PERSON MEMORIAL HOSPITAL
Grade F — 59/100 composite score
CMS Star Ratings
Certified Beds
56
Ownership
For profit - Limited Liability company
Total Fines
$48,946
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
DLP HEALTHCARE LLC
100%
DLP PARTNER LLC
DSB ACQUISITION LLC
HISTORIC LIFEPOINT HOSPITALS, LLC
LEGACY LIFEPOINT HEALTH LLC
LIFEPOINT HEALTH INC
LIFEPOINT HOLDINGS 2 LLC
LIFEPOINT HOSPITALS HOLDINGS LLC
BEARD, BERTRAND
GROOMS, JOHN
LAWRENCE, CHARLOTTE
MONTE, CHRISTOPHER
POLITE, ELMER
POPPELL, MARCUS
RIALS, LOREN
Penalties & Fines (9)
| Date | Type | Description | Amount |
|---|---|---|---|
| Oct 2, 2023 | Fine | — | $4,545 |
| Sep 11, 2023 | Fine | — | $13,635 |
| Aug 28, 2023 | Fine | — | $4,545 |
| Aug 21, 2023 | Fine | — | $4,196 |
| Aug 14, 2023 | Fine | — | $3,846 |
| Aug 7, 2023 | Fine | — | $3,496 |
| Jul 17, 2023 | Fine | — | $8,391 |
| Jun 26, 2023 | Fine | — | $2,098 |
| Jun 5, 2023 | Fine | — | $4,194 |
Health Inspection Deficiencies (23)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
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
Honor 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.
Resident Rights Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Have 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.
Nursing and Physician Services Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Have 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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
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
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for PERSON MEMORIAL HOSPITAL?
PERSON MEMORIAL HOSPITAL in ROXBORO, North Carolina has a CareGrader grade of F (Poor), with a composite score of 58.8 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 PERSON MEMORIAL HOSPITAL?
PERSON MEMORIAL HOSPITAL has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does PERSON MEMORIAL HOSPITAL have?
PERSON MEMORIAL HOSPITAL has 23 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 PERSON MEMORIAL HOSPITAL been fined?
Yes. PERSON MEMORIAL HOSPITAL has $48,946 in total fines from CMS enforcement actions across 9 penalties.
How many beds does PERSON MEMORIAL HOSPITAL have?
PERSON MEMORIAL HOSPITAL has 56 certified beds with approximately 46 current residents (82% occupancy). The facility is located at 615 RIDGE ROAD, ROXBORO, North Carolina 27573. 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.