ElderGrade
C

60.8/100

Average

Accordius Health At Rose Manor Llc

4230 North Roxboro Street, Durham, NC 27704

CMS 2/5 stars #7 of 13 in Durham County (919) 477-9805
Certified beds
111
Occupancy
70%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $16,801 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16.8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -3.2 for 26 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.12 total nurse hours per resident per day (national median 3.77)
  • 0.58 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 52% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $16,801 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.94 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.58 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.58 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 52.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 38 citations

Last standard health inspection: May 8, 2025 (1 year ago).

D Dec 15, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

F May 8, 2025 F0812 From a complaint

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F May 8, 2025 F0925 From a complaint

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0814

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0578

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.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SIMCHA HYMAN & NAFTALI ZANZIPER, which operates 84 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HOUSTON, INGRID Individual W-2 MANAGING EMPLOYEE
GORELICK, BATYA Individual CORPORATE OFFICER
ACCORDIUS HEALTH AT ROSE MANOR LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Accordius Health At Rose Manor Llc

What is the ElderGrade for Accordius Health At Rose Manor Llc? +

Accordius Health At Rose Manor Llc holds an ElderGrade of C (60.8 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Accordius Health At Rose Manor Llc? +

Residents receive an average of 3.94 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Accordius Health At Rose Manor Llc been cited for harming residents? +

Yes. 1 of the 38 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Accordius Health At Rose Manor Llc accept Medicaid? +

Yes, Accordius Health At Rose Manor Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.