Trinity Oaks
820 Klumac Road, Salisbury, NC 28144 · CCN 345153
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 115
- Avg residents/day
- 109.1
- Phone
- 7046373784
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-24 | 6 | 5.6 | 9.5 | +0.4 worse |
| 2 | 2023-10-26 | 8 | 7.2 | 9.8 | +0.8 worse |
| 3 | 2022-03-30 | 3 | 7.4 | 9.3 | -4.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.76 | 29.5% |
| RN staffing (reported) | 0.77 | 10.0% |
| Total nurse staffing (adjusted) | 5.59 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- LUTHERAN SERVICES CAROLINAS
- Facilities in chain
- 9
- Chain avg overall
- 4.30 / 5
Inspection citations (17)
- EF0584Honor 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.2025-02-24 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-24 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-02-24 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-24 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-24 · Health · corrected 2025-03-14
Potential for more than minimal harm
- DF0761Ensure 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.2025-02-24 · Health · corrected 2025-03-13
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0693Ensure 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.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0761Ensure 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.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-26 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-03-30 · Health · corrected 2022-04-11
Potential for more than minimal harm
- EF0761Ensure 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.2022-03-30 · Health · corrected 2022-04-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LUTHERAN SERVICES FOR THE AGING, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2004-10-01 |
| LSA MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-07-29 |
| LUTHERAN HOME AT TRINITY OAKS PROPERTY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-07-29 |
| AMIN, CHETAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-10-01 |
| CORNELISON, TIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-02 |
| GOINS, TED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-04-30 |
| NICKERSON, KIRBY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-10-01 |
| SMITH, KESHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-10-01 |
| SMITH, KESHA | Individual | CORPORATE DIRECTOR | — | 2012-10-01 |
| MADDRY, KAREN | Individual | CORPORATE OFFICER | — | 1982-04-01 |
| NICKERSON, KIRBY | Individual | CORPORATE OFFICER | — | 2012-10-01 |
Other facilities in Salisbury
| Name | Overall | Beds |
|---|---|---|
| Piedmont Health & Rehab Center | ★★★☆☆ | 58 |
| Autumn Care of Salisbury | ★★★☆☆ | 97 |
| Liberty Commons Nsg and Rehab Ctr of Rowan County | ★★★☆☆ | 90 |
| NC State Veterans Home - Salisbury | ★★★☆☆ | 99 |
| The Laurels of Salisbury | ★★☆☆☆ | 80 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.