Litchford Falls Health and Rehabilitation Center

8200 Litchford Road · Raleigh, NC · 27615 · 9198787772

90 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab

Why this verdict

  • Federal penalties on record: $177,911 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$177,911 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 82
Staffing 20% 63
Federal penalties 15% 42
Trend 10% 90
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.593.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day3.30≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)2 · $181,873

Inspection citations (19 in the current record)

  • Potential for harm · D January 8, 2026 · found via complaint

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

    Corrected February 5, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 5, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026 · found via complaint

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

    Corrected February 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025

    Ensure each resident receives an accurate assessment.

    Corrected June 5, 2025 · Resident Assessment and Care Planning

  • 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 June 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025

    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 June 5, 2025 · Pharmacy Service

  • Potential for harm · E May 8, 2025 · found via complaint

    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 June 5, 2025 · Resident Rights

  • Potential for harm · D May 8, 2025 · found via complaint

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

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D February 17, 2025 · found via complaint

    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 March 6, 2025 · Resident Rights

  • Potential for harm · D February 17, 2025 · found via complaint

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

    Corrected March 6, 2025 · Resident Rights

  • Potential for harm · D February 17, 2025 · found via complaint

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

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D February 17, 2025 · found via complaint

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

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D February 17, 2025 · found via complaint

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

    Corrected March 6, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J December 17, 2024 · found via complaint

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

    Corrected January 17, 2025 · Resident Rights

  • Immediate jeopardy · J December 17, 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 January 16, 2025 · Pharmacy Service

  • Immediate jeopardy · J December 17, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 16, 2025 · Pharmacy Service

  • Potential for harm · D December 17, 2024 · found via complaint

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

    Corrected January 16, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2024 · found via complaint

    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 April 18, 2024 · Resident Rights

  • Potential for harm · D September 28, 2023 · found via complaint

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

    Corrected August 30, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
December 17, 2024Fine$177,911
September 28, 2023Fine$3,962

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345499 · certified since March 2, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.