Nursing HomeInspections

Trinity Oaks

Nursing home in Salisbury, NC

Medicare & Medicaid certified5★ overall (CMS)

Call (704) 637-3784Send a messageMap ↗

Public-record details

Address
820 Klumac Road, Salisbury, NC 28144
Phone
(704) 637-3784
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years, Part of a retirement community
Medicare CCN
345153
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
115
Average residents per day
108
Ownership
Nonprofit, corporation
Legal business name
Lutheran Home at Trinity Oaks, INC.
Chain
Lutheran Services Carolinas (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345153. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 2, 2026. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 26, 2023 to Feb 24, 2025): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 24, 2025Protect 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 24, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Feb 24, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Feb 24, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 24, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 24, 2025Honor 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
E
Potential for more than minimal harm, pattern
Oct 26, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 26, 2023Provide 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
D
Potential for more than minimal harm, isolated
Oct 26, 2023Ensure 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
D
Potential for more than minimal harm, isolated
Oct 26, 2023Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Oct 26, 2023Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Oct 26, 2023Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.30 hours
Registered nurse (RN) time per resident per day
0.83 hours
Nurse aide time per resident per day
2.93 hours
Total nurse staffing on weekends
3.70 hours
Nursing staff turnover (yearly)
30%
RN turnover (yearly)
19%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Salisbury

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