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Big Elm Retirement and Nursing Centers

All states › North Carolina › Kannapolis › Big Elm Retirement and Nursing Centers

1285 West A Street Kannapolis, NC 28081 · Rowan County

(704) 932-0000

All 2 nursing homes in Kannapolis, NC (2 take Medicaid)

Accepts Medicare Accepts Medicaid 50 certified beds For profit

CMS certification number 345342 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Big Elm Retirement and Nursing Centers a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Big Elm Retirement and Nursing Centers as of October 2026.

CMS rates it 4 out of 5 stars overall, above the North Carolina average of 3.0. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 4.73 hours per resident per day at Big Elm Retirement and Nursing Centers, above the North Carolina median of 3.57 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.67 hours, 22% below its all-week average. Ask how weekends are staffed. 3 administrators left in the past year.

Nursing care per resident per day 4.73 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.53 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.67 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds50
Residents per day 43 About 87% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1991
Legal business nameLegal Business Name Not Available

Paying for care at Big Elm Retirement and Nursing Centers: Medicare and Medicaid

Big Elm Retirement and Nursing Centers is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 28, 2025 and found 4 deficiencies. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 16 citations at Big Elm Retirement and Nursing Centers across 3 inspection dates. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 29, 2023. The most common areas cited were resident rights (6) and quality of life and care (3). The most serious was cited under the CMS rule to "develop and implement policies and procedures to prevent abuse, neglect, and theft" (tag F0607, level L, March 29, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 28, 2025 · 4 citations

DAllow resident to participate in the development and implementation of his or her person-centered plan of care.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0553 · Deficient, Provider has date of correction (Sep 22, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 22, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Sep 22, 2025)

BProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0568 · No revisit needed (Sep 22, 2025)

July 11, 2024 · 5 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 4, 2024)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Aug 4, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 4, 2024)

CEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has plan of correction (Aug 4, 2024)

BHonor 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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has plan of correction (Aug 4, 2024)

March 29, 2023 · 7 citations, includes immediate jeopardy

LDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Mar 29, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 29, 2023)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Apr 17, 2023)

EDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Mar 29, 2023)

EEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Mar 29, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 29, 2023)

BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Mar 29, 2023)

Questions to ask on a tour of Big Elm Retirement and Nursing Centers

  1. Inspectors cited the home at the immediate-jeopardy level on March 29, 2023 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 29, 2023. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 2/5 4/5
August 2026 4/5 4/5 4/5 4/5
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Location

Hospitals near Big Elm Retirement and Nursing Centers

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Kannapolis Health and Rehabilitation Kannapolis · 3.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 107 beds · Medicaid
The Greens at Cabarrus Concord · 4.4 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 90 beds · Medicaid
Five Oaks Rehabilitation and Care Center Concord · 4.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 160 beds · Medicaid
Copperfield Health & Rehabilitation Concord · 5.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid
Cabarrus Health and Rehabilitation Center Concord · 6.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Big Elm Retirement and Nursing Centers ›   All nursing homes in Kannapolis ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/kannapolis/big-elm-retirement-and-nursing-centers/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.