Trinity Elms: Staffing, Turnover, and Inspection Record
Trinity Elms is a 100-bed nonprofit nursing home in Clemmons, North Carolina, part of Lutheran Services Carolinas. In the CMS August 2026 release it reported 3.46 nurse aide hours per resident per day, 48% above the North Carolina average of 2.34, and 50.5% nursing staff turnover (North Carolina average 49.0%).
Trinity Elms
7449 Fair Oaks DriveClemmons, NC 27012
Forsyth County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Trinity Elms, nurse aides logged 3.46 hours per resident per day, 48% above the North Carolina average. With about 91 residents a day, that works out to roughly 314 aide hours a day, or about 39 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 5% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.46 | 2.34 | 2.32 |
| Licensed practical nurses | 0.80 | 0.89 | 0.86 |
| Registered nurses | 0.70 | 0.61 | 0.69 |
| All nursing staff | 4.96 | 3.83 | 3.86 |
| All nursing staff, weekends | 4.71 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.5% of nursing staff at Trinity Elms left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 66.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (North Carolina average 4.8). CMS lists 2 fines totaling $15,646 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 20, 2024 | Fine | $7,823 |
| Aug 20, 2024 | Fine | $7,823 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Trinity Elms holds 2 of 5 overall; the North Carolina average is 2.9.
About Trinity Elms
- Ownership: Non profit - Church related
- Chain: Lutheran Services Carolinas, 9 homes
- Legal name: Lutheran Home - Forsyth County, Inc.
- Medicare and Medicaid certified since: Nov 13, 2014
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Trinity Elms
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cedar Hills Center for Nursing and Rehabilitation Clemmons · SFF candidate · many days without an RN | 0.9 | 94 | 2.38 | 3.43 | 65.9% | 1 | $11,333 |
| Bermuda Village Retirement Center Bermuda Run | 2.4 | 36 | 3.15 | 5.06 | — | 4 | $7,976 |
| Bermuda Commons Nursing and Rehabilitation Center Advance | 2.5 | 117 | 2.19 | 3.17 | 41.0% | 3 | $28,043 |
| Homestead Hills Winston-Salem | 6.1 | 40 | 3.82 | 5.60 | 59.3% | 4 | None |
| Silas Creek Rehabilitation Center Winston Salem | 6.9 | 90 | 2.01 | 3.37 | 53.8% | 4 | None |
| The Oaks Winston-Salem | 7.3 | 131 | 2.16 | 3.37 | 65.8% | 2 | None |
| Willow Valley Center for Nursing and Rehabilitatio Winston-Salem · abuse citation | 8.9 | 230 | 2.57 | 3.49 | 54.2% | 1 | $43,838 |
| Arbor Acres United Methodist Retirement Community Winston Salem | 9.1 | 6 | — | — | — | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.