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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 26th out of 60 homes in North Carolina.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ▲ 9% State avg: 35m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▼ 8% State avg: 52m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 51m per day | ▲ 22% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 35m per day | ▲ 7% State avg: 3h 20m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▲ 39% State avg: 23m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
39% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #41 / 67Payroll — state benchmarkedThis home is ranked 41st out of 67 homes in North Carolina.Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the North Carolina average: 76.4%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.
The data displayed corresponds to the last 11 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
14 with citations
0 without citations
North Carolina average: 19 inspections with citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
North Carolina average: 46 deficiencies
The most recent inspection on April 30, 2025 identified a deficiency related to a medication error where a resident received another resident’s medications, resulting in hospital evaluation as a precaution but no adverse effects. Earlier inspections showed a pattern of medication management issues, supervision concerns, and documentation discrepancies, including prior findings of medication administration errors, failure to observe residents taking medications, and inaccurate staffing data. Complaint investigations substantiated failures in timely reporting of abuse allegations and inadequate supervision leading to resident injuries, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility also had recurring deficiencies related to building maintenance and safety systems in prior years, though some construction-related issues were corrected over time. Recent inspections suggest ongoing challenges with medication safety and resident supervision, with no clear overall improvement trend.
North Carolina average 4
Last Health inspection on Apr 2025
North Carolina average 20.9
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).
54% worse than North Carolina averageNorth Carolina average: 1.3
0
100% better than North Carolina averageNorth Carolina average: 0.9
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 30, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 17, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Corrected
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.
Trinity Elms is located in Clemmons, North Carolina.
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0.0 miles from city center
Estimated distance in miles from Clemmons's city center to Trinity Elms's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with North Carolina averageNorth Carolina average ratio: 1.85:1
6% worse than North Carolina averageNorth Carolina average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Total hours from contractors
3,649 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
89Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
54.0%
132% worse than North Carolina averageNorth Carolina average: 23.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
8.1%
28% worse than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
3.1%
19% worse than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
14.0%
90% worse than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
0.7%
83% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.5%
16% worse than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
8% better than North Carolina averageNorth Carolina average: 91.6%
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%
Number of hospitalizations per 1,000 long-stay resident days.
0.99
44% better than North Carolina averageNorth Carolina average: 1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
7% worse than North Carolina averageNorth Carolina average: 1.82
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
In line with North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
13% better than North Carolina averageNorth Carolina average: 1.5%
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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.9%
39% worse than North Carolina averageNorth Carolina average: 22.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.8%
65% worse than North Carolina averageNorth Carolina average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
14% worse than North Carolina averageNorth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.6%
6% worse than North Carolina averageNorth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.8%
7% worse than North Carolina averageNorth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
79% lower than North Carolina averageNorth Carolina average: $76K
15% fewer fines than North Carolina averageNorth Carolina average: 2.3
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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, 2024Last updated: Jan 2026
| 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 | 104 | 81.7% | +7% | 4.09 | +31% | +3% | 2 | 11 | 2.2 | 2 | 90 | - | 56 | - | $16.2M | $5.0M | 30.8% | 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 (Fair Oaks Drive) | 100 | 81.7% | +7% | 4.09 | +31% | +3% | 2 | 11 | 2.2 | 2 | 90 | - | 26 | - | $16.2M | $5.0M | 30.8% | 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 (Meadowbrook) | 94 | 85.5% | +12% | 3.62 | -63% | -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 | - | - | - | - | A+ | 30 | - | - | - | - | - |
Historical financial and operational data for Trinity Elms based on CMS SNF Cost Reports.
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Trinity Elms has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NC state health department records, Trinity Elms's license number is HAL-034-085.
Trinity Elms received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Trinity Elms has 104 beds.
Yes — there are 16 photos of Trinity Elms in the photo gallery on this page.
Trinity Elms is located at 3750 Harper Road Clemmons, NC 27012.
Trinity Elms is in Forsyth County.
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