No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Oxford Health and Rehabilitation Center

500 Prospect Avenue, Oxford, NC 27565 · For profit - Corporation · 160 certified beds · (919) 693-1531 Medicare & Medicaid certified

Call the home — (919) 693-1531 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Nov 2025
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Nov 2025
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (1/5)
  • nursing-staff turnover (60%) runs well above the national median (45%)
  • about 18% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
101 Professional Park Dr Suite A · (919) 729-5810 · Call to confirm hours
Pharmacy
140 Roxboro Rd · (919) 693-8555 · Call to confirm hours
Grocery
Food Lion0.2 mi
120 Roxboro Rd · (919) 693-6448 · Call to confirm hours
Park
313 E Spring St · (919) 603-1135 · Typically dawn to dusk
Place of worship
1315 College St · (919) 693-3187

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 1 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.0%15.6%15.4%better
Long-stay residents who lose too much weight12.7%7.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.1%0.7%0.9%better
Long-stay residents with a urinary tract infection0.2%2.3%2.0%better
Long-stay residents with depressive symptoms17.5%5.9%6.5%worse
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.0%3.5%3.3%worse
Long-stay residents whose ability to walk worsened5.4%18.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.5%21.3%18.9%better
Long-stay residents given the seasonal flu vaccine89.9%94.1%95.3%typical
Long-stay residents with pressure ulcers5.9%5.5%4.7%worse
Long-stay residents with worsening bladder/bowel control25.4%20.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table29.7%14.0%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.2%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine66.7%78.1%79.4%worse
Short-stay residents rehospitalized after admission24.5%22.9%22.6%typical
Short-stay residents with an outpatient ER visit16.6%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.801.781.67typical
Long-stay outpatient ER visits per 1,000 resident days2.731.801.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

35.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

35.0%U.S. median 51.5%
Got home and stayed home
11.6%U.S. median 10.7%
Went back to hospital
43.4%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 43.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 99 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF35.0%CMS range 24.2–43.051.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.6%CMS range 8.0–16.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge43.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge49.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge38.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened9.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.2%CMS range 3.2–10.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.031.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.15
RN hours/ resident / day
0.81
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.05
Total nurse hours/ resident / day
0.07
RN hoursweekends
60.4%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 160 beds and averages 159.3 residents a day — about 100% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.05 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.15 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.47 hrs/resident/day on weekends vs 3.28 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.18 to 0.07 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

8
deficiencies at the latest standard inspection (2025-11-21)
6
at the previous standard inspection (2024-07-03)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · D2026-06-15 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, a consultant pharmacist interview, and record reviews, the facility failed to have a medication error rate below 5 percent. Three medication errors were identified out of twenty-six opportunities, resulting in a medication error rate of 11.5 percent for two of the five residents observed during the medication administration observation (Resident #4 and Resident #6).Findings included:1. Resident #4 was admitted on [DATE] with a diagnosis of congestive heart failure.Resident #4 had a physician's order dated 6/9/2026 that directed the administration of two 20-milligram tablets of Torsemide by mouth twice daily for treatment of congestive heart failure.During a medication administration observation on 6/15/2026 at 8:28 AM, Nurse #2 administered one 20 milligram tablet of Torsemide to Resident #4.A review of the medication administration record showed that Nurse #2 documented that Resident #4 received two 20 milligram tablets of Torsemide on 6/15/2026 at 8:50 AM.During an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-11-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews, the facility failed to maintain the double door oven, the stove drip pan, the steam table backsplash and rack under the steam table clean. The facility failed to label, and date opened food and failed to separate raw meat from cooked food in 1 of 1 walk-in refrigerator, and in 1 of 1 walk-in freezer. The facility also failed to label and date resident's foods, failed to discard expired food, and keep nourishment refrigerators clean for 3 of the 4 nourishment refrigerators (200, 300, 400/500 hallway nourishment refrigerators) observed. The facility failed to ensure 2 of 2 dietary staff wore hair restraints and 2 of 2 male dietary staff had all facial hair contained in a face covering. The facility also failed to hold cold food (equal to or less than 40 degrees Fahrenheit (F)) on the steam table and remove chipped plates and dirty plates from the plate warmer during tray line observation. These practices had the potential to affect food being served to residents.Findings…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-11-21 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews, and staff interviews, the facility failed to follow the planned menu for renal and diabetic renal diets, and for mechanical altered and pureed diets. Failure to follow the planned menu was observed during 1 of 1 tray line observation conducted. This affected 7 residents on renal diet, 3 residents on renal diabetic diet, 17 residents on mechanically altered diet and 12 residents on pureed diet. Findings included:a. The diet spread sheet for therapeutic diets for lunch meal on 11/18/25 revealed renal and diabetic renal diets were to receive 4-ounces (oz) of carrots.The Diet Type Report revealed there were 7 residents on renal diet and 3 residents on renal diabetic diet.Tray line observation on 11/18/25 at 12:10 PM, revealed the steam table had no carrots for the renal and diabetic renal diets.On 11/18/25 at 12:22 PM the Certified Dietary Manager (CDM) entered the kitchen and stated that renal diets would be receiving sliced cucumbers. Two renal trays were observed with sliced cucumbers. During an interview on 11/18/25 at 12:25 PM, the CDM…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff and Durable Power of Attorney interviews, the facility failed to convey (transfer) funds within 30 days of discharge from the facility to the Durable Power of Attorney for 1 of 3 residents reviewed for refund of deposit (Resident #165).Findings included:Resident #165 was admitted to the facility on [DATE]. The resident had a planned discharge to another skilled nursing facility on 4/11/25.A review of the discharge tracking MDS dated [DATE] revealed Resident #165 had a planned discharge to another facility on 4/11/25.On 11/18/25 at 1:03 PM an interview via telephone with Resident #165's Durable Power of Attorney (DPOA) occurred. The DPOA explained the resident initially paid privately for care at the facility. Resident #165 was discharged to another skilled nursing facility on 4/11/25 and was owed a refund of approximately $1700. The DPOA revealed she had been in contact with the facility's Business Office Manager (BOM) the week of 4/11/25 and was told she would receive a refund…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to protect the residents' right to be free from misappropriation of a controlled substance medication (oxycodone) prescribed to treat pain. This occurred for 2 of 2 residents (Resident #177 and Resident #131) reviewed for the misappropriation of property.The findings included: a. Resident #177 was admitted to the facility on [DATE] from a hospital. His cumulative diagnosis included chronic hip pain, heart failure and non-Alzheimer's dementia. A review of Resident 177's electronic medical record (EMR) revealed his physician's orders included the following pain medications:--On 9/30/25, a physician's order was received for 500 milligrams (mg) of acetaminophen (an over-the-counter pain medication) to be administered as two tablets by mouth every 8 hours for pain. --On 10/7/25, a physician's order was written for 10 mg oxycodone to be administered as one tablet by mouth every 6 hours as needed for chronic hip pain for 14 days. A Packing Slip Proof of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2025-11-21 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and resident and staff interviews, the facility failed to implement care planned interventions for fall safety for 1 of 4 residents reviewed for accidents (Resident #105). The findings included:Resident #105 was admitted to the facility on [DATE] with diagnoses that included hemiplegia (complete paralysis on one side of the body) and hemiparesis (partial weakness on one side of the body) following stroke affecting the dominant right side.The admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #105 was severely cognitively impaired and required total assistance from staff for activities of daily living (ADL). She was assessed as having no falls since admission.A review of Resident #105's active care plan initiated on 4/17/25 revealed there was a problem area for being at risk for falls related to muscle weakness, reduced physical mobility, requiring assistive devices to walk or transfer with an intervention of a fall mat to bilateral sides of bed.On…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and physician and staff interviews, the facility failed to have effective systems in place for entering medication orders into the electronic medical record and administering medications per the physician orders for a new admission for 1 of 6 residents whose medications were reviewed (Resident #174). The findings included:Resident #174 was admitted to the facility on [DATE] at approximately 4:45 PM with diagnoses that included Type 2 diabetes mellitus with chronic foot ulcer, hypertension, atrial fibrillation, and congestive heart failure.A review of Resident #174's physician orders dated 12/10/24 included the following: Coreg Oral Tablet 6.25 MG (Carvedilol) Give 1 tablet by mouth at bedtime for hypertension at 8:00 PM, start date 12/11/25. Hold for systolic blood pressure (SBP) below 95 and HR below 60. Gabapentin Capsule 100 MG Give 1 capsule by mouth two times a day for neuropathy at 9:00 AM & 9:00 PM, start date 12/11/25.Flomax Capsule 0.4 MG (Tamsulosin HCl) Give 1 capsule by mouth…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility failed to ensure smoking assessments were accurate and completed quarterly for 1 of 8 residents reviewed for smoking (Resident #50).The findings included:Resident #50 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease and chronic obstructive pulmonary disease. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #50 was not using tobacco at the time of admission and was severely cognitively impaired. Resident #50's smoking assessment dated [DATE] completed by Nurse #4 recorded Resident #50 had cognitive loss and indicated Resident #50 needed supervision when smoking. The smoking assessment specified Resident #50 had a cognitive loss, required an occupational therapy evaluation as needed, and needed supervision when smoking. An interview was conducted on 11/20/2025 at 1:37 PM with Nurse #4, Unit Manager. Nurse #4 revealed she completed the smoking assessment for Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and physician and staff interviews, the facility failed to prevent significant medication errors when Nurse #6 did not schedule a new residents' (Resident #174) medication to start on the afternoon of admission. The medications were available in the Pyxis system (an automated, secure, and centralized system used in healthcare to manage the storage, dispensing, and tracking of medications). Resident #174 was admitted on [DATE] at approximately 4:45 PM, his medications were scheduled to start on 12/11/24 at 8:00 and 9:00 AM. This was for 1 of 6 residents whose medications were reviewed.The findings included:Based on record review and physician and staff interviews, the facility failed to have effective systems in place for obtaining and administering medications to a new admission which resulted in a significant medication error for 1 of 6 residents whose medications were reviewed (Resident #174). The findings included:Resident #174 was admitted to the facility on [DATE] with diagnoses that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-07-03 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, and staff interviews, the facility failed to ensure the garbage and refuse was disposed of and keep 4 of 4 dumpsters and surrounding area clean and free from debris. The findings included: During an initial tour observation on 6/30/24, at 9:54 AM, revealed 4 dumpsters located near a wooded area at the back of the facility had large amounts trash bags of garbage and refuse overflowing from the tops and loose paper products, boxes and loose food products outside of containers on the ground and surrounding areas. A follow-up observation and interview were conducted on 7/2/24 at 12:00 PM, with the Dietary Manager revealed the trash bags filled with garbage left on the ground had been removed, however the surrounding area had not been thoroughly cleaned evidence by the remaining paper and food products was still on the ground around the sides and backs of the dumpsters. The Dietary Manager stated the dietary staff were responsible for cleaning the 3 smaller dumpsters daily and the larger rental dumpster should have been emptied on 6/28/24. The rental company did…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · Ecited before2024-07-03 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observations, and staff interviews, the facility failed to secure medications, date opened multi dose medications, and discard expired medications for 3 of 7 medication observations (400 hall