Skilled nursing
PERSON MEMORIAL HOSPITAL
0.00 reviews · 0 verifiedROXBORO, NCLic. 345004
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
DENYCMS payment denial (1 days)Source: CMS Penalties
FINECMS fine: $16,153Source: CMS Penalties
FINECMS fine: $4,545Source: CMS Penalties
FINECMS fine: $13,635Source: CMS Penalties
FINECMS fine: $4,545Source: CMS Penalties
Provided by facility
Person Memorial Hospital in Roxboro, NC is a full-service hospital offering comprehensive health care services to Person County and surrounding areas. With a capacity of 98 beds, the hospital is dedicated to providing high-quality care through modern facilities and equipment. Services include cardiology, emergency care, extended care, and surgical services, among others. The hospital is accredited by The Joint Commission, ensuring it meets high standards of care.
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.19 total HPRDRN 0.63 · weekend 88%Oct 2025 – Dec 2025
Survey history
7 inspections29 deficiencies on record
Federal IDs
CCN 345004
Overall: 1/5 · Health: 2/5 · Staffing: 1/5 · QM: 2/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Health surveyDec 2025 · CMS4 deficiencies
- F-605SS E — Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F-732SS C — Post nurse staffing information every day.
- F-756SS E — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Health surveyNov 2025 · CMS1 deficiencies
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Fire safetySep 2024 · STATE FIRE MARSHAL1 deficiencies
- K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Health surveySep 2024 · CMS7 deficiencies
- F-577SS C — Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F-585SS D — 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.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-679SS D — Provide activities to meet all resident's needs.
- F-727SS F — 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.
- F-732SS F — Post nurse staffing information every day.
- F-761SS E — 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.
Fire safetyAug 2023 · STATE FIRE MARSHAL5 deficiencies
- E-4SS F — Develop and maintain an Emergency Preparedness Program (EP).
- K-211SS D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-521SS D — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- K-916SS F — Have a battery powered remote alarm panel in a location accessible by operating personnel.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
Health surveyAug 2023 · CMS10 deficiencies
- F-565SS E — Honor the resident's right to organize and participate in resident/family groups in the facility.
- F-636SS D — Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- F-640SS B — Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- F-679SS E — Provide activities to meet all resident's needs.
- F-727SS D — 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.
- F-730SS D — Observe each nurse aide's job performance and give regular training.
- F-732SS B — Post nurse staffing information every day.
- F-761SS E — 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.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-867SS E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Fire safetyJan 2022 · STATE FIRE MARSHAL1 deficiencies
- K-211SS D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Write a reviewOperated by LIFEPOINT HEALTH (privately held) since 1967.
- Jan 2014
operator transition — LEGACY LIFEPOINT HEALTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — LEGACY LIFEPOINT HEALTH LLC - Oct 2011
operator transition — LIFEPOINT HOLDINGS 2 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — LIFEPOINT HOLDINGS 2 LLC - Oct 2011
operator transition — LIFEPOINT HOSPITALS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — LIFEPOINT HOSPITALS HOLDINGS LLC - Oct 2011
operator transition — DLP HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — DLP HEALTHCARE LLC - Oct 2011
operator transition — DLP PARTNER LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — DLP PARTNER LLC - Oct 2011
operator transition — HISTORIC LIFEPOINT HOSPITALS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — HISTORIC LIFEPOINT HOSPITALS, LLC