Oxford Health and Rehabilitation Center
500 Prospect Avenue, Oxford, NC 27565 · Granville County · 160 certified beds · avg 159 residents/day · certified since Dec 15, 1988
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.12
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: 1/5
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.
All citations in the current public record (18)
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 |
|---|---|---|
| Jun 15, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Nov 21, 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. |
| Nov 21, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Nov 21, 2025 | 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. |
| Nov 21, 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. |
| Nov 21, 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 |
| Nov 21, 2025 | D · Potential for harm, one-off | 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 |
| Jul 3, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jul 3, 2024 | E · Potential for harm, repeated | 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. |
| Jul 3, 2024 | E · Potential for harm, repeated | 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. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 3, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 18, 2023 | E · Potential for harm, repeated | 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. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 18, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 6 | 0 | F |
| 2025 | 8 | 0 | F |
| 2026 | 1 | 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.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
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) | 3.12 | 4.01 | 3.95 | bottom 10% in North Carolina; bottom 18% in the U.S. |
| Registered Nurse hours | 0.15 | 0.64 | 0.69 | bottom 1% in North Carolina; bottom 1% in the U.S. |
| Weekend total nurse staffing | 2.53 | 3.56 | 3.50 | bottom 4% in North Carolina; bottom 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.07 | 0.41 | 0.48 | bottom 1% in North Carolina; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 60.4 | 49.0 | 45.8 | bottom 23% in North Carolina; bottom 16% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% 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 3.05, RN 0.15, weekend 2.47. Staffing rating: 1/5.
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: 1/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bridgewater NC Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| HL Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| HSHC 2024 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Ib Mimi 2022 Family Grantor Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| JK 2022 Grantor Family Trust | 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 |
| Oxford Holdings I LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Oxford Holdings I LLC | 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 | 06/01/2024 |
| Uh Carolina 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 |
| 500 Prospect Avenue 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 |
| Berg, Tabitha | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2024 |
| Bridgewater NC Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Burton, Noah | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
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 current medication error rate, and what have you changed to bring errors down?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Brantwood Nh & Retirement Center | 0.2 mi | Oxford, NC | ★★★★☆ | 4/5 | |
| Senior Citizens Home | 8.1 mi | Henderson, NC | ★☆☆☆☆ | 3/5 | |
| Kerr Lake Nursing and Rehabilitation Center | 10.1 mi | Henderson, NC | ★★★★☆ | 4/5 | |
| Camellia Gardens Center for Nursing and Rehab | 10.2 mi | Henderson, NC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345291.