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Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
2/5
Health inspection rating (on-site)
inspected May 8, 2025
3
Serious findings on record
most recent Dec 17, 2024
$181,873
Fines, last 3 years
3.29
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Dec 17, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 17, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Dec 17, 2024 · F-0756 · triggered by a complaint
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.
Why it matters: Skipped pharmacist reviews allow unnecessary drugs, wrong doses, and harmful interactions to go undetected.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Dec 17, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 16, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
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. · from a complaintF-0686
D · Potential for more than minimal harm, isolated
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaintF-0692
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaintF-0842
View all 19 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Jan 8, 2026
D · Potential for more than minimal harm, isolated
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. · from a complaint · F-0686
Jan 8, 2026
D · Potential for more than minimal harm, isolated
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Jan 8, 2026
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
May 8, 2025
E · Potential for more than minimal harm, pattern
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
May 8, 2025
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 8, 2025
D · Potential for more than minimal harm, isolated
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. · F-0657
May 8, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
May 8, 2025
D · Potential for more than minimal harm, isolated
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. · F-0761
Feb 17, 2025
D · Potential for more than minimal harm, isolated
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. · from a complaint · F-0578
Feb 17, 2025
D · Potential for more than minimal harm, isolated
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Feb 17, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Feb 17, 2025
D · Potential for more than minimal harm, isolated
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. · from a complaint · F-0686
Feb 17, 2025
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Dec 17, 2024
▲ J · Immediate jeopardy, isolated
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Dec 17, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0756
Dec 17, 2024
▲ J · Immediate jeopardy, isolated
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Dec 17, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Mar 21, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Sep 28, 2023
D · Potential for more than minimal harm, isolated
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 · F-0689
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 5).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
1
Serious citations (G–L):
0
2024
All citations:
5
Serious citations (G–L):
3
2025
All citations:
10
Serious citations (G–L):
0
2026
All citations:
3
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
1
0
D
2024
5
3
J ▲
2025
10
0
E
2026
3
0
D
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Dec 17, 2024
Fine
$177,911
Sep 28, 2023
Fine
$3,962
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.29
North Carolina average:
4.01
U.S. average:
3.95
Registered Nurse hours
This facility:
0.54
North Carolina average:
0.64
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.08
North Carolina average:
3.56
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
North Carolina avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
3.29
4.01
3.95
bottom 19% in North Carolina; bottom 26% in the U.S.
Registered Nurse hours
0.54
0.64
0.69
top 48% in North Carolina; bottom 44% in the U.S.
Weekend total nurse staffing
3.08
3.56
3.50
bottom 36% in North Carolina; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.52
0.41
0.48
top 22% in North Carolina; top 31% in the U.S.
Total nursing staff turnover (%)
50.6
49.0
45.8
bottom 46% in North Carolina; bottom 35% in the U.S.
RN turnover (%)
60.0
45.7
42.9
bottom 30% in North Carolina; bottom 22% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.55, RN 0.58, weekend 3.33.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.55 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Litchford Falls Health and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
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Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Medical Facilities of America Administrative Consulting Services LLC
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
Milano Family Holdings LLC
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
ML Milano 2022 Family Grantor Trust
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
ML Milano 2022 Family Trust
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
TJ Family Trust
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
Tol Opco Investco LLC
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2025
Uh Carolina LF SNF Operations Holdings LLC
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
Universal Operations Holdings LLC
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
Will Family 2016 Trust
Organization
Indirect Ownership Interest
NOT APPLICABLE
06/01/2024
8200 Litchfield Road LLC
Organization
ADP of the SNF
NOT APPLICABLE
06/01/2024
Acs Pro Global Solutions
Organization
ADP of the SNF
NOT APPLICABLE
06/01/2024
Showing 20 of 51 parties CMS has on file for this facility; 31 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Lifeworks Rehab — 64 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Wake, NC — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $181,873
Most serious findings on record:
▲ Dec 17, 2024 (F-0580, Immediate jeopardy, isolated): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
▲ Dec 17, 2024 (F-0756, Immediate jeopardy, isolated): 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.
▲ Dec 17, 2024 (F-0760, Immediate jeopardy, isolated): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Questions for the administrator:
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Your weekend nurse staffing is reported below the North Carolina midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 51 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 345499 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)