medication cart, 500 hall medication storage/prep room, and the100 hall medication cart). Findings included: 1. On 7/03/24 at 10:43 AM the 400 hall medication cart was reviewed with Medication Aide #1. The following were discovered during the review: a. Thirty-two loose unidentifiable tablets in the bottom of the right side second and third drawers. b. One lidocaine 1% 20 milliliter (ml) multidose vial without its security cap with and no opened-on date noted. c. Two lidocaine 1% 10 ml multidose vials without security caps and with no opened-on dates noted. d. One Latanoprost 0.005% eye drops with a prescription filled on date of 4/15/24. Observed with date opened 4/12/24 and an expires 6 weeks after opening 5/22/24 notation. On 7/03/24 at 11:20 AM an interview with Nurse #2 was conducted. She stated the multidose injectable lidocaine vials should have been marked when…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-07-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to keep food preparation areas and food service equipment clean, free from debris, grease buildup, and/or dried spills during two kitchen observations. The facility failed to clean the floor and ceiling vents located over the food prep and food service area. This practice had the potential to affect food served to residents. The findings: During a kitchen tour on 6/30/24 at 9:34 AM, the following observations were made with the kitchen Cook/Dietary Aide: a. The 6- stove burners had heavy grease build-up on the stove burners, walls behind the stove, and front of the stove. There were large amounts of burnt foods, dried, encrusted, liquid and splatters throughout the stove area. The inside and outside of the combination stove and oven doors had grease buildup, dried foods, and liquid spills. b. The 2-compartment ovens had a heavy grease build-up, dried food, and liquids on the inside and outside. The grease buildup was encrusted on doors/shelves where food was being cooked. There was a dried grease buildup observed on the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-03 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff and resident, the facility failed to maintain a resident's dignity when Housekeeper #1 spoke to Resident #13 in a demeaning manner regarding the cleanliness of his room and cursed at the resident. This deficient practice affected 1 of 3 residents reviewed for dignity. Findings included: Resident #13 was admitted on [DATE]. A witness statement written by Housekeeper #2 indicated on 3/03/24 at 2:20 PM she had been making rounds on the hall when she heard and saw Housekeeper #1 in Resident #13's room, cursing him. On 07/03/24 at 8:51 AM an interview with Housekeeper #2 was conducted. She stated on 3/03/24 she had been in the hallway talking with Housekeeper #1 who was talking directly to Resident #13 who was in his room. Housekeeper #1 cursed at Resident #13 and said things about his lack of cleanliness. She explained after Housekeeper #1 had said curse words, he (Housekeeper #1) left the hall, and she did not see him again and thought he had may have been sent home.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, the facility failed to maintain clean and sanitary resident rooms for 2 of 13 rooms on the 500 hall (rooms [ROOM NUMBERS]) observed for clean and homelike environment. The findings included: a. An observation on 6/30/24 at 10:40 AM, revealed the floor in room [ROOM NUMBER] was noted to be sticky with spilled food particles and multiple pieces of paper lying on it. On 6/30/24 at 11:06 AM, an observation and interview was conducted with the resident who resided in room [ROOM NUMBER]. The resident stated he had accidentally dropped candy and snacks on the floor last night. He further stated he left his room after breakfast with the hope that housekeeping staff would clean his room. He stated the housekeeping staff were supposed to clean his room in the morning, however, it had not yet been cleaned. b. An observation of room [ROOM NUMBER] was conducted on 6/30/24 at 11:20 AM. The floor was observed to be sticky. There were 2 empty, crumbled wipes packets (one near…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-05-18 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and record review, the facility failed to: 1) Discard expired medications and/or medications without a legible expiration date on 3 of 3 medication (med) carts observed (the 200 Hall Med Cart, the 400 Hall Med Cart and the 500 Hall Med Cart); 2) Label medications with the minimum information required, including the name of the resident, on 1 of 3 med carts observed (the 400 Hall Med Cart); 3) Store medications in accordance with the manufacturer's storage instructions in 1 of 3 Medication Storage Rooms (230-300 Hall Med Cart); and 4) Secure a medication cart when not in use for 1 of 6 med carts observed to be unlocked and unattended by nursing staff (300 Hall Med Cart). The findings included: 1. An observation was conducted on 5/17/23 at 2:12 PM of the 200 Hall medication cart in the presence of Medication (Med) Aide #1. The observation revealed 6 - 12.5 milligram (mg) promethazine (an antinausea medication) suppositories with an expiration date of February 2023, and 1 -…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-18 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record reviews, the facility failed to accurately complete a Minimum Data Set (MDS) assessment to reflect the number of falls sustained for 1 of 6 residents (Resident #210) reviewed for accidents. The findings included: Resident #210 was admitted