2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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 36th out of 90 homes in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
|
32m per day | ▼ 10% 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.
|
56m 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 49m per day | ▲ 22% State avg: 2h 19m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
|
4h 2m per day | ▲ 21% 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 | ▼ 11% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
|
36m per day | ▲ 58% State avg: 23m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% more staff per resident than North Carolina average
0% compared with North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 20 RN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Assists with medical care and medications.
All 30 LPN Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Helps with daily care and mobility.
All 78 CNA Staff are full-time employees. No contractors work on this role.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,223 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 78 | 0 | 78 | 19,701 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 30 | 0 | 30 | 6,493 | 92 | 100% | 8.4 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,516 | 92 | 100% | 7.9 |
| Registered Nurse | 20 | 0 | 20 | 2,654 | 92 | 100% | 8.4 |
| Qualified Social Worker | 0 | 8 | 8 | 1,381 | 80 | 87% | 7 |
| Dental Services Staff | 4 | 0 | 4 | 1,335 | 70 | 76% | 6.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,313 | 79 | 86% | 7.6 |
| RN Director of Nursing | 2 | 0 | 2 | 1,186 | 70 | 76% | 9.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,183 | 82 | 89% | 8.6 |
| Physical Therapy Assistant | 0 | 8 | 8 | 1,036 | 75 | 82% | 7.2 |
| Administrator | 2 | 0 | 2 | 848 | 65 | 71% | 8 |
| Speech Language Pathologist | 0 | 5 | 5 | 812 | 72 | 78% | 6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 609 | 78 | 85% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 293 | 55 | 60% | 4.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 71 | 23 | 25% | 3.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 59 | 10 | 11% | 5.9 |
| Dietitian | 1 | 0 | 1 | 42 | 7 | 8% | 5.9 |
| Medical Director | 0 | 1 | 1 | 33 | 22 | 24% | 1.5 |
Includes penalties issued in 2024
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 average
North Carolina average: $76K
15% fewer fines than North Carolina average
North 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 average
North 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, 2024
Last updated: Jan 2026
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 average
North 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 average
North 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 average
North Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
54.0%
132% worse than North Carolina average
North 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 average
North Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
13% worse than North Carolina average
North Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
8.1%
28% worse than North Carolina average
North Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
3.1%
19% worse than North Carolina average
North Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
14.0%
90% worse than North Carolina average
North Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
0.7%
83% better than North Carolina average
North Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.5%
16% worse than North Carolina average
North Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
8% better than North Carolina average
North Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina average
North Carolina average: 94.1%
Number of hospitalizations per 1,000 long-stay resident days.
0.99
44% better than North Carolina average
North Carolina average: 1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
7% worse than North Carolina average
North 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 average
North Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
13% better than North Carolina average
North Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.1%
6% better than North Carolina average
North 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 average
North Carolina average: 22.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.8%
65% worse than North Carolina average
North Carolina average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
14% worse than North Carolina average
North 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 average
North Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.8%
7% worse than North Carolina average
North Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
89
Residents 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.
Historical financial and operational data for Trinity Elms Health and Rehab from 2015–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #56 / 97Payroll — State benchmarkedThis home is ranked 56th out of 97 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #62 / 97Payroll % — State benchmarkedThis home is ranked 62nd out of 97 homes in North Carolina. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Clemmons's city center to Trinity Elms Health and Rehab's address, calculated via Google Maps.
— 2.57 miles to nearest hospital (Davie Medical Center)
Add your location
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
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| Trinity Elms Health and Rehab |
NH
AL
IL
MC
|
Clemmons (Fair Oaks Drive) |
100
Facility
100
NC AVG
72
Rank
#79 / 390
|
81.7%
Facility
81.7%
NC AVG
76.4%
Rank
#91 / 264
| +7% |
4.09
Facility
4.09
NC AVG
3.98
Rank
#36 / 90
| +14% | +3% |
$15.6k
Facility
$15.6k
NC AVG
$74.6k
Rank
#62 / 97
|
11
Facility
11
NC AVG
20.9
Rank
#35 / 95
|
2.2
Facility
2.2
NC AVG
5.0
Rank
#22 / 95
| 2 | 90 | - |
26
Facility
26
NC AVG
33
Rank
#339 / 572
| - |
$10.6M
Facility
$10.6M
NC AVG
$13.2M
Rank
#42 / 97
|
$5.7M
Facility
$5.7M
NC AVG
$4.9M
Rank
#56 / 97
|
54.2%
Facility
54.2%
NC AVG
39.8%
Rank
#62 / 97
| 345565 | ||||
| Cedar Hills Center for Nursing and Rehabilitation |
NH
AL
|
Clemmons (Meadowbrook) |
94
Facility
94
NC AVG
72
Rank
#112 / 390
|
85.5%
Facility
85.5%
NC AVG
76.4%
Rank
#72 / 264
| +12% |
3.62
Facility
3.62
NC AVG
3.98
Rank
#64 / 90
| -76% | -9% |
$11.3k
Facility
$11.3k
NC AVG
$74.6k
Rank
#79 / 97
|
45
Facility
45
NC AVG
20.9
Rank
#89 / 95
|
9.0
Facility
9.0
NC AVG
5.0
Rank
#91 / 95
| 2 | 85 | - |
28
Facility
28
NC AVG
33
Rank
#328 / 572
| Accordius Health At Clemmons, LLC |
$9.7M
Facility
$9.7M
NC AVG
$13.2M
Rank
#78 / 97
|
$2.1M
Facility
$2.1M
NC AVG
$4.9M
Rank
#66 / 97
|
22%
Facility
22%
NC AVG
39.8%
Rank
#14 / 97
| 345131 |
Trinity Elms Health and Rehab is located in Clemmons, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Trinity Elms Health and Rehab is in the Fair Oaks Drive neighborhood.
Trinity Elms Health and Rehab has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Trinity Elms Health and Rehab's occupancy is 81.7%.
Yes — there are 3 photos of Trinity Elms Health and Rehab in the photo gallery on this page.
(336) 747-1153 will put you in contact with the team at Trinity Elms Health and Rehab.
Yes — Trinity Elms Health and Rehab is a CMS-certified provider of Medicare and Medicaid.
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