Elder Care Record

North Carolina › Person County › Roxboro

Person Memorial Hospital

615 Ridge Road, Roxboro, NC 27573

CCN 345004 · For-profit, limited liability company · 56 certified beds · chain Lifepoint Health

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Person Memorial Hospital is a For-profit, limited liability company nursing home in Roxboro, North Carolina, certified for 56 beds and caring for about 47 residents a day.

CMS gives it 1 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.

Inspectors recorded 22 health deficiencies across the three most recent survey cycles (5, 7, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 39.3 per 100 beds, more than the state median of 15.6.

CMS lists 6 penalties in the period covered: fines totalling $43K and 1 payment denial.

Reported nurse staffing is 3.1 hours per resident per day (0.8 RN), close to the North Carolina median of 3.5.

22health deficiencies, 3 survey cycles1 at actual harm or worse
$43Kfines listed by CMS6 penalties in period
3.1nurse hours per resident per daystate median 3.5
84%occupancy (residents ÷ beds)47 residents a day

Compared with county, state and nation

MeasureThis facilityPerson Co. medianNorth Carolina medianUS average
Overall star rating1233.0
Health citations, 3 cycles22221628.7
Citations per 100 beds39.339.315.626.8
Total nurse hours per resident day3.13.13.53.9
RN hours per resident day0.80.80.50.7
Nursing staff turnover—58.9%48.6%45.8%
Fines listed$43,074$56,778$8,512—

County and state figures are medians across facilities (2 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 27
Cycle 310

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Dec 2025, 19 Sep 2024.

Severity mix: J ×1 D ×6 E ×9 F ×2 B ×2 C ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Dec 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey14 Jan 2026
17 Dec 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey14 Jan 2026
17 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey14 Jan 2026
17 Dec 2025F0732Post nurse staffing information every day.CStandard survey14 Jan 2026
25 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation26 Nov 2025
19 Sep 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint investigation17 Oct 2024
19 Sep 2024F0732Post nurse staffing information every day.FStandard survey17 Oct 2024
19 Sep 2024F0761Ensure 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.EStandard survey17 Oct 2024
19 Sep 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation17 Oct 2024
19 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation17 Oct 2024
19 Sep 2024F0679Provide activities to meet all resident's needs.DComplaint investigation17 Oct 2024
19 Sep 2024F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey17 Oct 2024
23 Aug 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey8 Oct 2023
23 Aug 2023F0679Provide activities to meet all resident's needs.EStandard survey8 Oct 2023
23 Aug 2023F0761Ensure 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.EStandard survey8 Oct 2023
23 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Oct 2023
23 Aug 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey8 Oct 2023
23 Aug 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey8 Oct 2023
23 Aug 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DStandard survey8 Oct 2023
23 Aug 2023F0730Observe each nurse aide's job performance and give regular training.DStandard survey8 Oct 2023
23 Aug 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard survey8 Oct 2023
23 Aug 2023F0732Post nurse staffing information every day.BStandard survey8 Oct 2023

Penalties

DateTypeAmountDetail
25 Nov 2025Payment denial—1 days
25 Nov 2025Fine$16,153
2 Oct 2023Fine$4,545
11 Sep 2023Fine$13,635
28 Aug 2023Fine$4,545
21 Aug 2023Fine$4,196

Staffing

Total nursing3.1 h
Nurse aides1.72 h
LPN0.59 h
RN0.78 h
Weekend total2.84 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.1%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.4%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.5%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.7%1.1%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay2.0%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.1%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. Legal business name: Dlp Person Memorial Hospital Llc. Chain: Lifepoint Health (8 facilities).

OrganisationRole in the CMS recordInterestSince
Dlp Healthcare LLC5% or greater direct ownership interest100%10/01/2011
Dlp Partner LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/01/2011
Historic Lifepoint Hospitals, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/01/2011
Legacy Lifepoint Health LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED01/01/2014
Lifepoint Holdings 2 LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/01/2011
Lifepoint Hospitals Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/01/2011

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 Person County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Roxboro Healthcare & Rehab CenterRoxboro1402312014.3$57K4 Dec 2025

All 2 facilities in Person County

Questions and answers

How many deficiencies has Person Memorial Hospital been cited for?

22 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 Person Memorial Hospital been fined?

Yes. CMS lists fines totalling $43K in the period covered, plus 1 payment denial.

How does staffing at Person Memorial Hospital compare?

Reported total nurse staffing is 3.1 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Person Memorial Hospital?

It is part of the Lifepoint Health chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dlp Healthcare LLC, Dlp Partner LLC and Historic Lifepoint Hospitals, LLC. Individual owners and managers are not listed on this site.

When was Person Memorial Hospital last inspected?

The most recent survey or investigation in the CMS record is dated 17 Dec 2025; the most recent standard health survey was 17 Dec 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.