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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D17 | E5 | F2 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 2, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 2, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Feb 24, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 24, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Oct 26, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D17 | E5 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 2, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 24, 2026 | |
| Apr 2, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 24, 2026 | |
| Feb 24, 2025 | K-0161 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
9 facilities in 1 states. CMS chain ID 327.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ted Goins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 30, 2007 |
| Richard Herman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2022 |
| Karen Maddry | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2004 |
| Douglas Nelson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2022 |
| Lsa Management, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 29, 2004 |
| Lutheran Home at Trinity Oaks Property Inc |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Trinity Glen 849 Waterworks Road, Winston-Salem, NC 27101 CCN 345088 | 117 | Apr 2, 2026 | 6 | — | |
| Trinity Ridge 2140 Medical Park Drive, Hickory, NC 28602 CCN 345106 | 120 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Piedmont Health & Rehab Center 610 West Fisher Street, Salisbury, NC 28145 CCN 345140 | 2.9 km | 58 | May 13, 2026 | 241 IJ1 harm | $24k | |
| Nc State Veterans Home - Salisbury 1601 Brenner Ave., Building #10, Salisbury, NC 28145 CCN 345531 | 3.8 km | 99 | Dec 12, 2025 | 211 IJ | $12k | |
| Autumn Care of Salisbury 1505 Bringle Ferry Road, Salisbury, NC 28146 CCN 345269 | 3.9 km | 97 | Apr 2, 2026 | 23 | — | |
| Liberty Commons Nsg and Rehab Ctr of Rowan County 4412 South Main Street, Salisbury, NC 28147 CCN 345503 | 4.6 km | 90 | Nov 19, 2025 | 22 | — | |
| Meadowbrook Health & Rehabilitation 635 Statesville Boulevard, Salisbury, NC 28144 CCN 345115 | 4.9 km | 185 | Aug 27, 2026 | 611 IJ1 harm4 open | $47k | |
| Compass Healthcare and Rehab Rowan, LLC 1404 S Salisbury Avenue, Spencer, NC 28159 CCN 345288 | 5.4 km | 70 | Dec 10, 2025 | 121 IJ2 open | $10k | |
| The Laurels of Salisbury 215 Lash Drive, Salisbury, NC 28147 CCN 345428 | 6.4 km | 80 | Feb 13, 2026 | 241 IJ2 harm1 open | $17k | |
| Compass Healthcare and Rehab Kannapolis, LLC 1285 West a Street, Kannapolis, NC 28081 CCN 345342 | 19.9 km | 50 | Aug 28, 2025 | 321 IJ2 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345153 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345153 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Use approved construction type or materials. Construction Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Apr 7, 2025 |
| Feb 24, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Feb 24, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Feb 24, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 | Complaint |
| Feb 24, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Feb 24, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 24, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Feb 24, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 13, 2025 |
| Oct 26, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Oct 26, 2023 | K-0222 | 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 · Environment & life safety | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Oct 26, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Oct 26, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Oct 26, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 29, 2024 |
| Oct 26, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Oct 26, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 17, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.18 (case-mix index 1.19).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jul 29, 2004 |
| Chetan Amin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2012 |
| Tim Cornelison | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 2, 2022 |
| Ted Goins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 30, 2007 |
| Kirby Nickerson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2012 |
| Kesha Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2012 |
| Kesha Smith | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2012 |
| Karen Maddry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 1982 |
| Kirby Nickerson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2012 |
| Lutheran Services for the Aging, Inc | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Jul 29, 2004 |
| Ted Goins | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Oct 1, 2004 |
| Richard Herman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 1, 2021 |
| Douglas Nelson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Sep 1, 2022 |
| Lsa Management, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Lutheran Home at Trinity Oaks Property Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 25, 2025 |
| Chetan Amin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2012 |
| Tim Cornelison | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2022 |
| Kirby Nickerson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2012 |
| Kesha Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2012 |
| Jun 18, 2026 |
112 open |
| — |
| Trinity Place 24724 South Business 52, Albemarle, NC 28001 CCN 345109 | 76 | Nov 20, 2025 | 121 harm1 open | $8,788 |
| Trinity Village 1265 21 Street NE, Hickory, NC 28601 CCN 345152 | 104 | Mar 11, 2026 | 121 harm | $8,512 |
| Glenflora 5701 N. Fayetteville Road, Lumberton, NC 28360 CCN 345194 | 52 | May 28, 2026 | 131 IJ1 harm1 open | $30k |
| Aston Park Health Care Center 380 Brevard Road, Asheville, NC 28806 CCN 345198 | 120 | Apr 16, 2026 | 279 open | — |
| Trinity Grove 631 Junction Creek Drive, Wilmington, NC 28412 CCN 345554Abuse icon | 100 | Sep 18, 2025 | 232 IJ2 harm | $103k |
| Trinity Elms 7449 Fair Oaks Drive, Clemmons, NC 27012 CCN 345565 | 100 | Aug 18, 2026 | 252 IJ2 harm1 open | $16k |