Starfile / North Carolina

Accordius Health at Rose Manor LLC

4230 North Roxboro Street, Durham, NC 27704 · CCN 345081

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$16,801

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

SIMCHA HYMAN & NAFTALI ZANZIPER

Facilities in chain

94

Chain avg overall

2.30 / 5

Inspection citations (38)1 immediate jeopardy

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-15 · Health

   Potential for more than minimal harm

2. DF0578Honor 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.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

3. BF0584Honor 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.2025-05-08 · Health · corrected 2025-05-30

   Potential for minimal harm

4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

5. EF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

6. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

8. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

9. DF0688Provide 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.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

11. EF0814Dispose of garbage and refuse properly.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

12. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

13. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

14. EF0578Honor 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.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

15. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-29 · Health · corrected 2024-02-22

    Potential for minimal harm

16. BF0641Ensure each resident receives an accurate assessment.2024-01-29 · Health · corrected 2024-02-22

    Potential for minimal harm

17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

18. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

19. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

20. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-29 · Health · corrected 2024-02-22

    Immediate jeopardy

21. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

22. EF0758Implement 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.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

23. DF0761Ensure 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.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

24. EF0809Ensure 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.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

25. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-29 · Health · corrected 2024-02-22

    Potential for minimal harm

26. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-29 · Health · corrected 2024-02-22

    Potential for more than minimal harm

27. DF0637Assess the resident when there is a significant change in condition2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

28. BF0641Ensure each resident receives an accurate assessment.2022-09-16 · Health · corrected 2022-10-14

    Potential for minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

30. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

33. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

34. DF0758Implement 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.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

35. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

36. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

37. FF0908Keep all essential equipment working safely.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

38. CF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-09-16 · Health · corrected 2022-10-14

    Potential for minimal harm

Ownership

Other facilities in Durham

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.