Trinity Elms
Trinity Elms is a 100-bed nursing home in Clemmons, North Carolina. CMS has certified it for Medicare and Medicaid since 2014-11-13. It averages 90.8 residents a day.
What harm was found in the violations cited at Trinity Elms?
CMS lists 14 health-inspection deficiencies for Trinity Elms, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-19 | F0580, F0641, F0655, F0656, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-30 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-01-17 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2025-01-17 | F0578, F0695, F0761 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2024-08-20 | F0580, F0689 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-08-30 | F0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2023-08-30 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B |
Why was Trinity Elms fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2024-08-20 | Fine | $7,823 |
| 2024-08-20 | Fine | $7,823 |
How is Trinity Elms staffed?
| Measure | This facility | NC average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.96022 | 3.83430 |
| Total nursing staff turnover (%) | 50.5 | 49.0 |
| Average number of residents per day | 90.8 | 86.9 |
Who owns Trinity Elms, and what chain is it in?
Trinity Elms is registered with CMS as Non profit - Church related, operates under the legal business name LUTHERAN HOME - FORSYTH COUNTY, INC. and belongs to the LUTHERAN SERVICES CAROLINAS chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | GOINS, TED, HERMAN, RICHARD, NELSON, DOUGLAS | since 06/01/2022 |
| CORPORATE DIRECTOR | SMITH, KESHA | since 09/08/2003 |
| CORPORATE OFFICER | MADDRY, KAREN, NICKERSON, KIRBY | since 01/01/2014 |
| OPERATIONAL/MANAGERIAL CONTROL | LSA MANAGEMENT, INC., LUTHERAN SERVICES FOR THE AGING, INC., GOINS, TED, MCCOY, CYNTHIA, OWENS-WATTERSON, DAWN, SMITH, KESHA | since 05/03/2023 |
| TRUSTEE OF THE SNF | LUTHERAN SERVICES FOR THE AGING, INC., GOINS, TED, NELSON, DOUGLAS | since 08/28/2008 |
| ADP OF THE SNF | LSA ELMS PROPERTY, INC, LSA MANAGEMENT, INC., GOINS, TED, MCCOY, CYNTHIA, NICKERSON, KIRBY, OWENS-WATTERSON, DAWN, SMITH, KESHA | since 03/16/2025 |