Person Memorial Hospital
Roxboro · 0.2 mi · 56 beds
Citations0Substantiated0
Roxboro Healthcare & Rehab Center
901 Ridge Road, Roxboro, NC, 27573
Nursing home140 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 3 deficiencies against Roxboro Healthcare & Rehab Center in Roxboro, North Carolina at its most recent standard inspection on 2025-12-04. 2 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $56,778. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
140certified beds
3deficiencies at the last inspection
0immediate-jeopardy findings on record
2actual-harm findings on record
1federal fines, $56,778
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.17
Potential for minimal harmThe least serious band.1
Most recentEEDEDDDDDDDDGGDEEDDC
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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.
Resident Rights Deficiencies · F0584 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2024-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-08-15 · from a complaint · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0688 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2024-07-12 · from a complaint · Actual harm to a resident
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-07-12 · from a complaint · Actual harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-07-12 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · F0553 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2023-09-29 · standard survey · No actual harm, potential for minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.13191
Nursing staff turnoverShare of nursing staff who left in a year58.9%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$56,778
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Roxboro Healthcare & Rehab Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| LIBERTY HEALTHCARE GROUP LLC | Organization | 100% | since 02/01/2020 |
| WILSON, JEFFREY | Individual | NOT APPLICABLE | since 02/01/2020 |
| LONG TERM CARE MANAGEMENT SERVICES LLC | Organization | NOT APPLICABLE | since 02/01/2020 |
| CALCUTT, JOSEPH | Individual | NOT APPLICABLE | since 02/01/2020 |
| WILSON, JEFFREY | Individual | NOT APPLICABLE | since 02/01/2020 |
Part of the LIBERTY SENIOR LIVING group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Roxboro Healthcare & Rehab Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345311.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction