Nursing homeActive
Trinity Oaks
820 Klumac Road, Salisbury, NC 281447046373784115 certified beds · 108 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
15
● 0● 15● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-02
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-02 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-02-24 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Standard | 090 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 345153-20250224-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 345153-20250224-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 345153-20250224-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 345153-20250224-F609
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 345153-20250224-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 345153-20250224-F761
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F550
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F690
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F693
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F812
F814Dispose of garbage and refuse properly.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F842
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F851
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 345153-20231026-F867
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.83
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day4.30
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.70
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover30%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover19%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.4% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.3% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.4% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.0% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.2% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Amin, Chetan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cornelison, Tim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goins, Ted Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lsa Management, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lutheran Home At Trinity Oaks Property Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nickerson, Kirby Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Kesha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Amin, Chetan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cornelison, Tim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goins, Ted Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Goins, Ted Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Herman, Richard Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Herman, Richard Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Lsa Management, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lutheran Home At Trinity Oaks Property Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lutheran Services For The Aging, Inc. Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Maddry, Karen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Maddry, Karen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nelson, Douglas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nelson, Douglas Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Nickerson, Kirby Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nickerson, Kirby Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Kesha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Kesha Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Lutheran Services Carolinas — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Rowan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Piedmont Health & Rehab Center Salisbury | 1.8 mi | 2026-05-13 | 0132 |
| NC State Veterans Home - Salisbury Salisbury | 2.3 mi | 2025-12-12 | 2121 |
| Autumn Care of Salisbury Salisbury | 2.4 mi | 2026-04-02 | 0200 |
| Meadowbrook Health & Rehabilitation Salisbury | 3.0 mi | 2026-01-02 | 1242 |
| Liberty Commons Nsg and Rehab Ctr of Rowan County Salisbury | 2.9 mi | 2025-11-19 | 3140 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |