D63

Roxboro Healthcare & Rehab Center

Grade D 63/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
3/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

140

Ownership

For profit - Limited Liability company

Total Fines

$56,778

Last Survey

N/A

901 Ridge Road, Roxboro, NC 27573
3365990106

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.41h
LPN
0.53h
CNA
2.14h
Total
3.07h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LIBERTY HEALTHCARE GROUP LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2020

100%

JOHN A MCNEILL JR 2012 IRRV TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

24%

RONALD B AND CYNTHIA J MCNEILL 2013 IRRV TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

24%

MCNEILL, JOHN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

26%

MCNEILL, RONALD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2020

26%

LONG TERM CARE MANAGEMENT SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2020

CALCUTT, JOESEPH V

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2020

WILSON, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2020

WILSON, JEFFREY

IndividualCORPORATE DIRECTORSince Feb 2020

Penalties & Fines (2)

$56,778total fines
DateTypeDescriptionAmount
Jul 12, 2024Fine$56,778
Jul 12, 2024Payment Denial

Health Inspection Deficiencies (23)

August 15, 2024Health9 deficiencies
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Sep 4, 2024
0656DMinimal harm, Isolated

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

Corrected Sep 4, 2024
0688DMinimal harm, 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.

Quality of Life and Care Deficiencies

Corrected Sep 4, 2024
0690DMinimal harm, 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.

Quality of Life and Care Deficiencies

Corrected Sep 4, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Sep 4, 2024
0761DMinimal harm, Isolated

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

Corrected Sep 4, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 4, 2024
0842DMinimal harm, Isolated

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

Corrected Sep 4, 2024
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Sep 4, 2024
July 12, 2024Health3 deficiencies2 severe
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Aug 15, 2024
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 15, 2024
0755GActual harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 15, 2024
September 29, 2023Health5 deficiencies
0553DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 31, 2023
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Oct 31, 2023
0761DMinimal harm, Isolated

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

Corrected Oct 31, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Oct 31, 2023
0867EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Oct 31, 2023
August 3, 2022Health6 deficiencies2 severe
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 11, 2022
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Aug 22, 2022
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 22, 2022
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Aug 22, 2022
0867FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Aug 22, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 22, 2022

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Frequently Asked Questions

What is the CareGrader rating for Roxboro Healthcare & Rehab Center?

Roxboro Healthcare & Rehab Center in Roxboro, North Carolina has a CareGrader grade of D (Below Average), with a composite score of 63.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Roxboro Healthcare & Rehab Center?

Roxboro Healthcare & Rehab Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Roxboro Healthcare & Rehab Center have?

Roxboro Healthcare & Rehab Center has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Roxboro Healthcare & Rehab Center been fined?

Yes. Roxboro Healthcare & Rehab Center has $56,778 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Roxboro Healthcare & Rehab Center have?

Roxboro Healthcare & Rehab Center has 140 certified beds with approximately 97 current residents (69% occupancy). The facility is located at 901 Ridge Road, Roxboro, North Carolina 27573. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.