4230 North Roxboro Street, Durham, NC 27704
111 beds · For profit - Limited Liability company
CMS Provider #345081
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
3.6 hrs/resident
Getting better
Inspection findings
12
Fewer issues
Ownership changes
0
Owned by a multi-state for-profit chain.
Complaint trend
Steady
The facility has 8 recent complaint-related inspection findings.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Accordius Health at Rose Manor shows high marks for resident clinical outcomes but faces challenges with high staff turnover, significant reliance on agency nurses, and a higher-than-average number of health inspection findings.
Data from the Centers for Medicare and Medicaid Services (CMS) shows a facility with high scores in clinical quality measures but significant challenges in staffing stability and health inspections. While the facility achieved a 4 out of 5 rating for quality measures—including a 5-star rating for long-stay resident outcomes—these metrics are contrasted by a 2-star rating for health inspections and staffing. Records indicate that the facility has 12 recent health inspection findings, which is more than double the North Carolina state average of 5.6. Furthermore, a fine of $16,801 was issued in early 2024 following an inspection cycle.
The staffing profile reveals moderate fluctuations in care levels and high personnel turnover. Total nursing turnover stands at 58.3%, and registered nurse turnover is 62.5%, suggesting that residents frequently interact with new staff members. The data shows a 6.3% decrease in nursing hours during weekends compared to weekdays, which is within a standard range, but the facility relies heavily on outside labor. Specifically, 47.2% of registered nurse hours are filled by contract agency staff, nearly half of the professional nursing workforce. While registered nurse staffing levels remain below state averages, the facility has maintained stable leadership with zero administrator departures in the most recent reporting period.
The facility reported a total nursing staff turnover rate of 58.3%, which exceeds the North Carolina state average of 50.4%.
Registered nurse care is provided at 0.36 hours per resident per day, which is 38% lower than the state average of 0.58 hours.
Contract agency staff account for 47.2% of all registered nurse hours, indicating a high reliance on temporary personnel for professional nursing services.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 1★ | 1★ | 1★ | 2★ | 2★ | 3★ | 3★ | 3★ | 3★ | 3★ | 2★ | |
| Staffing | 1★ | 1★ | 3★ | 3★ | 3★ | 3★ | 3★ | 2★ | 3★ | 3★ | 2★ | |
| Health | 1★ | 1★ | 1★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 3.8 hrs/resident/day
0
administrators departed in past year
Stable58.3%
State avg: 50.4%
62.5%
State avg: 47.4%
17.5%
of nursing hours from contract/agency staff
ElevatedSource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
47
Car-Dependent
Transit Score
38
Some Transit
Median Income
$59,237
Median Home Value
$229,500
Poverty Rate
13.5%
Age 65+
12.7%
Median Age
35
Pop. Density
41,966/mi²
Median Rent
$1,204
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 12/15/2025 | 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Minimal harm | — | Complaint | |
| 5/8/2025 | 0578 | Resident Rights Deficiencies | 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. | Minimal harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0584 | Resident Rights 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. | No harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Actual harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Minimal harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Minimal harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Minimal harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0688 | Quality of Life and Care Deficiencies | 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. | Minimal harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | Actual harm | 5/30/2025 | Standard | |
| 5/8/2025 | 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Minimal harm | 5/30/2025 | Complaint |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
1
Total Fines
$16,801
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 1/29/2024 | Fine | $16,801 | — |
Ownership structure and changes can affect facility quality.
Facilities in Chain
94
Chain Avg Rating
2.3 ★
Years Operating
52
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| ACCORDIUS HEALTH AT ROSE MANOR LLC | Organization | — | — | 6/1/2019 |
| HYMAN, SIMCHA | Individual | — | — | 6/1/2019 |
| ZANZIPER, NAFTALI | Individual | — | — | 6/1/2019 |
| GORELICK, BATYA | Individual | — | — | 5/1/2021 |
| HOUSTON, INGRID | Individual | — | — | 8/3/2021 |
| ACCORDIUS HEALTH AT ROSE MANOR LLC | Organization | — | — | 6/1/2019 |
| HYMAN, SIMCHA | Individual | — | — | 6/1/2019 |
| ZANZIPER, NAFTALI | Individual | — | — | 6/1/2019 |
| GORELICK, BATYA | Individual | — | — | 5/1/2021 |
| HOUSTON, INGRID | Individual | — | — | 8/3/2021 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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