Nursing HomeInspections

Accordius Health at Rose Manor LLC

Nursing home in Durham, NC

Medicare & Medicaid certified2★ overall (CMS)

Call (919) 477-9805Send a messageMap ↗

Public-record details

Address
4230 North Roxboro Street, Durham, NC 27704
Phone
(919) 477-9805
Listed under
For-profit
Medicare CCN
345081
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
111
Average residents per day
77
Ownership
For-profit, limited Liability company
Legal business name
Accordius Health at Rose Manor LLC
Chain
Simcha Hyman & Naftali Zanziper (79 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1973
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345081. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 8, 2025. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 16, 2022 to Dec 15, 2025): 8 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 8, 2025Honor 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
B
Potential for minimal harm, pattern
May 8, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
May 8, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
May 8, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 8, 2025Develop 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
D
Potential for more than minimal harm, isolated
May 8, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 8, 2025Provide 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 8, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
May 8, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
May 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
F
Potential for more than minimal harm, widespread
May 8, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 38. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,801 in the last three years.

Jan 29, 2024Fine: $16,801

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.94 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
2.09 hours
Total nurse staffing on weekends
3.58 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
56%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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