Litchford Falls Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 8200 Litchford Road, Raleigh, NC 27615
- CCN
- 345499
- Ownership type
- For-profit, limited liability company
- Certified beds
- 90
- Chain
- Lifeworks Rehab
- Residents per day
- 86
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Litchford Falls Health and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 8 May 2025. The latest survey cycle has 8 health citations. The median for nursing homes in North Carolina is 3. CMS lists 2 fines with a total of $181,873 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Wake County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 21 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 8 May 2025 | 8 | 3 |
| Cycle 2 | 21 Mar 2024 | 10 | 5 |
| Cycle 3 | No date | 1 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Feb 2026 |
| 8 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 5 Feb 2026 |
| 8 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Feb 2026 |
| 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. | E | Complaint investigation | 5 Jun 2025 |
| 8 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Jun 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 | 5 Jun 2025 |
| 8 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Jun 2025 |
| 8 May 2025 | 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 | 5 Jun 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Feb 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 | Complaint investigation | 6 Mar 2025 |
| 17 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Mar 2025 |
| 17 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Mar 2025 |
| 17 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Mar 2025 |
| 17 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Mar 2025 |
| 17 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 17 Jan 2025 |
| 17 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Jan 2025 |
| 17 Dec 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. | J | Complaint investigation | 16 Jan 2025 |
| 17 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 16 Jan 2025 |
| 21 Mar 2024 | 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. | D | Complaint investigation | 18 Apr 2024 |
Survey cycle 3: 1 citation
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Dec 2024 | Fine | $177,911 | |
| 28 Sep 2023 | Fine | $3,962 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.55 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.58 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.89 | 0.89 | |
| Nurse aides | 2.08 | 2.34 | |
| All nurse staff, weekends | 3.33 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 50.6%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.8% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.0% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Litchford Operator LLC
- Chain
- Lifeworks Rehab (64 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Litchford Holdings I LLC | Direct ownership interest | 1 Jun 2024 | |
| 8200 Litchfield Road LLC | Indirect ownership interest | 1 Jun 2024 | |
| Bridgewater NC Holdings LLC | Indirect ownership interest | 1 Jun 2024 | |
| Medical Facilities of America Administrative Consulting Services LLC | Indirect ownership interest | 1 Jun 2024 | |
| Tol Opco Investco LLC | Indirect ownership interest | 1 Jun 2025 | |
| Uh Carolina LF SNF Operations Holdings LLC | Indirect ownership interest | 1 Jun 2024 | |
| Universal Operations Holdings LLC | Indirect ownership interest | 1 Jun 2024 | |
| 8200 Litchfield Road LLC | Adp of the snf | 1 Jun 2024 | |
| Acs Pro Global Solutions | Adp of the snf | 1 Jun 2024 | |
| Bridgewater NC Holdings LLC | Adp of the snf | 1 Jun 2024 | |
| Cyop Cyber Security LLC | Adp of the snf | 1 Jun 2024 | |
| Healthcare Services Group Inc | Adp of the snf | 1 Jun 2024 | |
| Litchford Holdings I LLC | Adp of the snf | 23 Jun 2025 | |
| Live Well Plus LLC | Adp of the snf | 1 Jun 2024 | |
| Medical Facilities of America Administrative Consulting Services LLC | Adp of the snf | 1 Jun 2024 | |
| Mfa Heritage Consulting LLC | Adp of the snf | 1 Jun 2024 | |
| Mozart Holdings, LP | Adp of the snf | 1 Jun 2024 | |
| Turning Point Consulting LLC | Adp of the snf | 1 Jun 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Wake County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Perry Creek Health and Rehabilitation Center | Raleigh | 1 of 5 | 5 | $326,170 | 12 Feb 2026 | |
| The Rosewood Health Center | Raleigh | 5 of 5 | 3 | $0 | 6 Jun 2025 | |
| The Cardinal at North Hills | Raleigh | 3 of 5 | 2 | $7,901 | 10 Sep 2025 | |
| Hillcrest Raleigh at Crabtree Valley | Raleigh | 4 of 5 | 2 | $0 | 14 May 2026 | |
| Tower Nursing and Rehabilitation Center | Raleigh | 2 of 5 | 9 | $0 | 20 Mar 2025 | |
| Bloomsbury at Hayes Barton Place | Raleigh | Not rated | 0 | $0 | 22 Jan 2026 | |
| Raleigh Rehabilitation Center | Raleigh | 3 of 5 | 3 | $48,754 | 26 Mar 2026 | |
| Sunnybrook Rehabilitation Center | Raleigh | 1 of 5 | 7 | $50,447 | 8 Jun 2026 | |
| Capital Nursing and Rehabilitation Center | Raleigh | 4 of 5 | 4 | $0 | 7 Aug 2025 | |
| Rex Rehab & Nursing Care Center | Raleigh | 5 of 5 | 1 | $15,646 | 21 Aug 2025 | |
| Hillside Nursing Center of Wake Forest | Wake Forest | 5 of 5 | 0 | $0 | 5 Sep 2025 | |
| Wellington Rehabilitation and Healthcare | Knightdale | 1 of 5 | 10 | $15,642 | 18 Nov 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Litchford Falls Health and Rehabilitation Center (CCN 345499). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/litchford-falls-health-and-rehabilitation-center-raleigh-nc-345499/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Litchford Falls Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 8 Jan 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 21 Mar 2024.
- Who operates Litchford Falls Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Lifeworks Rehab. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Litchford Falls Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.