F56

Litchford Falls Health and Rehabilitation Center

Grade F 56/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

90

Ownership

For profit - Limited Liability company

Total Fines

$168,702

Last Survey

N/A

8200 Litchford Road, Raleigh, NC 27615
9198787772

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.38h
LPN
0.83h
CNA
1.94h
Total
3.15h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BEAVER, DONALD

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2000

100%

CHOICE HEALTH MANAGEMENT, SERV LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2000

UNIVERSAL HEALTH CARE / RALEIGH, INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2000

YATES, BRENDA

IndividualW-2 MANAGING EMPLOYEESince Oct 2016

Penalties & Fines (2)

$168,702total fines
DateTypeDescriptionAmount
Dec 17, 2024Fine$164,740
Sep 28, 2023Fine$3,962

Health Inspection Deficiencies (16)

May 8, 2025Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 5, 2025
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 5, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 5, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jun 5, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 5, 2025
February 17, 2025Health5 deficiencies
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Mar 6, 2025
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 6, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 6, 2025
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 6, 2025
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 6, 2025
December 17, 2024Health4 deficiencies3 severe
0580JImmediate jeopardy, Isolated

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

Resident Rights Deficiencies

Corrected Jan 17, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jan 16, 2025
0756JImmediate jeopardy, Isolated

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

Pharmacy Service Deficiencies

Corrected Jan 16, 2025
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 16, 2025
March 21, 2024Health1 deficiency
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 18, 2024
September 28, 2023Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 30, 2023

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Frequently Asked Questions

What is the CareGrader rating for Litchford Falls Health and Rehabilitation Center?

Litchford Falls Health and Rehabilitation Center in Raleigh, North Carolina has a CareGrader grade of F (Poor), with a composite score of 55.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Litchford Falls Health and Rehabilitation Center?

Litchford Falls Health and Rehabilitation Center has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Litchford Falls Health and Rehabilitation Center have?

Litchford Falls Health and Rehabilitation Center has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Litchford Falls Health and Rehabilitation Center been fined?

Yes. Litchford Falls Health and Rehabilitation Center has $168,702 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Litchford Falls Health and Rehabilitation Center have?

Litchford Falls Health and Rehabilitation Center has 90 certified beds with approximately 86 current residents (96% occupancy). The facility is located at 8200 Litchford Road, Raleigh, North Carolina 27615. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.