The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited March 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: L
Nursing home report
Big Elm Nursing / Big Elm Rehabilitation and Living Center
Registered name: Big Elm Retirement and Nursing Centers
Kannapolis, NC · Medicare-certified · 50 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
Big Elm Nursing / Big Elm Rehabilitation and Living Center has an overall 4 out of 5 stars, with 4-star health inspection, staffing, and quality ratings. It reports 5.10 nurse staffing hours per resident per day, above the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included policies to prevent abuse/neglect/theft, food safety and storage, and quality assurance oversight.
Facility ratings
Health inspections
Staffing
5.0952 hrs/resident/day
Quality measures
Last inspection: August 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0952.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.92
- Nurse aides
- 3.60
- Weekend nursing
- 4.27
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.1%24.1%Worsening
Residents with a fall causing major injury
4.8%5.1%No change
Residents with pressure ulcers (bedsores)
2.2%2%No change
Residents with a urinary tract infection
15.4%5.6%Improving
Residents who lost too much weight
2.6%3.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
30.8%22.6%Improving
Residents whose ability to walk got worse
21.8%19.6%Improving
Long-stay residents on antianxiety or sleep medication
33.3%31.4%Improving
Short-stay residents newly given an antipsychotic
8.3%0%Improving
Residents with a long-term catheter
3.4%0%Improving
Residents with new or worsening incontinence
33.7%26.4%Improving
Residents with depressive symptoms
23.1%35.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.6%97.4%No change
Short-stay residents given the seasonal flu vaccine
—86.3%—
Short-stay residents given the pneumonia vaccine
95%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 45.4 residents on an average day (91% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.