to the facility on [DATE] with a cumulative diagnoses which included a history of cerebrovascular accident (stroke) with hemiplegia/hemiparesis (complete paralysis to partial weakness on one side of the body). Review of the resident's electronic medical record (EMR) revealed an admission Minimum Data Set (MDS) assessment was completed for Resident #210 on 10/3/22 Documentation in Resident #210's EMR reported the resident sustained a fall without injury on 10/13/22 and 10/23/22. The resident was also reported to have one fall with injury on 10/26/22. Resident #210's most recent MDS was a quarterly assessment dated [DATE]. The MDS section on Health Conditions reported the resident had only one fall with injury since her last MDS assessment…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to develop a care plan which addressed the use of an antipsychotic and antianxiety medication for 1 of 5 residents (Resident #21) reviewed for unnecessary medications. The findings included: Resident #21 was admitted to the facility on [DATE] with diagnoses which included manic depression (bipolar disorder) and anxiety disorder. The resident's admission orders dated 2/15/23 included the following medications, in part: 25 milligrams (mg) sertraline (an antidepressant) to be given as three tablets by mouth every day (for a total dose of 75 mg) and 0.5 mg risperidone (an antipsychotic medication) to be given as one tablet by mouth twice daily. Lorazepam (an antianxiety medication) was added to the resident's medication regimen on 2/20/23 as 2 mg / milliliter (ml) injected intramuscularly twice daily. Review of Resident #21's admission Minimum Data Set (MDS) assessment dated [DATE] indicated the resident had moderately impaired cognition. The MDS…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-07-03 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to post the daily nurse staffing information to residents and visitors for 1 of the 4 days (6/30/24) of the survey period. Finding included: On 6/30/24 during facility initial tour and multiple observations throughout the day including at 9:20 AM and at 1:30 PM, the daily nurse staffing sheet posted near the facility lobby was dated 6/28/24. The posting was not updated to reflect the current date, census, and staffing information. During an interview on 7/3/24 at 2:17 PM, the Scheduler stated she was responsible for completing the staffing information for the week. On Friday, she completed the staff postings from Friday to Monday. These forms were given to the Administrator. The Administrator was responsible for posting the information in the front lobby daily. During an interview on 7/3/24 at 4:00 PM, the Administrator stated the nurse staff posting should be posted daily. The Administrator indicated the Staff Development Coordinator was responsible for ensuring that the daily nurse staffing sheet was accurately…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFEWORKS REHAB — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.1-1.1 vs chain
Health inspection 2 of 52.0≈ chain avg
Staffing 1 of 51.6-0.6 vs chain
Quality measures 1 of 53.9-2.9 vs chain
The other 63 homes this chain runs (chain average 2.1★, per CMS)
1 of 5APPOMATTOX HEALTH & REHABILITATiON CENTERAppomattox, VA 1 of 5Alamance Health Care CenterBurlington, NC 1 of 5Bayside Health & Rehabilitation CenterVirginia Beach, VA 1 of 5Cabarrus Health and Rehabilitation CenterConcord, NC 1 of 5Charlotte Health & Rehabilitation CenterCharlotte, NC 1 of 5Chesapeake Health And Rehabilitation CenterChesapeake, VA 1 of 5Colonial Heights Rehabilitation And Nursing CenterColonial Heights, VA 1 of 5Elkton Nursing And Rehabilitation CenterElkton, MD 1 of 5Greenville Health and Rehabilitation CenterGreenville, NC 1 of 5Guilford Health Care CenterGreensboro, NC 1 of 5Harrisonburg Hlth & Rehab CntrHarrisonburg, VA 1 of 5Largo Nursing And Rehabiliation CenterGlenarden, MD 1 of 5Layhill Nursing And Rehabilitation CenterSilver Spring, MD 1 of 5Lenoir Health and Rehabilitation CenterLenoir, NC 1 of 5Lynchburg Health & Rehabilitation CenterLynchburg, VA 1 of 5Norfolk Health Care CenterNorfolk, VA 1 of 5Parham Health Care & Rehab CenterRichmond, VA 1 of 5Salem Health & RehabilitationSalem, VA 1 of 5University Health and Rehabilitation CenterDurham, NC 1 of 5Virginia Beach Healthcare And Rehab CenterVirginia Beach, VA 1 of 5Westport Rehabilitation And Nursing CenterRichmond, VA 1 of 5White Oak Rehabilitation And Nursing CenterHyattsville, MD 1 of 5Williamsport Health And Rehabilitation CenterWilliamsport, MD 2 of 5Adelphi Nursing And Rehabilitation CenterAdelphi, MD 2 of 5Albemarle Health & Rehabilitation CenterCharlottesville, VA 2 of 5Beaufont Health And Rehabilitation CenterRichmond, VA 2 of 5Belaire Health Care CenterGastonia, NC 2 of 5Charlottesville Health & Rehabilitation CenterCharlottesville, VA 2 of 5Cherrydale Health & Rehabilitation CenterArlington, VA 2 of 5Culpeper Health & Rehabilitation CenterCulpeper, VA 2 of 5Fairfax Rehabilitation And Nursing CenterFairfax, VA 2 of 5Glenburnie Rehab & Nursing CenterRichmond, VA 2 of 5Hanover Health And Rehabilitation CenterMechanicsville, VA 2 of 5Lexington Health Care CenterLexington, NC 2 of 5Litchford Falls Health and Rehabilitation CenterRaleigh, NC 2 of 5Pike Creek Nursing & Rehabilitation CenterWilmington, DE 2 of 5Regency Health And Rehabilitation CenterYorktown, VA 2 of 5Shady Grove Nursing And Rehabilitation CenterRockville, MD 2 of 5The Nursing And Rehab Center At Stadium PlaceBaltimore, MD 3 of 5Bowling Green Health & Rehabilitation CenterBowling Green, VA

