Roxboro Healthcare & Rehab Center

Location & what’s nearby

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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

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.

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.

60.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 59 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.9% 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 28 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 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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.

Staffing

How full it usually is: this home is certified for 140 beds and averages 90.0 residents a day — about 64% occupied, or roughly 50 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.13 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 2.93 hrs/resident/day on weekends vs 3.21 on weekdays — 9% thinner on weekends. RN hours go from 0.46 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%. 1 administrator has left in the past year.

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

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · G2024-07-12 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 residents, staff, a Nurse Practitioner, Physician, and pharmacists for three (Residents # 5, # 10, and # 15) of three sampled residents reviewed for pain management the facility failed to provide pain medications for hospice and surgical residents per their orders and/or request and plan of care. For one of these three residents (Resident # 10), a nurse was aware the resident was in pain due to a recent hip replacement surgery but reported she could not access pain medication to administer to the resident resulting in the resident not receiving pain medication when she was in pain. Additionally, pharmacy records and medication administration records showed Resident # 10's personal supply of the pain medication had been received by the facility one hour and 34 minutes before it was administered during which timeframe Resident # 10 reported she was in pain. The findings included: 1. Resident # 10 was admitted to the facility on [DATE]. Review of Resident # 10's hospital…

  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
• Actual harm · G2024-07-12 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, record review, and interviews with residents, staff, and pharmacist for three of three residents (Residents # 5, # 10, #15) whose medications were reviewed the facility failed to ensure 1)nurses had access to back up pain medications in the facility's supply and the pain medications were replenished and available for administration (Residents # 10 and # 15) 2) narcotic pain prescriptions were faxed to the pharmacy correctly in order they be filled (Resident # 15) 3) allergies to pain medications were clarified in a time frame which did not interfere with the delivery of the pain medication from the pharmacy (Resident # 15) 4) prescription request for narcotic pain medication refills were submitted to the physician prior to a resident's supply running out (Resident # 5) and 5) the facility's accounting system of a controlled substance (Oxycodone) accurately reflected the exact number of tablets on hand in the facility's back up supply. For Resident # 10, the resident and staff reported 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-04 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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

  Based on observations, record reviews, and interviews, the facility failed to keep 9 of 9 ceiling vents free from a buildup of dust and maintain an intact painted surface on the vents in the dining room which resulted in particles of dust and paint chips being blown into the air in the direct vicinity of where residents were observed to be eating food in 1 of 1 dining room.Findings included:a. During the initial dining room observation on 12/1/25 at 12:30 PM, Nine of the 9 ceiling vents were observed with visible dust particles and chipped paint particles located in the dining room over resident dining tables. The 9 residents were observed to be eating in the dining room at the time of the observationb. On 12/2/25 at 8:00 AM, staff were observed serving meals to 9 residents in the dining room. Nine ceiling vents located in the vicinity of the 9 residents were observed with a dust buildup and chipped paint. Particles of dust and chips of paint from the vents were observed blowing in the air over the residents' meals and tables where the residents were seated. No paint chips or dust…

  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 before2025-12-04 · 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, interviews, and record reviews, the facility failed to ensure that seven ceiling vents, two ceiling fans, and two industrial fans in the kitchen and dishwashing area remained free of dust particles blowing onto clean surfaces. This practice potentially compromised the safety of food served to residents.Findings included:Kitchen Tour on 12/1/25 at 10:23 AM with the Dietary Manager revealed the following:a. Three dietary aides prepared meals at the steam table and main food preparation area while seven ceiling vents and one ceiling fan displayed visible hanging dust particles on the blades and vent grates. Dust blew from the vents over the steam table and food preparation area, settling onto uncovered dishes and an uncovered pan of vegetables on the prep table. b. In the dishwashing area that could be seen from the main food preparation and serving area in the kitchen there was one ceiling vent, one ceiling fan, and two industrial fans that had visible dust particles on the blades and hanging from the vent grates and particles blew over clean dishes. On 12/3/25…

  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 · D2025-12-04 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 reviews and interviews with resident and staff, the facility failed to involve residents and/or their representatives in the care planning process for 1 of 20 sampled residents reviewed for care plan participation (Resident #3). Findings included: Resident #3 was admitted to the facility on [DATE] with diagnoses including type 2 diabetes mellitus, congestive heart failure, and atrial fibrillation.The care plan meeting signature form dated 1/28/25 was reviewed. It indicated that a care plan meeting was conducted with the resident on that date. The form indicated that Resident #3 participated in the meeting with the Interdisciplinary Team (IDT). There was no signature indicating Resident #3's representative attended the care plan meeting. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #3 had moderate cognitive impairment and required substantial to maximal assistance from staff for most activities of daily living.A care plan invitation letter dated…

