ElderGrade
F

36.3/100

Poor

Litchford Falls Health And Rehabilitation Center

8200 Litchford Road, Raleigh, NC 27615

CMS 2/5 stars #18 of 20 in Wake County (919) 878-7772
Certified beds
90
Occupancy
96%
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.

  • 3 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.

  • $181,873 in federal fines

    CMS has fined this facility across 2 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 9.3/30 Staffing 13/30 Stability 7/15 Outcomes 5/15 Enforcement 2/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

9.3/30

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

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -0.7 for 19 total citations against a national median of 17

Staffing

13/30

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

  • 3.29 total nurse hours per resident per day (national median 3.77)
  • 0.58 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

7/15

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

  • 51% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

5/15

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

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

Enforcement history

2/10

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

  • $181,873 in federal fines across 2 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 3.55 hrs
National average 3.86 hrs Below 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 3.33 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 50.60%
National average 45.80% Below average

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

Recent inspection findings

All 19 citations

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

D Jan 8, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

D Jan 8, 2026 F0692 From a complaint

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

D Jan 8, 2026 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0584 From a complaint

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 actual harm, potential for more than minimal harm

D 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

D May 8, 2025 F0657

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.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of LIFEWORKS REHAB, which operates 69 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
LITCHFORD HOLDINGS I LLC Organization DIRECT OWNERSHIP INTEREST
8200 LITCHFIELD ROAD LLC Organization INDIRECT OWNERSHIP INTEREST
BRIDGEWATER NC HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
CZ FAMILY TRUST Organization INDIRECT OWNERSHIP INTEREST
HL FAMILY TRUST Organization INDIRECT OWNERSHIP INTEREST
HSHC 2024 FAMILY TRUST Organization INDIRECT OWNERSHIP INTEREST
IB MIMI 2022 FAMILY GRANTOR TRUST Organization INDIRECT OWNERSHIP INTEREST
IB MIMI 2022 FAMILY TRUST Organization INDIRECT OWNERSHIP INTEREST
JK 2022 GRANTOR FAMILY TRUST Organization INDIRECT OWNERSHIP INTEREST
MEDICAL FACILITIES OF AMERICA ADMINISTRATIVE CONSULTING SERVICES LLC Organization INDIRECT OWNERSHIP INTEREST
MILANO FAMILY HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
ML MILANO 2022 FAMILY GRANTOR TRUST Organization INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Litchford Falls Health And Rehabilitation Center

What is the ElderGrade for Litchford Falls Health And Rehabilitation Center? +

Litchford Falls Health And Rehabilitation Center holds an ElderGrade of F (36.3 out of 100), which we describe as "poor". 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 Litchford Falls Health And Rehabilitation Center? +

Residents receive an average of 3.55 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Litchford Falls Health And Rehabilitation Center been cited for harming residents? +

Yes. 3 of the 19 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 Litchford Falls Health And Rehabilitation Center accept Medicaid? +

Yes, Litchford Falls Health And Rehabilitation Center 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.