Big Elm Retirement and Nursing Centers
1285 West a Street · Kannapolis, NC · 28081 · 7049320000
50 certified beds For profit - Individual
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 4.18 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · D August 28, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected September 22, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 22, 2025 · Quality of Life and Care
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No harm found · B August 28, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected September 22, 2025 · Resident Rights
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Potential for harm · D July 11, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 4, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 4, 2024 · Quality of Life and Care
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Potential for harm · F July 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 4, 2024 · Nutrition and Dietary
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No harm found · C July 11, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected August 4, 2024 · Resident Rights
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No harm found · B July 11, 2024
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.
Corrected August 4, 2024 · Resident Rights
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Immediate jeopardy · L March 29, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 29, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · E March 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 29, 2023 · Nutrition and Dietary
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Potential for harm · E March 29, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 17, 2023 · Administration
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Potential for harm · E March 29, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 29, 2023 · Infection Control
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Potential for harm · E March 29, 2023
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.
Corrected March 29, 2023 · Infection Control
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No harm found · B March 29, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 29, 2023 · Resident Rights
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345342 · certified since January 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.