PERSON MEMORIAL HOSPITAL
615 RIDGE ROAD, ROXBORO, NC 27573 · CCN 345004
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 56
- Avg residents/day
- 46.5
- Phone
- 3365035707
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 | 2025-12-17 | 5 | 5.6 | 9.5 | -0.6 better |
| 2 | 2024-09-19 | 7 | 7.2 | 9.8 | -0.2 better |
| 3 | 2023-08-23 | 10 | 7.4 | 9.3 | +2.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.25 | 55.8% |
| RN staffing (reported) | 0.63 | 81.8% |
| Total nurse staffing (adjusted) | 3.07 | — |
Fines & penalties
- Total fines
- $73,796
- Number of fines
- 10
- Number of penalties
- 11
- Payment denials
- 1
Chain
- Chain
- LIFEPOINT HEALTH
- Facilities in chain
- 8
- Chain avg overall
- 4.00 / 5
Inspection citations (22)1 immediate jeopardy
- EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-17 · Health · corrected 2026-01-14
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-12-17 · Health · corrected 2026-01-14
Potential for minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-12-17 · Health · corrected 2026-01-14
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-17 · Health · corrected 2026-01-14
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-25 · Health · corrected 2025-11-26
Immediate jeopardy
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-09-19 · Health · corrected 2024-10-17
Potential for minimal harm
- DF0585Honor 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.2024-09-19 · Health · corrected 2024-10-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-19 · Health · corrected 2024-10-17
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-09-19 · Health · corrected 2024-10-17
Potential for more than minimal harm
- FF0727Have 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.2024-09-19 · Health · corrected 2024-10-17
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2024-09-19 · Health · corrected 2024-10-17
Potential for more than minimal harm
- EF0761Ensure 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.2024-09-19 · Health · corrected 2024-10-17
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-08-23 · Health · corrected 2023-10-08
Potential for minimal harm
- EF0679Provide activities to meet all resident's needs.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- DF0727Have 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.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2023-08-23 · Health · corrected 2023-10-08
Potential for minimal harm
- EF0761Ensure 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.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-23 · Health · corrected 2023-10-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DLP HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-10-01 |
| DLP PARTNER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-10-01 |
| DSB ACQUISITION LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-11-16 |
| HISTORIC LIFEPOINT HOSPITALS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-10-01 |
| LEGACY LIFEPOINT HEALTH LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-01-01 |
| LIFEPOINT HEALTH INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-11-16 |
| LIFEPOINT HOLDINGS 2 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-10-01 |
| LIFEPOINT HOSPITALS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-10-01 |
| BEARD, BERTRAND | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-01 |
| GROOMS, JOHN | Individual | CORPORATE OFFICER | — | 2016-11-01 |
| LAWRENCE, CHARLOTTE | Individual | CORPORATE OFFICER | — | 2022-03-24 |
| MONTE, CHRISTOPHER | Individual | CORPORATE OFFICER | — | 2011-10-01 |
| POLITE, ELMER | Individual | CORPORATE OFFICER | — | 2020-12-14 |
| POPPELL, MARCUS | Individual | CORPORATE OFFICER | — | 2018-11-16 |
| RIALS, LOREN | Individual | CORPORATE OFFICER | — | 2023-11-16 |
Other facilities in ROXBORO
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.