  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 · E2024-08-15 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to prevent a buildup of dust on, and condensation on and around the kitchen Heating Ventilation and Air Conditioning (HVAC) vent, which resulted in moisture damage to the ceiling in the kitchen. These practices had the potential to affect food served to all residents. Findings included: A. An observation of the kitchen on 8/13/24 at 11:40 AM revealed a puddle of water on the floor which was approximately the size of a golf ball. The puddle was observed in the kitchen walkway in front of the table where the juice dispenser, iced tea maker, and coffee maker were placed. Observation of the ceiling above the puddle of water revealed an HVAC vent which had a buildup of condensation, and the condensation was dripping onto the floor, contributing to the puddle of water on the floor. The HVAC vent was approximately 2 feet by 2 feet and had a brownish black color around the edges with a visible buildup of dust. Further observation revealed an area extending approximately 6 inches around the perimeter of vent was discolored as if…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-15 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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, resident and staff interviews, and record review, the facility failed to determine whether the self-administration of medications was clinically appropriate for 1 of 1 sampled resident (Resident #82) who was observed to have a medication at bedside. The findings included: Resident #82 was admitted to the facility on [DATE]. His cumulative diagnoses included diabetes and exocrine pancreatic insufficiency (a condition in which the small intestine cannot digest food completely because of a lack of digestive enzymes produced by the pancreas). Resident #82 re-entered the facility on 7/9/24 after a hospital stay. His physician's orders upon readmission included the following, in part: --12,000 - 38,000 units Creon to be given as 4 capsules by mouth three times a day for supplement. Take with meals. Do not crush or chew Creon capsules or its contents, and do not hold the capsule or capsule contents in your mouth. --12,000 - 38,000 units Creon to be given as 2 capsules by mouth every 12 hours as…

  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 · D2024-08-15 · 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 staff and Rehabilitation Director interviews, and record reviews, the facility failed to develop a comprehensive care plan which addressed a resident's contractures and the application / removal of two splints for 1 of 1 resident reviewed for limited range of motion (Resident #80). The findings included: Resident #80 was admitted to the facility on [DATE] with cumulative diagnoses which included hemiplegia (paralysis that affects only one side of the body) following cerebral infarction (a type of stroke which occurs when blood flow to the brain is disrupted) affecting his right dominant side. An admission Occupational Therapy (OT) Screen was completed on 2/27/24 by the facility's Occupational Therapist. This screen reported Resident #80 had contractures of his right elbow, wrist, hand, and fingers. Occupational therapy was determined to be indicated at that time. An additional notation was made which read, in part: Patient will benefit from skilled OT services addressing all functional deficits to…

  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 · D2024-08-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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, family and staff interviews, and record review, the facility failed to ensure a resident's nails were clean for 1 of 4 residents (Resident #89) who were reviewed for Activities of Daily Living (ADLs). The findings included: Resident #89 was admitted to the facility on [DATE] from a hospital. Her cumulative diagnoses included a history of cerebral infarction (a type of stroke which occurs when blood flow to the brain is disrupted) and recurrent urinary tract infarctions (UTIs). An admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #89 had severely impaired cognition. No behaviors nor rejection of care were reported. The assessment indicated Resident #89 required partial to moderate assistance for eating with substantial/maximal assistance from staff for toileting, bathing, dressing, and personal hygiene. The resident's care plan included the following area of focus, in part: I have an ADL self-care performance deficit related to limited mobility (Initiated 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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, interviews with the resident, staff, and Occupational Therapist, and record reviews, the facility failed to follow a physician's order to apply two splints (one to the resident's right hand and one to his right elbow) to prevent further contracture for 1 of 1 resident reviewed for limited range of motion (Resident #80). The findings included: Resident #80 was admitted to the facility on [DATE] with cumulative diagnoses which included hemiplegia (paralysis that affects only one side of the body) following cerebral infarction (a type of stroke which occurs when blood flow to the brain is disrupted) affecting his right dominant side and aphasia. An admission Occupational Therapy (OT) Screen was completed on 2/27/24 by the facility's Occupational Therapist. This screen reported Resident #80 had contractures of his right elbow, wrist, hand, and fingers. Occupational therapy was determined to be indicated at that time. An additional notation was made which read, in part: Patient will benefit…

  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 · D2024-08-15 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 hospital and facility record reviews, the facility failed to keep a urinary catheter bag from touching the floor to reduce the risk of infection for 1 of 2 residents (Resident #89) reviewed with urinary catheters. The findings included: Resident #89 was admitted to the facility on [DATE] from a hospital. Her cumulative diagnoses included a history of cerebral infarction (a type of stroke which occurs when blood flow to the brain is disrupted) and recurrent urinary tract infections (UTIs). An admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #89 had severely impaired cognition. No behaviors nor rejection of care were reported. The assessment indicated Resident #89 required partial to moderate assistance for eating with substantial/maximal assistance from staff for toileting, bathing, dressing, and personal hygiene. Resident #89 was assessed as always incontinent of bladder and bowel. A review of Resident #89's hospital Emergency Department (ED)…

  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 · D2024-08-15 · 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

  Based on observations, staff interviews, and record reviews, the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 28 opportunities, resulting in a medication error rate of 7.1% for 2 of 5 residents (Residents #15 and #69) observed during the Medication Administration Observation. 1. On 8/11/24 at 10:37 AM, Nurse #7 was observed as she prepared and administered 5 medications to Resident #15. The medications administered included one 81 milligram (mg) aspirin chewable tablet. A review of Resident #15's medication orders revealed the resident had a current order for an 81 mg EC [enteric-coated] tablet delayed release aspirin to be given as one tablet by mouth one time a day (initiated on 1/3/24). An interview was conducted on 8/11/24 at 1:02 PM with Nurse #7. During the interview, the discrepancy in the formulation of the 81 mg aspirin tablet administered to Resident #15 was discussed. The nurse pulled the two different formulations of the 81 mg aspirin stock medications (chewable tablets and enteric coated/delayed release…

  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

“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.

Fines & penalties

$56,778 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $56,778 — penalty dated 2024-07-12
• Medicare payment denial — starting 2024-08-06 for 29 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIBERTY SENIOR LIVING — 37 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 →

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

CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

This home reported $2.1M 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

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