Big Elm Retirement and Nursing Centers
1285 West A Street, Kannapolis, NC 28081
Kannapolis, North Carolina · CMS verdict
On the federal five-star scale, Big Elm Retirement and Nursing Centers shows below-average quality that runs below North Carolina's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Big Elm Retirement and Nursing Centers in Kannapolis, North Carolina holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 46 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
Its certified bed capacity sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 46 is built
Each segment is a dimension's weighted points toward the score, summing to 46.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Big Elm Retirement and Nursing Centers's thinner certified-bed book
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the North Carolina average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Kannapolis, North Carolina. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 94% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Big Elm Retirement and Nursing Centers's lower-tercile stars compare to North Carolina
CMS five-star sub-ratings (0–5) for this facility against the North Carolina facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Carolina state average. Higher is better on all four CMS measures.
Where Big Elm Retirement and Nursing Centers ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Big Elm Retirement and Nursing Centers’s 2-star overall rating is higher than 22% of them. The bars show how all North Carolina homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
92 North Carolina homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 50 |
| Residents | 47 |
| Ownership | For profit - Individual |
| County | Rowan |
| Penalties | 1 |
| Deficiencies | 16 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Big Elm Retirement and Nursing Centers? ▾
2 out of 5 stars is Big Elm Retirement and Nursing Centers's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the North Carolina average.
How much does a nursing home cost per month in North Carolina? ▾
CareScout's 2025 survey puts North Carolina's median semi-private nursing home rate at $9,733 per month ($116,800 per year), with private rooms averaging $10,798 per month.
What services does Big Elm Retirement and Nursing Centers offer? ▾
Big Elm Retirement and Nursing Centers operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Big Elm Retirement and Nursing Centers have any deficiencies or penalties? ▾
Big Elm Retirement and Nursing Centers has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Carolina? ▾
In North Carolina, alternatives include assisted living ($6,496/mo), home health aides ($5,720/mo), and adult day care ($1,831/mo).
Keep reading
Also see the North Carolina elder-care overview and highest-rated states. Provider ID: 345342.
Read our methodology - how this data is sourced, computed, and verified.