Showing 40 of 63; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
OXFORD HOLDINGS I LLCOrganizationDIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTERESTsince 06/01/2024
BRIDGEWATER NC HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 06/01/2024
HL FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
HSHC 2024 FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
IB MIMI 2022 FAMILY GRANTOR TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 06/01/2024
JK 2022 GRANTOR FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
MILANO FAMILY HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 06/01/2024
ML MILANO 2022 FAMILY GRANTOR TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 06/01/2024
ML MILANO 2022 FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 06/01/2024
TJ FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
TOL OPCO INVESTCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
UH CAROLINA SNF OPERATIONS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
UNIVERSAL OPERATIONS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
WILL FAMILY 2016 TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2024
BERG, TABITHAIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2024
RICHARDS, LINDAIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2024
SHAYO, JULIUSIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 03/17/2026
THOMAS, RHONDAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2024
DEAL, MARTINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/11/2026
PLYLER, KIMBERLYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2024
TERRELL, MUNASHEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2024
BURTON, NOAHIndividualTRUSTEE OF THE SNFsince 06/01/2024
ELLENBOGEN, MOSSIndividualTRUSTEE OF THE SNFsince 06/01/2024
RUBIN, ELIEZERIndividualTRUSTEE OF THE SNFsince 06/01/2024
WEISS, HILLELIndividualTRUSTEE OF THE SNFsince 06/01/2024
500 PROSPECT AVENUE LLCOrganizationADP OF THE SNFsince 06/01/2024
ACS PRO GLOBAL SOLUTIONSOrganizationADP OF THE SNFsince 06/01/2024
CYOP CYBER SECURITY LLCOrganizationADP OF THE SNFsince 06/01/2024
DIGACORE CONSULTINGOrganizationADP OF THE SNFsince 06/01/2024
HEALTHCARE SERVICES GROUP INCOrganizationADP OF THE SNFsince 06/01/2024
LIVE WELL PLUS LLCOrganizationADP OF THE SNFsince 06/01/2024
MEDICAL FACILITIES OF AMERICA ADMINISTRATIVE CONSULTING SERVICES LLCOrganizationADP OF THE SNFsince 06/01/2024
MEDLINE INDUSTRIESOrganizationADP OF THE SNFsince 06/01/2024
MFA CLINICAL CONSULTING LLCOrganizationADP OF THE SNFsince 06/01/2024
MFA HERITAGE CONSULTING LLCOrganizationADP OF THE SNFsince 06/01/2024
RYTES COMPANY LLCOrganizationADP OF THE SNFsince 06/01/2024
TURNING POINT CONSULTING LLCOrganizationADP OF THE SNFsince 06/01/2024
MYERS, LINDAIndividualADP OF THE SNFsince 06/01/2024

CMS files one row per role, so the 48 rows in the source record cover these 38 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

26 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$12.9M
Net patient revenuemost recent cost report
+7.8%
Operating marginrevenue minus expenses
$2.2M
Related-party expense18% of expenses
Who pays — share of resident-days
Medicaid 73%Medicare 4%Other / private 23%

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$272per resident / day
operating cost
$8,279per month
≈ monthly operating cost
$295per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the North Carolina Medicaid page.

Typical monthly cost in North Carolina
$9,733/mo
Nursing home (semi-private)
$10,798/mo
Nursing home (private)
$6,496/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 345291. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

What to do next