Litchford Falls Health and Rehabilitation Center
8200 Litchford Road, Raleigh, NC 27615 · CCN 345499
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 86.2
- Phone
- 9198787772
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-08 | 8 | 5.6 | 9.5 | +2.4 worse |
| 2 | 2024-03-21 | 10 | 7.2 | 9.8 | +2.8 worse |
| 3 | 2022-12-09 | 1 | 7.4 | 9.3 | -6.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.56 | 45.7% |
| RN staffing (reported) | 0.43 | 69.2% |
| Total nurse staffing (adjusted) | 3.15 | — |
Fines & penalties
- Total fines
- $181,873
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- LIFEWORKS REHAB
- Facilities in chain
- 59
- Chain avg overall
- 2.10 / 5
Inspection citations (19)3 immediate jeopardy
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-08 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2026-01-08 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-08 · Health · corrected 2026-02-05
Potential for more than minimal harm
- EF0584Honor 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 2025-06-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-06-05
Potential for more than minimal harm
- 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 2025-06-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-08 · Health · corrected 2025-06-05
Potential for more than minimal harm
- 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.2025-05-08 · Health · corrected 2025-06-05
Potential for more than minimal harm
- 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.2025-02-17 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-17 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-17 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-17 · Health · corrected 2025-03-06
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-17 · Health · corrected 2025-03-06
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-17 · Health · corrected 2025-01-17
Immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-17 · Health · corrected 2025-01-16
Potential for more than minimal harm
- JF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-17 · Health · corrected 2025-01-16
Immediate jeopardy
- JF0760Ensure that residents are free from significant medication errors.2024-12-17 · Health · corrected 2025-01-16
Immediate jeopardy
- DF0584Honor 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.2024-03-21 · Health · corrected 2024-04-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-28 · Health · corrected 2023-08-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BEAVER, DONALD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2000-01-12 |
| CHOICE HEALTH MANAGEMENT, SERV LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2000-02-25 |
| UNIVERSAL HEALTH CARE / RALEIGH, INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2000-02-25 |
| YATES, BRENDA | Individual | W-2 MANAGING EMPLOYEE | — | 2016-10-24 |
Other facilities in Raleigh
| Name | Overall | Beds |
|---|---|---|
| The Rosewood Health Center | ★★★★★ | 57 |
| Rex Rehab & Nursing Care Center | ★★★★☆ | 120 |
| Capital Nursing and Rehabilitation Center | ★★★★☆ | 125 |
| The Cardinal at North Hills | ★★★★☆ | 15 |
| PruittHealth-Raleigh | ★★★☆☆ | 150 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.