Nursing home
Big Elm Retirement and Nursing Centers
1285 West A Street, Kannapolis, NC 28081 · Map
For profit - Individual · 50 certified beds
Big Elm Retirement and Nursing Centers is a Medicare-certified nursing home in Kannapolis, North Carolina. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.78 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Aug 28, 2025 cited 4 deficiencies.
- 1 fine totaling $15,873In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Big Elm Retirement and Nursing Centers compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.78 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.34 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 45.8% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $15,873, 1 total penalty.
What inspectors found at Big Elm Retirement and Nursing Centers
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Aug 28, 2025 · Full report (PDF) - Minimal
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Aug 28, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Jul 11, 2024 · Full report (PDF) - Minimal
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.
Resident Rights Deficiencies · Jul 11, 2024 · Full report (PDF) - Minimal
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Jul 11, 2024 · Full report (PDF) - Immediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 29, 2023 - Potential for harm
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.
Infection Control Deficiencies · Mar 29, 2023 - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Mar 29, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1285 West A Street
Kannapolis, NC 28081 - CMS certification #
- 345342
- Ownership
- For profit - Individual
- Certified beds
- 50
- Avg residents/day
- 46.8
- Provider type
- Medicare and Medicaid
- First certified
- 1991-01-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Big Elm Retirement and Nursing Centers using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Carolinas Medical Center-Northeast, Concord. 5.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Kannapolis Health and Rehabilitation, Kannapolis. 3.8 miles away, straight line.
- Nearest home health agency office
- Gentiva Health Services/Salisb, Kannapolis. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 5.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28081 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Dialysis Care Of Kannapolis, Kannapolis, 1.1 miles away, straight line (CMS rating 4 of 5 stars)
Davita Cannon Dialysis, Kannapolis, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Copperfield Dialysis, Concord, 4.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 28081.
Hospice And Palliative Care Of Cabarrus County, office in Kannapolis, 3.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Bayada Home Health Care, Inc, office in Salisbury, 12.5 miles away, straight line
Novant Health Hospice, office in Salisbury, 14.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- The Charlotte-Mecklenburg Hospital Authority, Concord. 5.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Big Elm Retirement and Nursing Centers a good nursing home?
CMS gives Big Elm Retirement and Nursing Centers an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Big Elm Retirement and Nursing Centers staffed?
Big Elm Retirement and Nursing Centers reports 4.78 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Big Elm Retirement and Nursing Centers had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Big Elm Retirement and Nursing Centers have?
Big Elm Retirement and Nursing Centers is certified for 50 beds.