,463 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,886 | 91 | 100% | 8.5 |
| Registered Nurse | 19 | 0 | 19 | 1,532 | 91 | 100% | 7.7 |
| Dental Services Staff | 3 | 0 | 3 | 1,369 | 69 | 76% | 7.4 |
| Qualified Social Worker | 0 | 8 | 8 | 1,216 | 73 | 80% | 6.4 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,141 | 67 | 74% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 974 | 77 | 85% | 7.9 |
| Physical Therapy Assistant | 0 | 6 | 6 | 941 | 70 | 77% | 7.3 |
| Administrator | 2 | 0 | 2 | 936 | 65 | 71% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 680 | 65 | 71% | 6.5 |
| Nurse Practitioner | 2 | 0 | 2 | 463 | 58 | 64% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 441 | 55 | 60% | 8 |
| Dietitian | 1 | 0 | 1 | 438 | 56 | 62% | 7.8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 372 | 67 | 74% | 4.7 |
| Physical Therapy Aide | 0 | 5 | 5 | 371 | 65 | 71% | 4.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 43 | 12 | 13% | 3.5 |
| Medical Director | 0 | 1 | 1 | 28 | 25 | 27% | 1.1 |
62 Certified Nursing Assistant
% of Days
100%
25 Licensed Practical Nurse
% of Days
100%
10 Medication Aide/Technician
% of Days
100%
19 Registered Nurse
% of Days
100%
3 Dental Services Staff
% of Days
76%
8 Qualified Social Worker
% of Days
80%
4 Clinical Nurse Specialist
% of Days
74%
2 Other Dietary Services Staff
% of Days
85%
6 Physical Therapy Assistant
% of Days
77%
2 Administrator
% of Days
71%
3 Speech Language Pathologist
% of Days
71%
2 Nurse Practitioner
% of Days
64%
1 RN Director of Nursing
% of Days
60%
1 Dietitian
% of Days
62%
6 Respiratory Therapy Technician
% of Days
74%
5 Physical Therapy Aide
% of Days
71%
1 Occupational Therapy Assistant
% of Days
13%
1 Medical Director
% of Days
27%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
89 residents
Residents by payment source
Medicare
9 residents (10.1%)
Medicaid
33 residents (37.1%)
Private pay or other
47 residents (52.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
20.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
20.9
82% worse than North Carolina averageNorth Carolina average: 11.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
35.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
35.7
73% worse than North Carolina averageNorth Carolina average: 20.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.2%
Percent of long-stay residents whose need for help with daily activities has increased
24.2%
38% worse than North Carolina averageNorth Carolina average: 17.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
54.0%
Percent of long-stay residents whose ability to move independently worsened
54.0%
132% worse than North Carolina averageNorth Carolina average: 23.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
35% worse than North Carolina averageNorth Carolina average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
13% worse than North Carolina averageNorth Carolina average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.1%
Percent of long-stay high risk residents with pressure ulcers
8.1%
28% worse than North Carolina averageNorth Carolina average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
19% worse than North Carolina averageNorth Carolina average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
14.0%
Percent of long-stay residents who lose too much weight
14.0%
90% worse than North Carolina averageNorth Carolina average: 7.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
83% better than North Carolina averageNorth Carolina average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.5%
Percent of long-stay residents who received an antipsychotic medication
15.5%
16% worse than North Carolina averageNorth Carolina average: 13.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
8% better than North Carolina averageNorth Carolina average: 91.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina averageNorth Carolina average: 94.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
In line with North Carolina averageNorth Carolina average: 79.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
13% better than North Carolina averageNorth Carolina average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.1%
6% better than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$16K
79% lower than North Carolina averageNorth Carolina average: $76K
Number of fines
2
15% fewer fines than North Carolina averageNorth Carolina average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than North Carolina averageNorth Carolina average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$16K
North Carolina average
$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2024
$8K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2024
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Trinity Elms based on CMS SNF Cost Reports.
Occupancy Rate
81.7%
↓ 0.5pp vs 2022
Net Income
$834.9K
↓ ~$1.8M vs 2022
Total Payroll
$6.7M
↑ ~$862.6K vs 2022
Profit Margin
5.2%
↓ 17.9pp vs 2022
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