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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 36th out of 90 homes in North Carolina. 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.
| 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 |
|
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.
| 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 |
|
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.
| 32m per day | ▲ 39% State avg: 23m per day · National avg: 28m per day |
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 56 | 46 | This facility has 22% more total deficiencies than a typical North Carolina nursing home (56 vs. NC avg 46).↑ 22% worse |
|
Deficiencies per year
Average deficiencies per year since 2016.
| 5.6 | 4.6 | This facility has 22% more deficiencies per year than a typical North Carolina nursing home (5.6 vs. NC avg 4.6).↑ 22% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.5 | 2.2 | This facility has 59% more deficiencies per inspection than a typical North Carolina nursing home (3.5 vs. NC avg 2.2).↑ 59% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 21 | This facility has 24% fewer total inspections than a typical North Carolina nursing home (16 vs. NC avg 21).↓ 24% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 14 | 19 | This facility has 26% fewer inspections with deficiencies than a typical North Carolina nursing home (14 vs. NC avg 19).↓ 26% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 88% | 90% | This facility has 2 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (88% vs. NC avg 90%).↓ 2% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFederal 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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.
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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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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Trinity Elms is located in Clemmons, North Carolina.
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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 |
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 | +14% | +3% | $15.6k | 11 | 2.2 | 2 | 90 | 26 | - | $16.2M | $6.7M | 41.3% | 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 | -76% | -9% | $70.3k | 45 | 9.0 | 2 | 81 | 28 | Accordius Health At Clemmons, LLC | $10.2M | $5.9M | 58.2% | 345131 |
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's occupancy is 82%.
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.
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