D

Accordius Health at Rose Manor LLC

4230 North Roxboro Street, Durham, NC 27704
Score: 40 / 100

CMS data shows Accordius Health At Rose Manor Llc earning a D grade with a score of 40/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Accordius Health At Rose Manor Llc is near the national average, with 3.63 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 38 deficiencies at Accordius Health At Rose Manor Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

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 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.63 3.8 Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 1.18 0.7 Above Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 3.40 3.8 Below Average
Weekend RN Hours 0.26 0.7 Below Average

🔍 Inspection & Deficiency History

38
Total Deficiencies
Dec 14, 2025
Most Recent Inspection
⚪ 6 Minor 🟠 31 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 14, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    May 7, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0925 Severity F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    May 7, 2025 · Environmental Deficiencies
  • Tag 0641 Severity E
    Ensure each resident receives an accurate assessment.
    May 7, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0814 Severity E
    Dispose of garbage and refuse properly.
    May 7, 2025 · Nutrition and Dietary 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 20.0% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 17.7% 14.5% Worse
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 6.3% 14.0% Better
Excessive weight loss 8.4% 7.5% Worse
New/worsened incontinence 22.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $16,801

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 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: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 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
111
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 7, 2025
Deficiencies (Cycle 1)
12