F

PERSON MEMORIAL HOSPITAL

615 RIDGE ROAD, ROXBORO, NC 27573
Score: 21 / 100

With a score of 21/100, Person Memorial Hospital ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Person Memorial Hospital, with 3.25 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 22 deficiencies at Person Memorial Hospital, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.25 3.8 Below Average
Registered Nurses (RN) 0.63 0.7 Below Average
Licensed Practical Nurses (LPN) 0.73 0.7 Average
Certified Nursing Assistants (CNA) 1.89 2.4 Below Average
Weekend Total Nursing 2.85 3.8 Below Average
Weekend RN Hours 0.41 0.7 Below Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Dec 16, 2025
Most Recent Inspection
⚪ 4 Minor 🟠 17 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0605 Severity E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Dec 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0756 Severity E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo
    Dec 16, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0732 Severity F
    Post nurse staffing information every day.
    Sep 18, 2024 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.8% 4.5% Better
Falls with major injury 2.5% 3.0% Better
On antipsychotic medication 17.7% 14.5% Worse
Urinary tract infections 4.5% 2.5% Worse
ADL decline (daily activities) 17.2% 14.0% Worse
Excessive weight loss 7.3% 7.5% Average
New/worsened incontinence 11.3% 45.0% Better

⚠️ Penalties & Fines

10 penalties recorded by CMS

Total fines: $73,796

How This Grade Was Calculated

This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -7 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
56
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 16, 2025
Deficiencies (Cycle 1)
5