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Accordius Health at Rose Manor LLC

4230 North Roxboro Street
Durham, NC 27704 · 9194779805 · Durham County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds111
OwnershipFor profit - Limited Liability company
State rank#281

By the numbers

38
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$16,801
Federal fines (CMPs)
The trend: Citation volume is steady at 12 in both the most recent and oldest of the last three cycles.

Recent Health Citations

Dec 15, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 8, 2025 · Health survey · F-tag 0584
B — Cited
Resident Rights Deficiencies
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.
May 8, 2025 · Health survey · F-tag 0688
D — No actual harm
Quality of Life and Care Deficiencies
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.
May 8, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 8, 2025 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
May 8, 2025 · Health survey · F-tag 0644
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
May 8, 2025 · Health survey · F-tag 0607
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
May 8, 2025 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
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.
May 8, 2025 · Health survey · F-tag 0814
E — No actual harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
May 8, 2025 · Health survey · F-tag 0641
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
May 8, 2025 · Health survey · F-tag 0925
F — No actual harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 8, 2025 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 29, 2024 · Health survey · F-tag 0842
B — Cited
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 29, 2024 · Health survey · F-tag 0641
B — Cited
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Jan 29, 2024 · Health survey · F-tag 0623
B — Cited
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Jan 29, 2024 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Jan 29, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jan 29, 2024 · Health survey · F-tag 0565
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Jan 29, 2024 · Health survey · F-tag 0867
E — No actual harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jan 29, 2024 · Health survey · F-tag 0809
E — No actual harm
Nutrition and Dietary Deficiencies
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.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in North Carolina →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.