Total health inspections
5
North Carolina average 4
Last Health inspection on Apr 2025
Mix 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.
Nursing Home
Trinity Elms Health and Rehab
Situated in the picturesque surroundings of Clemmons, North Carolina, Trinity Elms encompasses a diverse array of services designed to cater to the multifaceted needs of its residents. This vibrant campus extends its offerings to include assisted living, memory care, skilled nursing care, rehabilitation, and independent living apartments. Operated by the not-for-profit Lutheran Services Carolinas, Trinity Elms boasts amenities that may otherwise be considered cost-prohibitive at for-profit facilities.
Trinity Elms Assisted Living’s staff is dedicated to walking alongside residents, providing them with the care and support required to preserve their cherished independence within a community that radiates warmth. Unique highlights include an inviting ice cream parlor, outdoor walking trails, and a serene indoor courtyard, all fostering a sense of belonging. Trinity Elms’ recognition further exemplifies this dedication to senior residents’ well-being and comfort as a 2016 Excellence in Action award winner, a testament to the high satisfaction rates experienced by its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
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
$16,199,964.00
Surplus of revenue
$834,876.00
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
Types of Care at Trinity Elms Health and Rehab
Assisted Living
Independent Living
Skilled Nursing
Health Inspection History
Inspections
Total health citations
11
Citations per inspection
2.2
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
Apr 30, 2025
Corrected
Administration moderate citation
Jan 17, 2025
Corrected
Pharmacy moderate citation
Jan 17, 2025
Corrected
Quality of Care moderate citation
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.
Trinity Elms Health and Rehab
+31%
+3%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
N
Nursing
Clemmons
100
-
26
-
81.7%
$15,982,900.00
$4,985,173.00
31.2%
90.30
4.0944
2
11
2
+31%+3%+7%
Trinity Elms
+31%
+3%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NC 27012
100
-
-
-
81.7%
$15,982,900.00
$4,985,173.00
31.2%
90
4.0944
2
11
2
+31%+3%+7%
Cedar Hills Center for Nursing and Rehabilitation
-63%
-9%
+12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
N
Nursing
Clemmons
94
-
28
ACCORDIUS HEALTH AT CLEMMONS, LLC
85.5%
$10,188,508.00
$1,893,460.00
18.6%
80.90
3.6189
2
45
2
-63%-9%+12%
Always Best Care Senior Services
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
N
Nursing
Kernersville
-
A+
30
-
-
-
-
-
-
-
-
-
-
-
-
Trinity Elms Health and Rehab
Type of care:
SNF
AL
IL
N
Community:
Clemmons
Bed Count:
100
CCN:
345565
Occupancy:
81.7%
Home Revenue:
$15,982,900.00
Payroll Costs:
$4,985,173.00
Payroll %:
31.2%
Avg Residents/Day:
90.30
Overall Rating:
Adj Nurse Hours:
4.0944
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
2
RN share vs State Avg:
+31%
+31%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
+7%
+7%
Trinity Elms
Type of care:
SNF
AL
Community:
NC 27012
Bed Count:
100
CCN:
345565
Occupancy:
81.7%
Home Revenue:
$15,982,900.00
Payroll Costs:
$4,985,173.00
Payroll %:
31.2%
Avg Residents/Day:
90
Overall Rating:
Adj Nurse Hours:
4.0944
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
2
RN share vs State Avg:
+31%
+31%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
+7%
+7%
Cedar Hills Center for Nursing and Rehabilitation
Type of care:
SNF
AL
N
Community:
Clemmons
Bed Count:
94
Operator:
ACCORDIUS HEALTH AT CLEMMONS, LLC
CCN:
345131
Occupancy:
85.5%
Home Revenue:
$10,188,508.00
Payroll Costs:
$1,893,460.00
Payroll %:
18.6%
Avg Residents/Day:
80.90
Overall Rating:
Adj Nurse Hours:
3.6189
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
45
Severe Citations:
2
RN share vs State Avg:
-63%
-63%
Staffing vs State Avg:
-9%
-9%
Occupancy vs State Avg:
+12%
+12%
Places of interest near Trinity Elms Health and Rehab
1.7 miles from city center — 2.57 miles to nearest hospital (Davie Medical Center)
7449 Fair Oaks Dr, Clemmons, NC 27012
Calculate Travel Distance to Trinity Elms Health and Rehab
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
161
Total Staff
131
Employees
30
Contractors
39,096
Total Hours (Quarter)
57
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 19 | 7.7 | No |
| Licensed Practical Nurse | 25 | 8.3 | No |
| Certified Nursing Assistant | 62 | 7.6 | No |
Staff by Category
Administration ⓘ
3 staff
6.8hs shift avg
Nursing Staff ⓘ
117 staff
7.8hs shift avg
Physicians & Practitioners ⓘ
6 staff
8hs shift avg
Therapy Services ⓘ
21 staff
5.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
8 staff
6.4hs shift avg
Dietary Services ⓘ
3 staff
7.9hs shift avg
Other Services ⓘ
3 staff
7.4hs shift avg
Contractor Analysis
9.3%
of total hours from contractors
3,649 contractor hours this quarter
Respiratory Therapy Technician: 6
Physical Therapy Aide: 5
Speech Language Pathologist: 3
Qualified Social Worker: 8
Physical Therapy Assistant: 6
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.99
Number of hospitalizations per 1,000 long-stay resident days.
0.99
44% better than North Carolina averageNorth Carolina average: 1.77
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
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
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.9%
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%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
21.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.8%
65% worse than North Carolina averageNorth Carolina average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
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%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
50.6%
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%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
46.8%
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.
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 Health and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
81.7%
↓ 0.5pp vs 2022
Net Income
$834,876
↓ ~$1.8M vs 2022
Total Payroll
$6,695,478
↑ ~$863K vs 2022
Profit Margin
5.2%
↓ 17.9pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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