Trinity Elms
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (5 vs median 4.0)
- High RN turnover (73%)
Below average in NC · Below recommended RN staffing · Above recommended total nurse staffing · Worst in LUTHERAN SERVICES CAROLINAS chain · $15,646 in fines
What this means for your family
Trinity Elms is highly regarded for its physical therapy and rehab outcomes, making it a strong contender for short-term recovery. However, families must be vigilant regarding long-term care; ensure you have a clear communication plan with the nursing director and perform frequent, unannounced visits to monitor hygiene and patient engagement.
Google Reviews
Google Reviews
18 reviews on Google“Trinity Elms receives polarized feedback, with many families praising the therapy team and the facility's clean environment, while others report significant lapses in basic patient care. Critical concerns include poor communication, hygiene issues like bedsores, and inconsistent staffing levels that impact daily attention. Families should weigh the high quality of rehab services against reports of neglect and administrative unresponsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective and supportive therapy team
- Clean and well-maintained facility
- Positive environment for short-term rehab
- Compassionate care for some long-term residents
Concerns
- Inconsistent staffing and lack of attention to basic patient needs (mentioned by 5 reviewers)
- Poor communication between staff and family members (mentioned by 2 reviewers)
- Hygiene and care standards (e.g., bedsores, infrequent bathing) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've heard wonderful things about your therapy team; how do they work with residents to help them regain independence during rehab?
- 2How do you ensure that staff members are able to provide consistent attention to every resident's personal hygiene and daily care needs?
- 3What is your process for keeping family members updated on any changes in a loved one's health or daily well-being?
- 4Can you tell me more about how the facility is maintained to ensure a clean and comfortable environment for everyone?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency during the night, what is the protocol for notifying the family and providing immediate care?
Personalized based on this facility's data
Key Review Excerpts
“My Mother got bedsores while a patient there and no one contacted me. I found out myself. My Mother wasn’t changed often. No one encourage her to eat or participate in therapy.”
“The nursing staff and aides were overworked but most were pleasant and helpful.”
“We had to remove my father due to the non care and decline of his health in this facility... they basically had my Dad in his bed... rehabbed him an hour a day... he literally had 1 shower in 3 weeks.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Trinity Elms has concerning patterns with families filing multiple complaints, including serious issues around abuse reporting, medication errors, and failure to notify families of incidents. The facility struggles most with medication management, building safety systems, and resident rights protections. While older deficiencies appear corrected, recent surveys show ongoing problems with medication safety and administrative compliance, suggesting persistent quality concerns families should investigate thoroughly before placement.
Mar 19, 2026Routine3
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 19, 2026Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 30, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 17, 2025Routine12
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Aug 20, 2024Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 30, 2023Routine5
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Federal Penalties
Fine
Aug 20, 2024
$7,823
Fine
Aug 20, 2024
$7,823
Ownership & Operations
Who Operates This Facility
Trinity Elms
nonprofit
Chain Affiliation
Lutheran Services Carolinas
9 facilities nationwide
Chain avg rating: 4.3/5 · Rank 9 of 9 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
18 reviews from families & visitors
Official Website
Visit trinityelms.net
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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