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Big Elm Retirement and Nursing Centers

1285 West a Street, Kannapolis, NC 28081 · Rowan County · (704) 932-0000

50 certified beds, about 45 residents a day · For profit - Individual · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345342 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 28, 2025, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 16 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.10 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

42.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
1L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
4E
1F
Potential for minimal harm
0A
3B
1C
August 28, 2025Standard inspection · 4 citations
  1. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2025
    Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to afford the resident the right to participate in the care planning process for 2 of 2 residents reviewed for care plans (Resident #31, and Resident #21).
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2025
    Inspectors wroteBased on record review, and staff and Nurse Practitioner (NP) interviews, the facility failed to maintain safety for a severely cognitively impaired resident in a wheelchair when the Activities Director was assisting residents out the double doors at the front entrance of the facility to smoke. After assisting Resident #9 outside, the Activities Director failed to lock the brakes of Resident #9's wheelchair and Resident #9 rolled down the pavement in front of the facility approximately 31 feet and fell out of her wheelchair landing on her left side. Resident #9 sustained skin tears to the left elbow and left AKA (above the knee amputation) stump. Resident #9 also sustained abrasions to the chin, left cheek, lips, and the bridge of the nose with visible bleeding from the nostrils. This deficient practice occurred for 1 of 3 residents reviewed for accidents (Resident #9).
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2025
    Inspectors wroteBased on record review, observations, and interviews with resident and staff, the facility failed to post cautionary signs for oxygen in use for 1 of 3 residents reviewed for respiratory care (Resident #28).
  4. B
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for minimal harm, pattern · no revisit needed September 22, 2025
    Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to provide 1 of 3 residents with quarterly statements of their personal trust fund account managed by the facility (Resident #21).
July 11, 2024Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to label a container of thickened juice with an open date, discard expired milk, clean grease off the burner valve knobs and burner grates of the stove. Additionally, 3 of 3 dietary workers failed to wear beard coverings. These practices had the potential to affect food served to residents.
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2024
    Inspectors wroteBased on record review, observations, resident, and staff interviews, the facility failed to assess a resident's ability to self-administer medications for 1 of 1 resident reviewed for medication at the bedside (Resident #32).
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2024
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to maintain a safe environment by storing a chemical disinfectant cleanser spray and a handheld hair dryer with the cord hanging over a mounted power strip for 1 of 1 shower rooms observed. The shower room door was propped open and unlocked when it should have been closed and locked.
  4. C
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has August 4, 2024
    Inspectors wroteBased on resident and staff interviews, the facility failed to provide mail delivery to the residents on Saturdays for 7 of 7 (Resident #5, #13, #15, #17, #32, #36, and #40) residents interviewed in resident council.
  5. B
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · deficient, provider has August 4, 2024
    Inspectors wroteBased on observations and staff interviews, the facility failed to maintain lighting and walls in good repair for 2 of 2 areas (resident room [ROOM NUMBER] and nurse's desk) when reviewed for environment.
March 29, 2023Standard inspection · 7 citations
  1. L
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, widespread · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on record review, Police Department Detective, resident and staff interviews the facility failed to implement their abuse policies and procedures by failing to immediately initiate preventative and protective measures to safeguard all residents from exploitation and misappropriation of property when the facility became aware of an allegation of the Social Services Coordinator exploiting 2 residents at the Assisted Living Facility (ALF) operated by the same company and on the same campus as the skilled nursing facility (SNF). There was a high likelihood of misappropriation of property and/or exploitation leading to the loss of financial resources and irreplaceable personal belongings for all 45 residents who resided in the SNF. [...]
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on observation, staff interviews and record review the facility failed to date thawing food items in one of one walk-in refrigerator when they were removed from the freezer. This practice had the potential to affect food served to residents.
  3. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2023
    Inspectors wroteBased on record reviews, observation and staff interviews the facility's Quality Assurance and Performance Improvement Committee (QAPI) failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification survey of 10/29/2021 in the area of kitchen sanitation, food procurement, storage, preparation and service and cited during the recertification survey of 3/29/23. The continued failure of the facility during two surveys of record in the same area showed a pattern of the facility's inability to sustain an effective Quality Assurance Program. This tag is cross referred to: F812-Based on observation, staff interviews and record review the facility failed to date thawing food items in the walk-in refrigerator when they were removed from the freezer. This practice had the potential to affect food served to residents. [...]
  4. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to include documentation in the medical record education regarding the benefits and potential side effects of the Influenza and Pneumococcal immunization, and if residents received the Influenza or Pneumococcal immunization or did not receive the Influenza Pneumococcal immunization due to medical contraindication or refusal for 4 of 5 residents reviewed for infection control (Resident #149, #11, #42, and #34).
  5. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on record review and staff interviews the facility failed to include the status for COVID-19 vaccination in the medical record, failed to include education regarding the benefits or potential side effects of the COVID-19 vaccination, and failed to document COVID-19 vaccination declinations for 3 of 5 resident reviewed for infection control (Resident #11, #42, #149).
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on record review and staff interview the facility failed to develop a comprehensive care plan for 2 of 2 residents reviewed for Level II Preadmission Screening and Resident Review (PASRR) (Resident #6 and Resident #39).
  7. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on Record review and staff interviews the facility failed to provide a notice of transfer/discharge to the Resident or the Office of the State Long Term Care Ombudsman when the resident discharged from the facility to the hospital for 1 of 1 resident reviewed for hospitalization (Resident # 35).

Fire safety inspections

16 fire safety citations on file: 8 on July 11, 2024, 7 on March 29, 2023, 1 on October 29, 2021.

Every fire safety citation16 citations
  1. D
    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.
    K 222 · July 11, 2024 · Corrected (the home has a date of correction)
  2. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 11, 2024 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 11, 2024 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 11, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 11, 2024 · Corrected (the home has a date of correction)
  6. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · July 11, 2024 · Corrected (the home has a date of correction)
  7. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 11, 2024 · Corrected (the home has a date of correction)
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 11, 2024 · Corrected (the home has a date of correction)
  9. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · March 29, 2023 · Corrected (the home has a date of correction)
  10. D
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · March 29, 2023 · Corrected (the home has a date of correction)
  11. D
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · March 29, 2023 · Corrected (the home has a date of correction)
  12. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 29, 2023 · Corrected (the home has a date of correction)
  13. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 29, 2023 · Corrected (the home has a date of correction)
  14. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 29, 2023 · Corrected (the home has a date of correction)
  15. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 29, 2023 · Corrected (the home has a date of correction)
  16. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 29, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)5.103.853.86
Registered nurses0.580.620.69
All nursing staff on weekends4.273.423.42
Nurse aides3.60
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)42.0%49.0%45.8%
Registered nurse turnover28.6%45.6%42.9%
Administrators who left2

CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.43 on weekdays and 4.27 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.50 in April to June 2025 to 5.10 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.100.585.434.27 0.0%0 of 9045
Oct to Dec 20255.230.585.644.18 0.0%0 of 9245
Jul to Sep 20254.780.565.034.14 0.0%0 of 9247
Apr to Jun 20254.500.584.694.05 0.0%0 of 9147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Big Elm Retirement and Nursing Centers. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
26.815.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
11.52.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.63.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.718.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.35.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.314.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.022.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
2.412.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Big Elm Retirement and Nursing Centers's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

42.7% this home

No different from the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 77 eligible stays.

Potentially preventable readmissions

10.0% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 81 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 65 eligible stays.

Self-care and mobility at discharge

74.2% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.

Falls with major injury

2.2% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 45 residents counted.

New or worsened pressure ulcers

1.5% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 45 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: SENIOR VENTURES & MANAGEMENT INC.

NameRoleTypeShareSince
Gatewood, Thomas5% or greater direct ownership interestIndividual100%10/01/2010
Gatewood, ThomasCorporate directorIndividual10/01/2010
Dolack, ChristinaOperational/managerial controlIndividual05/27/2024
Gatewood, ThomasOperational/managerial controlIndividual10/01/2002
McSwain, RobertOperational/managerial controlIndividual06/27/2025
Dolack, ChristinaAdp of the SNFIndividual05/27/2024
Gatewood, ThomasAdp of the SNFIndividual10/01/2002
McSwain, RobertAdp of the SNFIndividual06/27/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on August 28, 2025: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 28, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 11, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 29, 2023: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

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Common questions

What is Big Elm Retirement and Nursing Centers's Medicare star rating?
CMS rates Big Elm Retirement and Nursing Centers 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Big Elm Retirement and Nursing Centers get at its last inspection?
4 health deficiencies at the standard inspection on August 28, 2025. The North Carolina average is 4.7.
Has Big Elm Retirement and Nursing Centers been fined?
CMS lists no fines in the last three years.
Does Big Elm Retirement and Nursing Centers accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Big Elm Retirement and Nursing Centers?
CMS lists 8 owners and managers. Legal business name: SENIOR VENTURES & MANAGEMENT INC.

Sources

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