Accordius Health at Rose Manor LLC

Name: Accordius Health at Rose Manor LLC
Address: 4230 North Roxboro Street, Durham, NC, 27704, US
Telephone: 9194779805

4230 North Roxboro Street, Durham, NC 27704 · Durham County · 111 certified beds · avg 77 residents/day · certified since Sep 1, 1973

Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)

2/5

Health inspection rating (on-site)

Serious findings on record

$16,801

Fines, last 3 years

4.12

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 29, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 22, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (38)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 15, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 8, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
May 8, 2025	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
May 8, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 8, 2025	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
May 8, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 8, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
May 8, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
May 8, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 8, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 8, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 8, 2025	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 29, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 29, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Jan 29, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Jan 29, 2024	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Jan 29, 2024	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jan 29, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 29, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 29, 2024	B · Minimal risk, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jan 29, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 29, 2024	B · Minimal risk, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 16, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 16, 2022	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 16, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 16, 2022	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Sep 16, 2022	C · Minimal risk, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Sep 16, 2022	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 11).

Year	Citations	Serious (G–L)	Worst severity that year
2022	12	0	F
2024	14	1	J ▲
2025	12	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $16,801.

Date	Type	Amount / length
Jan 29, 2024	Fine	$16,801

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.12	4.01	3.95	top 26% in North Carolina; top 35% in the U.S.
Registered Nurse hours	0.61	0.64	0.69	top 38% in North Carolina; top 47% in the U.S.
Weekend total nurse staffing	3.74	3.56	3.50	top 25% in North Carolina; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.41	0.48	top 37% in North Carolina; top 50% in the U.S.
Total nursing staff turnover (%)	52.2	49.0	45.8	bottom 41% in North Carolina; bottom 31% in the U.S.
RN turnover (%)	55.6	45.7	42.9	bottom 36% in North Carolina; bottom 28% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.94, RN 0.58, weekend 3.58. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Accordius Health at Rose Manor LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2019
Gorelick, Batya	Individual	Corporate Officer	NOT APPLICABLE	05/01/2021
Houston, Ingrid	Individual	W-2 Managing Employee	NOT APPLICABLE	08/03/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is pest control handled here, and when was the last treatment or inspection?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can I see where garbage is stored and how often it's removed?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Carver Living Center	0.7 mi	Durham, NC	★☆☆☆☆	1/5
Croasdaile Village	2.3 mi	Durham, NC	★★★★☆	4/5
Pettigrew Rehabilitation Center	3.1 mi	Durham, NC	★★★★☆	3/5
Hillcrest Convalescent Center	3.1 mi	Durham, NC	★★★★★	5/5
University Health and Rehabilitation Center	3.5 mi	Durham, NC	★☆☆☆☆	1/5
Treyburn Rehabilitation Center	4.0 mi	Durham, NC	★★★☆☆	2/5
Pruitthealth-Durham	4.0 mi	Durham, NC	★☆☆☆☆	1/5
The Forest at Duke INC	5.7 mi	Durham, NC	★★★★☆	5/5
Pruitthealth-Carolina Point	6.5 mi	Durham, NC	★☆☆☆☆	2/5
Southpoint Rehabilitation and Healthcare Center	9.2 mi	Durham, NC	★☆☆☆☆	1/5	abuse
Parkview Health and Rehabilitation Center	9.4 mi	Chapel Hill, NC	★★★★★	5/5
Carol Woods	9.7 mi	Chapel Hill, NC	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Durham →

Facility data as of CMS processing date 2026-08-01. CCN 345081.

The Care File

Visit checklist — Accordius Health at Rose Manor LLC

4230 North Roxboro Street, Durham, NC 27704 · 9194779805

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $16,801

Most serious findings on record:

▲ Jan 29, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345081 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)