Accordius Health at Rose Manor LLC
Accordius Health at Rose Manor LLC is a 111-bed nursing home in Durham, North Carolina. CMS has certified it for Medicare and Medicaid since 1973-09-01. It averages 77.3 residents a day.
What harm was found in the violations cited at Accordius Health at Rose Manor LLC?
CMS lists 38 health-inspection deficiencies for Accordius Health at Rose Manor LLC since 2022-09-16, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-15.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-05-08 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2025-05-08 | F0641, F0814 | Ensure each resident receives an accurate assessment. / Dispose of garbage and refuse properly. | E |
| 2025-05-08 | F0578, F0607, F0644, F0657, F0658, F0688 | 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. | D |
| 2025-05-08 | F0584 | 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. | B |
| 2024-01-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-01-29 | F0578, F0657, F0686, F0756, F0758, F0809, F0867 | 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2024-01-29 | F0565, F0656, F0761 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | D |
| 2024-01-29 | F0623, F0641, F0842 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2022-09-16 | F0812, F0908 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | F |
| 2022-09-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2022-09-16 | F0637, F0656, F0657, F0695, F0756, F0758, F0867 | Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
| 2022-09-16 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C |
| 2022-09-16 | F0641 | Ensure each resident receives an accurate assessment. | B |
Why was Accordius Health at Rose Manor LLC fined?
| Date | Type | Amount |
|---|---|---|
| 2024-01-29 | Fine | $16,801 |
How is Accordius Health at Rose Manor LLC staffed?
| Measure | This facility | NC average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.93621 | 3.83430 |
| Total nursing staff turnover (%) | 52.2 | 49.0 |
| Average number of residents per day | 77.3 | 86.9 |
Who owns Accordius Health at Rose Manor LLC, and what chain is it in?
Accordius Health at Rose Manor LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name ACCORDIUS HEALTH AT ROSE MANOR LLC and belongs to the SIMCHA HYMAN & NAFTALI ZANZIPER chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | ACCORDIUS HEALTH AT ROSE MANOR LLC | since 06/01/2019 |
| W-2 MANAGING EMPLOYEE | HOUSTON, INGRID | since 08/03/2021 |
| CORPORATE OFFICER | GORELICK, BATYA | since 05/01/2021 |
Were you or a family member harmed at Accordius Health at Rose Manor LLC?