ACCORDIUS HEALTH AT ROSE MANOR LLC

πŸ“ 4230 NORTH ROXBORO STREET, durham, NC 27704 πŸ“ž 9194779805 πŸ›οΈ 111 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

69
Total Violations
9 years of data
$103,121
Total Fines
4 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 11 violations

Tag 0578 D May 8, 2025

Honor 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.

βœ“ Corrected: May 30, 2025
Tag 0584 B May 8, 2025

Honor 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.

βœ“ Corrected: May 30, 2025
Tag 0607 D May 8, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: May 30, 2025
Tag 0641 E May 8, 2025

Ensure each resident receives an accurate assessment.

βœ“ Corrected: May 30, 2025
Tag 0644 D May 8, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: May 30, 2025
Tag 0657 D May 8, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 30, 2025
Tag 0658 D May 8, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: May 30, 2025
Tag 0688 D May 8, 2025

Provide 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.

βœ“ Corrected: May 30, 2025
Tag 0812 F May 8, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 30, 2025
Tag 0814 E May 8, 2025

Dispose of garbage and refuse properly.

βœ“ Corrected: May 30, 2025
Tag 0925 F May 8, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: May 30, 2025

2024 14 violations

Tag 0565 D Jan 29, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Feb 22, 2024
Tag 0578 E Jan 29, 2024

Honor 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.

βœ“ Corrected: Feb 22, 2024
Tag 0623 B Jan 29, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Feb 22, 2024
Tag 0641 B Jan 29, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 22, 2024
Tag 0656 D Jan 29, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 22, 2024
Tag 0657 E Jan 29, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Feb 22, 2024
Tag 0686 E Jan 29, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 22, 2024
Tag 0689 J Jan 29, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 22, 2024
Tag 0756 E Jan 29, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Feb 22, 2024
Tag 0758 E Jan 29, 2024

Implement 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.

βœ“ Corrected: Feb 22, 2024
Tag 0761 D Jan 29, 2024

Ensure 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.

βœ“ Corrected: Feb 22, 2024
Tag 0809 E Jan 29, 2024

Ensure 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.

βœ“ Corrected: Feb 22, 2024
Tag 0842 B Jan 29, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Feb 22, 2024
Tag 0867 E Jan 29, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Feb 22, 2024

2023 1 violations

Tag 0624 D Jan 31, 2023

Prepare residents for a safe transfer or discharge from the nursing home.

βœ“ Corrected: Feb 21, 2023

2022 19 violations

Tag 0637 D Sep 16, 2022

Assess the resident when there is a significant change in condition

βœ“ Corrected: Oct 14, 2022
Tag 0641 B Sep 16, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 14, 2022
Tag 0656 D Sep 16, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 14, 2022
Tag 0657 D Sep 16, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 14, 2022
Tag 0689 E Sep 16, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 14, 2022
Tag 0695 D Sep 16, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Oct 14, 2022
Tag 0745 D Sep 16, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Oct 14, 2022
Tag 0756 D Sep 16, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Oct 14, 2022
Tag 0758 D Sep 16, 2022

Implement 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.

βœ“ Corrected: Oct 14, 2022
Tag 0812 F Sep 16, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 14, 2022
Tag 0867 D Sep 16, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Oct 14, 2022
Tag 0908 F Sep 16, 2022

Keep all essential equipment working safely.

βœ“ Corrected: Oct 14, 2022
Tag 0921 C Sep 16, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Oct 14, 2022
Tag 0550 D Mar 9, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 10, 2022
Tag 0636 E Mar 9, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Mar 31, 2022
Tag 0638 E Mar 9, 2022

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Mar 31, 2022
Tag 0655 D Mar 9, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Mar 31, 2022
Tag 0761 E Mar 9, 2022

Ensure 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.

βœ“ Corrected: Mar 31, 2022
Tag 0888 D Mar 9, 2022

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: Mar 31, 2022

2021 1 violations

Tag 0657 D May 11, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 21, 2021

2020 4 violations

Tag 0880 K Nov 3, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 3, 2020
Tag 0550 D Jan 18, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Feb 10, 2020
Tag 0690 D Jan 18, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Feb 10, 2020
Tag 0880 D Jan 18, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 10, 2020

2019 5 violations

Tag 0584 D Dec 7, 2019

Honor 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.

βœ“ Corrected: Feb 10, 2020
Tag 0656 E May 16, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 12, 2019
Tag 0658 D May 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jun 12, 2019
Tag 0679 E May 16, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Jun 12, 2019
Tag 0689 J Feb 12, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 20, 2019

2018 3 violations

Tag 0812 E Apr 19, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 7, 2018
Tag 0865 E Apr 19, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

βœ“ Corrected: May 7, 2018
Tag 0550 D Jan 12, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 28, 2018

2017 11 violations

Tag 0157 J Oct 9, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 28, 2017
Tag 0309 J Oct 9, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Sep 28, 2017
Tag 0386 E Oct 9, 2017

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

βœ“ Corrected: Nov 4, 2017
Tag 0514 E Oct 9, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Nov 4, 2017
Tag 0241 D Jun 27, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Jul 21, 2017
Tag 0244 E Jun 27, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

βœ“ Corrected: Jul 21, 2017
Tag 0278 D Jun 27, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Jul 21, 2017
Tag 0312 D Jun 27, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Jul 21, 2017
Tag 0371 E Jun 27, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jul 21, 2017
Tag 0431 E Jun 27, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jul 21, 2017
Tag 0520 E Jun 27, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Jul 21, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 1 penalties totaling $68,627

$68,627
Fine
November 3, 2020
Average: $68,627 | Range: $68,627 - $68,627

2019 2 penalties totaling $26,285

$13,520
Fine
December 7, 2019
$12,765
Fine
February 12, 2019
Average: $13,143 | Range: $12,765 - $13,520

2017 1 penalties totaling $8,209

$8,209
Fine
October 9, 2017
Average: $8,209 | Range: $8,209 - $8,209

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

January 29, 2024
0.00

Health

January 31, 2023
0.00

Health

September 16, 2022
0.00

Health

March 9, 2022
0.00

Health

May 11, 2021
0.00

Health

May 16, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345081
345081
9194779805
Durham

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual