Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Big Elm Retirement And Nursing Centers during CMS and state inspections, most recent first.
Two residents who were cognitively intact were not invited to participate in their care plan meetings, and there was no documentation of such invitations or meetings in their records. Staff interviews revealed that care plan meetings were only held by request or for specific events, and the process for inviting residents or responsible parties was not followed or documented.
A deficiency was cited when a facility area was not kept free from accident hazards and supervision was inadequate to prevent accidents. The environment and oversight did not meet required standards to minimize accident risks.
A resident with chronic respiratory conditions and an order for oxygen therapy was observed receiving oxygen via nasal cannula without any cautionary signage posted near the room entrance. Staff interviews confirmed that required oxygen signs were not in place following recent renovations, and nursing was responsible for posting them. The DON was unaware that the signage was missing for residents with oxygen orders.
A resident who was cognitively intact did not receive quarterly statements for her personal trust fund account managed by the facility. The statements were incorrectly mailed to her former home address, and staff had not discussed her available funds with her, resulting in the resident being unaware of her account balance.
The facility was cited for food safety and hygiene deficiencies, including undated thickened juice, expired milk, unclean stove grates, and dietary staff not wearing beard coverings. The Dietary Manager admitted to lapses in cleaning and stock management, while the administrator noted high staff turnover and training issues.
A resident with dementia and heart failure was found with over-the-counter antacid chews in her room, which were not assessed for self-administration. The facility did not complete the necessary assessment, obtain a physician order, or provide a lock box for the medications. Staff were unaware of the antacids, and the resident's family may have brought them in. The Unit Manager removed the antacids upon discovery.
A survey found a shower room door propped open and unlocked, with a chemical disinfectant spray and a hair dryer improperly stored. Staff interviews revealed inconsistencies in storage practices, with the DON and Unit Manager stating the door should be locked and no chemicals stored there.
The facility failed to deliver mail to residents on Saturdays, affecting several residents. Interviews revealed that mail was only distributed during weekdays, with no system for weekend delivery. The Activity Director and Administrative Assistant provided conflicting accounts of mail handling, while the Administrator expected weekend mail delivery by the Unit Manager, which was not corroborated by other staff.
The facility failed to maintain a safe and comfortable environment, with large black marks and scuffs on the walls in a resident room and an uncovered fluorescent light fixture with missing and burnt-out bulbs at the nurse's desk. The Maintenance Director and Administrator were unaware of these issues, which had not been reported through the facility's maintenance request system.
Failure to Involve Residents in Care Plan Meetings
Penalty
Summary
The facility failed to ensure that residents were afforded the right to participate in the development and implementation of their person-centered care plans. For two cognitively intact residents, there was no evidence that they were invited to attend or participate in their care plan meetings. Both residents stated in interviews that they had not been invited to care plan meetings and expressed a desire to be included in these discussions. Review of their medical records confirmed the absence of documentation showing that care plan meetings had been held with them or their representatives. Staff interviews revealed that the Social Worker was not informed by the former Administrator that care plan meetings were required for every resident on a quarterly basis, and was only conducting such meetings upon request or for specific events like changes in condition, wounds, or falls. The MDS Nurse reported being instructed not to participate in the invitation process, and the DON acknowledged that while care plan meetings were occurring, invitations to residents or their responsible parties were not being made or documented. This lack of communication and documentation resulted in residents not being given the opportunity to participate in their care planning process.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment was not maintained in a manner that would minimize the risk of accidents, and supervision protocols were insufficient to prevent such incidents from occurring. No additional details regarding the specific individuals involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Post Oxygen Cautionary Signs for Resident Receiving Respiratory Care
Penalty
Summary
The facility failed to post cautionary signs indicating oxygen use for a resident who required respiratory care. Record review showed that the resident was admitted with chronic obstructive pulmonary disease and chronic respiratory failure, and had a physician's order for oxygen at 2 liters per minute via nasal cannula. Observations on two separate occasions revealed that the resident was receiving oxygen therapy in their room, but there were no cautionary oxygen signs posted near the entrance to the room. Interviews with staff confirmed that nursing was responsible for posting these signs, and that the signs had not been replaced following recent renovations. The Director of Nursing was unaware that the required signage was missing for residents with oxygen orders.
Failure to Provide Resident with Quarterly Trust Fund Statements
Penalty
Summary
The facility failed to provide a resident with quarterly statements of her personal trust fund account, as required. Record review and interviews revealed that the resident, who was cognitively intact, had not received any statements since her admission, despite having money managed by the facility in a trust fund account. The resident reported she had not been informed about her available funds and had not received any communication from staff regarding her account balance. The Business Office Manager confirmed that statements had been mailed to the resident's former home address instead of being provided to her at the facility, resulting in the resident not receiving the required quarterly updates. The Director of Nursing was unaware of the issue and acknowledged that the resident should have been receiving the statements.
