CMS data shows Big Elm Retirement And Nursing Centers earning a D grade with a score of 42/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels at Big Elm Retirement And Nursing Centers exceed national averages, with 4.78 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.56 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 16 deficiencies at Big Elm Retirement And Nursing Centers, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: allow resident to participate in the development and implementation of his or her person-centered plan of care..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.78 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.34 | 2.4 | Above Average |
| Weekend Total Nursing | 4.14 | 3.8 | Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0553 Severity DAllow resident to participate in the development and implementation of his or her person-centered plan of care.Aug 27, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 10, 2024 · Nutrition and Dietary Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Jul 10, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.8% | 4.5% | Better |
| Falls with major injury | 4.4% | 3.0% | Worse |
| On antipsychotic medication | 19.2% | 14.5% | Worse |
| Urinary tract infections | 10.6% | 2.5% | Worse |
| ADL decline (daily activities) | 23.6% | 14.0% | Worse |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 33.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $15,873
How This Grade Was Calculated
This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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