Trinity Elms
7449 Fair Oaks Drive, Clemmons, NC 27012 · Forsyth County · 100 certified beds · avg 91 residents/day · certified since Nov 13, 2014 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LUTHERAN SERVICES CAROLINAS (9 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 20, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 1, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Aug 20, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 24, 2024 (Past Non-Compliance)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 17, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 20, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 20, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 30, 2023 | B · Minimal risk, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 2 | 2 | J ▲ |
| 2025 | 5 | 0 | F |
| 2026 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $15,646.
| Date | Type | Amount / length |
|---|---|---|
| Aug 20, 2024 | Fine | $7,823 |
| Aug 20, 2024 | Fine | $7,823 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.30 | 4.01 | 3.95 | top 10% in North Carolina; top 9% in the U.S. |
| Registered Nurse hours | 0.75 | 0.64 | 0.69 | top 23% in North Carolina; top 31% in the U.S. |
| Weekend total nurse staffing | 5.04 | 3.56 | 3.50 | top 8% in North Carolina; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.41 | 0.48 | top 10% in North Carolina; top 16% in the U.S. |
| Total nursing staff turnover (%) | 50.5 | 49.0 | 45.8 | bottom 47% in North Carolina; bottom 36% in the U.S. |
| RN turnover (%) | 66.7 | 45.7 | 42.9 | bottom 21% in North Carolina; bottom 15% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.96, RN 0.70, weekend 4.71. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Goins, Ted | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2004 |
| Goins, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2004 |
| Goins, Ted | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2004 |
| Goins, Ted | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2004 |
| Herman, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2022 |
| Lsa Elms Property, INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2025 |
| Lsa Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/2008 |
| Lsa Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2025 |
| Lutheran Services for the Aging, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/2008 |
| Lutheran Services for the Aging, INC. | Organization | Trustee of the SNF | NOT APPLICABLE | 08/28/2008 |
| Maddry, Karen | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| McCoy, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/26/2023 |
| McCoy, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 06/26/2003 |
| Nelson, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2022 |
| Nelson, Douglas | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2022 |
| Nickerson, Kirby | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2012 |
| Nickerson, Kirby | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2012 |
| Owens-Watterson, Dawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/03/2023 |
| Owens-Watterson, Dawn | Individual | ADP of the SNF | NOT APPLICABLE | 05/03/2023 |
| Smith, Kesha | Individual | Corporate Director | NOT APPLICABLE | 09/08/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Cedar Hills Center for Nursing and Rehabilitation | 0.9 mi | Clemmons, NC | ★☆☆☆☆ | 1/5 | SFF |
| Bermuda Village Retirement Center | 2.4 mi | Bermuda Run, NC | ★★★★☆ | 3/5 | |
| Bermuda Commons Nursing and Rehabilitation Center | 2.5 mi | Advance, NC | ★★★☆☆ | 3/5 | |
| Homestead Hills | 6.1 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Silas Creek Rehabilitation Center | 6.9 mi | Winston Salem, NC | ★★★★☆ | 4/5 | |
| The Oaks | 7.3 mi | Winston-Salem, NC | ★★☆☆☆ | 2/5 | |
| Willow Valley Center for Nursing and Rehabilitatio | 8.9 mi | Winston-Salem, NC | ★☆☆☆☆ | 1/5 | abuse |
| Arbor Acres United Methodist Retirement Community | 9.1 mi | Winston Salem, NC | ★★★★☆ | 4/5 | |
| Salemtowne | 9.8 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Brookridge Retirement Community | 10.6 mi | Winston-Salem, NC | ★★★★★ | 4/5 | |
| Mill Creek Center for Nursing and Rehabilitation | 11.2 mi | Winston-Salem, NC | ★★☆☆☆ | 2/5 | |
| Trinity Glen | 12.6 mi | Winston-Salem, NC | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345565.