Senior Care Records.

Big Elm Retirement and Nursing Centers

1285 West A Street, Kannapolis, NC, 28081

Nursing home50 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 4 deficiencies against Big Elm Retirement and Nursing Centers in Kannapolis, North Carolina at its most recent standard inspection on 2025-08-28. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
50certified beds
4deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.11
Potential for minimal harmThe least serious band.4
Most recent

The last 16 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Resident Rights Deficiencies · F0553 · 2025-08-28 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-08-28 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0695 · 2025-08-28 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0568 · 2025-08-28 · standard survey · No actual harm, potential for minimal harm

B

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

Nutrition and Dietary Deficiencies · F0812 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm

F

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

Resident Rights Deficiencies · F0554 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0576 · 2024-07-11 · standard survey · No actual harm, potential for minimal harm

C

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 · F0584 · 2024-07-11 · standard survey · No actual harm, potential for minimal harm

B

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2023-03-29 · standard survey · Immediate jeopardy to resident health or safety

L

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

Nutrition and Dietary Deficiencies · F0812 · 2023-03-29 · standard survey · No actual harm, potential for more than minimal harm

E

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

Administration Deficiencies · F0867 · 2023-03-29 · standard survey · No actual harm, potential for more than minimal harm

E

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

Infection Control Deficiencies · F0883 · 2023-03-29 · standard survey · No actual harm, potential for more than minimal harm

E

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 · F0887 · 2023-03-29 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2023-03-29 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0623 · 2023-03-29 · standard survey · No actual harm, potential for minimal harm

B
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS5.09523
Nursing staff turnoverShare of nursing staff who left in a year42%
Ownership

Who owns Big Elm Retirement and Nursing Centers

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
GATEWOOD, THOMASIndividual100%since 10/01/2010
GATEWOOD, THOMASIndividualNOT APPLICABLEsince 10/01/2010
DOLACK, CHRISTINAIndividualNOT APPLICABLEsince 05/27/2024
GATEWOOD, THOMASIndividualNOT APPLICABLEsince 10/01/2002
MCSWAIN, ROBERTIndividualNOT APPLICABLEsince 06/27/2025
DOLACK, CHRISTINAIndividualNOT APPLICABLEsince 05/27/2024
GATEWOOD, THOMASIndividualNOT APPLICABLEsince 10/01/2002
MCSWAIN, ROBERTIndividualNOT APPLICABLEsince 06/27/2025
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Big Elm Retirement and Nursing Centers a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Big Elm Retirement and Nursing Centers has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 7049320000 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345342.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction