Trinity Oaks
820 Klumac Road, Salisbury, NC 28144 · Rowan County · 115 certified beds · avg 108 residents/day · certified since Apr 1, 1976
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: ★★★★☆4/5 · CMS overall rating: 5/5
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.
All citations in the current public record (15)
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 |
|---|---|---|
| Feb 24, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 24, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 24, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Feb 24, 2025 | D · Potential for harm, one-off | 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. |
| Feb 24, 2025 | D · Potential for harm, 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 |
| Feb 24, 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. |
| Oct 26, 2023 | 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. |
| Oct 26, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 26, 2023 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 26, 2023 | 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. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2025 | 6 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 5.07 | 4.01 | 3.95 | top 12% in North Carolina; top 12% in the U.S. |
| Registered Nurse hours | 0.98 | 0.64 | 0.69 | top 13% in North Carolina; top 17% in the U.S. |
| Weekend total nurse staffing | 4.35 | 3.56 | 3.50 | top 12% in North Carolina; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.41 | 0.48 | top 19% in North Carolina; top 26% in the U.S. |
| Total nursing staff turnover (%) | 30.1 | 49.0 | 45.8 | top 10% in North Carolina; top 14% in the U.S. |
| RN turnover (%) | 19.0 | 45.7 | 42.9 | top 11% in North Carolina; top 13% 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 4.30, RN 0.83, weekend 3.70. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amin, Chetan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2012 |
| Amin, Chetan | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2012 |
| Cornelison, Tim | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/02/2022 |
| Cornelison, Tim | Individual | ADP of the SNF | NOT APPLICABLE | 06/02/2022 |
| Goins, Ted | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/30/2007 |
| Goins, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/30/2007 |
| Goins, Ted | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2004 |
| Herman, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2022 |
| Herman, Richard | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2021 |
| Lsa Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/29/2004 |
| Lsa Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Lutheran Home at Trinity Oaks Property INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/29/2004 |
| Lutheran Home at Trinity Oaks Property INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
| Lutheran Services for the Aging, INC. | Organization | Trustee of the SNF | NOT APPLICABLE | 07/29/2004 |
| Maddry, Karen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2004 |
| Maddry, Karen | Individual | Corporate Officer | NOT APPLICABLE | 04/01/1982 |
| 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 | Operational/Managerial Control | NOT APPLICABLE | 10/01/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Piedmont Health & Rehab Center | 1.8 mi | Salisbury, NC | ★★☆☆☆ | 2/5 | |
| NC State Veterans Home - Salisbury | 2.3 mi | Salisbury, NC | ★★★★☆ | 2/5 | |
| Autumn Care of Salisbury | 2.4 mi | Salisbury, NC | ★★★★☆ | 3/5 | |
| Liberty Commons Nsg and Rehab Ctr of Rowan County | 2.9 mi | Salisbury, NC | ★★★☆☆ | 3/5 | |
| Meadowbrook Health & Rehabilitation | 3.0 mi | Salisbury, NC | ★☆☆☆☆ | 1/5 | |
| Compass Healthcare and Rehab Rowan, LLC | 3.3 mi | Spencer, NC | ★★★☆☆ | 3/5 | |
| The Laurels of Salisbury | 4.0 mi | Salisbury, NC | ★★★☆☆ | 3/5 | |
| Big Elm Retirement and Nursing Centers | 12.4 mi | Kannapolis, NC | ★★★★☆ | 4/5 | |
| Davidson Health & Rehab Center | 13.2 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Kannapolis Health and Rehabilitation | 14.1 mi | Kannapolis, NC | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345153.