Trinity Elms

Nursing Home · Clemmons, NC

CMS overall rating 2/5 Non profit - Church related

CMS certification number345565

Contact & location

7449 Fair Oaks Drive
Clemmons, NC 27012
Forsyth County
Phone
(336) 747-1153
ZIP code
27012 – all care providers

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Facility details

Certified beds
100
Residents per day
90.8 (91% occupied)
Ownership
Non profit - Church related
Legal name
Lutheran Home - Forsyth County, INC.
Chain
Lutheran Services Carolinas (9 facilities, avg 4.2★)
Medicare certified since
November 13, 2014
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.9
Health inspections★★★★★ 3/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 2.7
Quality measures★★★★★ 1/5
State avg 3.3
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.96 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.70 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.80 (state 0.89 · U.S. 0.86)
Nurse aides
3.46 (state 2.34 · U.S. 2.32)
Weekend total
4.71 (state 3.40 · U.S. 3.42)
Nursing staff turnover
50.5 (state 49.0 · U.S. 45.8)%
RN turnover
66.7 (state 45.7 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 19, 2026
Health deficiencies (last cycle)
5.0 (state 4.8 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
14 health · 9 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-19 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-04
2026-03-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-31
2026-03-19 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-31
2026-03-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-31
2026-03-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-04
2025-04-30 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-01-17 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-11-15
2025-01-17 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-06
2025-01-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-06
2025-01-17 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-20
2024-08-20 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-08-01
2024-08-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-07-24
2023-08-30 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-18
2023-08-30 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2023-09-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $15,646 in fines.

DateTypeAmount
2024-08-20Fine$7,823
2024-08-20Fine$7,823

Ownership & management

NameRoleSince
Goins, Ted (individual)Administrator · NOT APPLICABLE
Lsa Elms Property, INC (organization)Administrator · NOT APPLICABLE
Lsa Management, INC. (organization)Administrator · NOT APPLICABLE
McCoy, Cynthia (individual)Administrator · NOT APPLICABLE
Nickerson, Kirby (individual)Administrator · NOT APPLICABLE
Owens-Watterson, Dawn (individual)Administrator · NOT APPLICABLE
Smith, Kesha (individual)Administrator · NOT APPLICABLE
Smith, Kesha (individual)Corporate Director · NOT APPLICABLE
Maddry, Karen (individual)Corporate Officer · NOT APPLICABLE
Nickerson, Kirby (individual)Corporate Officer · NOT APPLICABLE
Goins, Ted (individual)Managing Control - Governing Body · NOT APPLICABLE
Herman, Richard (individual)Managing Control - Governing Body · NOT APPLICABLE
Nelson, Douglas (individual)Managing Control - Governing Body · NOT APPLICABLE
Goins, Ted (individual)Operational/managerial Control · NOT APPLICABLE
Lsa Management, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Lutheran Services for the Aging, INC. (organization)Operational/managerial Control · NOT APPLICABLE
McCoy, Cynthia (individual)Operational/managerial Control · NOT APPLICABLE
Owens-Watterson, Dawn (individual)Operational/managerial Control · NOT APPLICABLE
Smith, Kesha (individual)Operational/managerial Control · NOT APPLICABLE
Goins, Ted (individual)Trustee Of The Snf · NOT APPLICABLE
Lutheran Services for the Aging, INC. (organization)Trustee Of The Snf · NOT APPLICABLE
Nelson, Douglas (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Trinity Elms?

Trinity Elms has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Trinity Elms have?

It has 100 certified beds and cares for about 91 residents per day.

Has Trinity Elms been fined?

Yes. CMS lists 2 penalties totaling $15,646 in the last three years.

Who owns Trinity Elms?

It is part of Lutheran Services Carolinas and is classified as non profit - church related. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Trinity Elms?

(336) 747-1153. The facility is located at 7449 Fair Oaks Drive, Clemmons, NC 27012.

Other nursing homes in Clemmons

Compare all nursing homes in Clemmons, NC →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.