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Accordius Health At Rose Manor LLC
4230 North Roxboro Street, Durham, NC 27704
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 111 beds, Accordius Health At Rose Manor LLC serves Durham in Durham County, North Carolina and has taken Medicare and Medicaid residents since 1973.
CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (12, 14, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 34.2 per 100 beds, more than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $17K.
Reported nurse staffing is 3.9 hours per resident per day (0.6 RN), close to the North Carolina median of 3.5; nursing staff turnover is 52.2%.
Compared with county, state and nation
| Measure | This facility | Durham Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 16 | 16 | 28.7 |
| Citations per 100 beds | 34.2 | 19.0 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.7 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 52.2% | 57.8% | 48.6% | 45.8% |
| Fines listed | $16,801 | $25,275 | $8,512 | — |
County and state figures are medians across facilities (13 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 May 2025, 29 Jan 2024.
Severity mix: J ×1 D ×17 E ×10 F ×4 B ×5 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 8 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 May 2025 |
| 8 May 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 30 May 2025 |
| 8 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 30 May 2025 |
| 8 May 2025 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 30 May 2025 |
| 8 May 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 30 May 2025 |
| 8 May 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0688 | 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. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0584 | 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. | B | Standard survey | 30 May 2025 |
| 29 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Feb 2024 |
| 29 Jan 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 22 Feb 2024 |
| 29 Jan 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Complaint investigation | 22 Feb 2024 |
| 29 Jan 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Feb 2024 |
| 29 Jan 2024 | F0761 | 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. | D | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 22 Feb 2024 |
| 29 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 22 Feb 2024 |
| 16 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 14 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Jan 2024 | Fine | $16,801 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 52.2%, RNs 55.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.8% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 19.4% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.4% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 79 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Accordius Health At Rose Manor Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Accordius Health At Rose Manor LLC | 5% or greater direct ownership interest | 100% | 06/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Durham County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hillcrest Convalescent Center | Durham | 86 | 5 | 5 | 5 | 0 | 0.0 | — | — |
| Parkview Health and Rehabilitation Center | Chapel Hill | 108 | 5 | 5 | 3 | 4 | 3.7 | — | 28 Apr 2023 |
| Croasdaile Village | Durham | 102 | 4 | 4 | 4 | 6 | 5.9 | $25K | 8 Apr 2026 |
| Pettigrew Rehabilitation Center | Durham | 96 | 4 | 3 | 2 | 15 | 15.6 | — | 11 Jun 2026 |
| The Cedars of Chapel Hill | Chapel Hill | 12 | 4 | 5 | — | 3 | 25.0 | — | 4 Jun 2024 |
| The Forest At Duke Inc | Durham | 4 | 4 | 5 | 1 | 1 | 25.0 | — | 19 Nov 2024 |
| Treyburn Rehabilitation Center | Durham | 132 | 3 | 2 | 2 | 16 | 12.1 | $125K | 30 Jun 2026 |
| Carver Living Center | Durham | 232 | 1 | 1 | 2 | 44 | 19.0 | $129K | 14 May 2026 |
All 13 facilities in Durham County
Questions and answers
How many deficiencies has Accordius Health At Rose Manor LLC been cited for?
38 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Accordius Health At Rose Manor LLC been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Accordius Health At Rose Manor LLC compare?
Reported total nurse staffing is 3.9 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Accordius Health At Rose Manor LLC?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Accordius Health At Rose Manor LLC. Individual owners and managers are not listed on this site.
When was Accordius Health At Rose Manor LLC last inspected?
The most recent survey or investigation in the CMS record is dated 15 Dec 2025; the most recent standard health survey was 8 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.