Accordius Health at Rose Manor LLC
4230 North Roxboro Street · Durham, NC · 27704 · 9194779805
111 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $16,801 |
Inspection citations (38 in the current record)
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Potential for harm · D December 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · 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.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · E May 8, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · 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.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · 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.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Dispose of garbage and refuse properly.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · D May 8, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F May 8, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · F May 8, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 30, 2025 · Environmental
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No harm found · 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.
Corrected May 30, 2025 · Resident Rights
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Immediate jeopardy · J January 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 22, 2024 · Quality of Life and Care
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Potential for harm · D January 29, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 22, 2024 · Resident Rights
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Potential for harm · E January 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.
Corrected February 22, 2024 · Resident Rights
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Potential for harm · E January 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.
Corrected February 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 22, 2024 · Quality of Life and Care
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Potential for harm · D January 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.
Corrected February 22, 2024 · Pharmacy Service
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Potential for harm · E January 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.
Corrected February 22, 2024 · Nutrition and Dietary
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Potential for harm · E January 29, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 22, 2024 · Administration
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Potential for harm · D January 29, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 29, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 22, 2024 · Pharmacy Service
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Potential for harm · E January 29, 2024 · found via complaint
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.
Corrected February 22, 2024 · Pharmacy Service
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No harm found · B January 29, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 22, 2024 · Resident Rights
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No harm found · B January 29, 2024
Ensure each resident receives an accurate assessment.
Corrected February 22, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2024 | Fine | $16,801 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345081 · certified since September 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.