Food Safety and Hygiene Deficiencies in Facility Kitchen
Penalty
Summary
The facility was found to have several deficiencies related to food safety and hygiene practices during a kitchen tour. An open carton of thickened juice was discovered in the walk-in refrigerator without an open date, and expired milk was found in the reach-in cooler, both of which were discarded by the Dietary Manager (DM) upon discovery. Additionally, the stove's burner valve knobs and grates were coated with a sticky, greasy substance and burnt-on food, indicating a lack of regular cleaning. The DM admitted that the stove had not been cleaned for about a month, despite the expectation that kitchen staff would clean it daily. Furthermore, the facility failed to ensure that dietary workers wore appropriate beard coverings. The DM and two dietary aides were observed with facial hair exceeding the required length without beard coverings while preparing meals and entering the walk-in refrigerator. The DM explained that they had run out of beard coverings and had not yet received a new stock, leading them to use hair nets as a temporary measure. The facility's administrator acknowledged a high turnover rate among kitchen staff and identified training as a potential issue contributing to these deficiencies.
Failure to Assess Resident's Ability to Self-Administer Medications
Penalty
Summary
The facility failed to assess a resident's ability to self-administer medications, specifically over-the-counter antacid chews, for a resident diagnosed with dementia and heart failure. The resident, who was assessed to be cognitively intact without behaviors, had two bottles of antacid chews on her nightstand, which were visible from the doorway. The resident reported that her family purchased the antacids for her, and she believed the facility was aware of them. However, there was no assessment completed for her ability to self-administer these medications, nor was there a physician order or a lock box provided for storage. The Unit Manager, upon being informed, removed the antacids and acknowledged that the proper process for allowing self-administration of medications had not been followed. Interviews with staff, including a Nursing Assistant and a Nurse, revealed that they were unaware of the antacids in the resident's room and that typically, residents did not have medications at the bedside without an assessment and lock box. The Nurse Practitioner and the Administrator confirmed that the resident was unable to manage medications due to her dementia and forgetfulness, and the staff should have been managing all her medications. The oversight was attributed to the resident's family possibly bringing the antacids into the facility.
Unsafe Storage and Access in Shower Room
Penalty
Summary
The facility failed to maintain a safe environment in a shower room, as observed during a survey. A chemical disinfectant cleanser spray and a handheld hair dryer with the cord hanging over a mounted power strip were found in the shower room, which was propped open and unlocked. The disinfectant spray bottle was labeled as corrosive, sanitizer, irritant, and combustible, with instructions for emergency actions if it came into contact with eyes or was ingested. There were no staff or residents present in the shower room or the hallway at the time of the observation. Interviews with staff revealed inconsistencies in the storage and handling of the disinfectant spray and hair dryer. A nurse assistant reported that the shower room door was always locked unless a staff member was present, and that disinfectant sprays were not stored in the shower room. However, another nurse assistant confirmed the presence of the items and noted that the cabinet drawers in the shower room were not lockable. The Director of Nurses and the Unit Manager both stated that the shower room door should remain locked, and no chemicals or resident care items should be stored there. Despite these expectations, the survey found the door unlocked and the items improperly stored.
Failure to Deliver Mail on Weekends
Penalty
Summary
The facility failed to provide mail delivery to residents on Saturdays, affecting seven residents who were part of the resident council. During an interview with the resident council, all members present confirmed that they did not receive mail on Saturdays, as mail was only delivered during the weekdays. The Activity Director explained that the Business Office Manager was responsible for picking up the mail and handing it over to the Social Worker for delivery from Monday to Friday, but no system was in place for weekend mail delivery. Further interviews revealed discrepancies in the mail handling process. The Administrative Assistant stated she picked up the mail twice daily and handed it to the Social Worker for weekday distribution, while weekend mail was left in the Director of Nursing's office to be delivered on Monday. The Social Worker confirmed that she did not work on weekends and was unaware of any weekend mail checks. However, the Administrator mentioned that the weekend Unit Manager was responsible for checking the mail and delivering personal mail to residents over the weekend, which contradicted the other staff members' statements.
Facility Fails to Maintain Safe and Comfortable Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment for its residents, as evidenced by observations and staff interviews. In one resident room, large black marks and scuffs were found on the walls near the beds of two residents. Additionally, at the nurse's desk, an uncovered fluorescent light fixture was observed with two missing bulbs and one burnt-out bulb. These deficiencies were noted during a survey conducted on specific dates. Interviews with the Maintenance Director and the Administrator revealed that they were unaware of the issues in the resident room and at the nurse's desk. The Maintenance Director mentioned that maintenance request sheets were available for staff to report concerns, but these particular issues had not been reported. The Administrator acknowledged that the marks on the walls were due to furniture and equipment placement and stated that room updates were ongoing, but the occupied room in question had not yet been addressed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 193 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kannapolis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kannapolis Health And Rehabilitation | 3.8 mi | ★★★★★ | 11 | 1 |
| The Greens At Cabarrus | 4.4 mi | ★★★★★ | 2 | 0 |
| Five Oaks Rehabilitation And Care Center | 4.6 mi | ★★★★★ | 2 | 0 |
| Copperfield Health & Rehabilitation | 5.1 mi | ★★★★★ | 8 | 0 |
| Cabarrus Health And Rehabilitation Center | 6.4 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Big Elm Retirement And Nursing Centers.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.