Person Memorial Hospital

615 Ridge Road · Roxboro, NC · 27573 · 3365035707

56 certified beds For profit - Limited Liability company Chain: Lifepoint Health Hospital-based

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Federal penalties on record: $16,153 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

100% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 70
Staffing 20% 53
Federal penalties 15% 0
Trend 10% 36
Context 5% 100

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-day3.193.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day2.80≈ weekday level
Nursing turnover / year100%median 45%
Fines (3-yr window)9 · $60,905

Inspection citations (22 in the current record)

  • Potential for harm · E December 17, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 14, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 17, 2025

    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 14, 2026 · Pharmacy Service

  • Potential for harm · E December 17, 2025

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

    Corrected January 14, 2026 · Nutrition and Dietary

  • No harm found · C December 17, 2025

    Post nurse staffing information every day.

    Corrected January 14, 2026 · Nursing and Physician Services

  • Immediate jeopardy · J November 25, 2025 · found via complaint

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

    Corrected November 26, 2025 · Quality of Life and Care

  • Potential for harm · F September 19, 2024

    Post nurse staffing information every day.

    Corrected October 17, 2024 · Nursing and Physician Services

  • Potential for harm · E September 19, 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 October 17, 2024 · Pharmacy Service

  • Potential for harm · D September 19, 2024 · found via complaint

    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.

    Corrected October 17, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024 · found via complaint

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

    Corrected October 17, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected October 17, 2024 · Quality of Life and Care

  • Potential for harm · F September 19, 2024 · found via complaint

    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.

    Corrected October 17, 2024 · Nursing and Physician Services

  • No harm found · C September 19, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected October 17, 2024 · Resident Rights

  • Potential for harm · E August 23, 2023

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

    Corrected October 8, 2023 · Resident Rights

  • Potential for harm · D August 23, 2023

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

    Corrected October 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E August 23, 2023

    Provide activities to meet all resident's needs.

    Corrected October 8, 2023 · Quality of Life and Care

  • Potential for harm · D August 23, 2023

    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.

    Corrected October 8, 2023 · Nursing and Physician Services

  • Potential for harm · D August 23, 2023

    Observe each nurse aide's job performance and give regular training.

    Corrected October 8, 2023 · Nursing and Physician Services

  • Potential for harm · E August 23, 2023

    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 October 8, 2023 · Pharmacy Service

  • Potential for harm · E August 23, 2023

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

    Corrected October 8, 2023 · Nutrition and Dietary

  • Potential for harm · E August 23, 2023

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

    Corrected October 8, 2023 · Administration

  • No harm found · B August 23, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected October 8, 2023 · Resident Assessment and Care Planning

  • No harm found · B August 23, 2023

    Post nurse staffing information every day.

    Corrected October 8, 2023 · Nursing and Physician Services

Federal penalties

DateTypeAmount / length
November 25, 2025Fine$16,153
November 25, 2025Payment Denial1 days
October 2, 2023Fine$4,545
September 11, 2023Fine$13,635
August 28, 2023Fine$4,545
August 21, 2023Fine$4,196
August 14, 2023Fine$3,846
August 7, 2023Fine$3,496
July 17, 2023Fine$8,391
June 26, 2023Fine$2,098

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345004 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.