Home›Browse›North Carolina›Kannapolis›Big Elm Retirement and Nursing Centers

Nursing homeFAID #9097

Big Elm Retirement and Nursing Centers

1285 WEST A STREET, KANNAPOLIS, NC, 28081

(704) 932-0000

50 licensed beds

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

1285 West a Street

Kannapolis, NC 28081

Get directions

Map facilities in this area

All facilities in Kannapolis

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

345342

Care type

Nursing home

County

Rowan

Facility name

Big Elm Retirement and Nursing Centers

Street address

1285 WEST A STREET

City / state / ZIP

Kannapolis, NC 28081

Phone

(704) 932-0000

About this facility — Big Elm Retirement and Nursing Centers

Big Elm Retirement and Nursing Centers is a Medicare/Medicaid-certified skilled nursing facility in Kannapolis, North Carolina. It is licensed for 50 beds — well below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 20 senior care facilities in Kannapolis and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Big Elm Retirement and Nursing Centers 32 times across 6 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Individual

Registered owners & officers

Gatewood, Thomas

Direct owner · Director · Operational control · Additional disclosable party — 100% stake — since 2002

Dolack, Christina

Operational control · Additional disclosable party — since 2024

Mcswain, Robert

Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1991-01-01

CMS overall rating

4 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-08-28

Nurse staffing

5.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$217 per day (≈ $6,600/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

29% Medicaid · 15% Medicare · 56% private/other

Occupancy

59% (fiscal year 2023)

Vs. state median

42% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-08-28Health inspection4 citations

F-0553

D · No harm found

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

Corrected 2025-09-22

F-0568

B · No harm found

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

Corrected 2025-09-22

F-0689

D · No harm found

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

Corrected 2025-09-22

F-0695

D · No harm found

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

Corrected 2025-09-22

2024-07-11Health inspection5 citations

F-0554

D · No harm found

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

Corrected 2024-08-04

F-0576

C · No harm found

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

Corrected 2024-08-04

F-0584

B · No harm found

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.

Corrected 2024-08-04

F-0689

D · No harm found

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

Corrected 2024-08-04

F-0812

F · No harm foundFood safety

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

Corrected 2024-08-04

4 earlier / fire-safety inspections (23 citations)

2023-03-29Health inspection7 citations

F-0607

L · Immediate jeopardy

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

Corrected 2023-03-29

F-0623

B · No harm found

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

Corrected 2023-03-29

F-0656

D · No harm found

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

Corrected 2023-03-29

F-0812

E · No harm foundFood safety

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

Corrected 2023-03-29

F-0867

E · No harm found

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

Corrected 2023-04-17

F-0883

E · No harm found

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

Corrected 2023-03-29

F-0887

E · No harm found

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.

Corrected 2023-03-29

2024-07-11Fire-safety inspection8 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-09-22

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-09-22

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-22

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-09-22

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-22

K-0911

D · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-09-22

K-0914

D · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-09-22

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-22

2023-03-29Fire-safety inspection7 citations

K-0111

D · No harm found

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2023-06-25

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-06-25

K-0352

D · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-06-25

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-06-25

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-25

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-25

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-25

2021-10-29Fire-safety inspection1 citation

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-12-28

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345342.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered