Person Memorial Hospital
615 Ridge Road, Roxboro, NC 27573
Person Memorial Hospital, a 56-bed for profit - limited liability company nursing facility in Roxboro, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #373 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3365035707
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #373 of 415
- In-state rank among rated NC homes
- 3.10
- Well below average · nurse hrs/day · nat'l 3.86
- 22
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Person Memorial Hospital, a 56-bed for profit - limited liability company nursing facility in Roxboro, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #373 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #373 of 415
- In-state rank among rated NC homes
- 3.10
- Nurse hrs/resident-day · national 3.86
- 22
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 419 NC nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345004
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 56
- Residents
- 47
- In Hospital
- Yes
- County
- Person
- Last Inspection
- Dec 17, 2025
Staffing Data
How the 3.10 total nursing hours per resident-day are staffed:
- RN Hours
- 0.78 (nat'l avg: 0.69)
- LPN Hours
- 0.59
- CNA Hours
- 1.72
- Total Nursing Hours
- 3.10 (nat'l avg: 3.86)
- PT Hours
- 0.11
What the CMS Record Reveals About Person Memorial Hospital
According to CMS Nursing Home Compare, Person Memorial Hospital ranks #373 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Person Memorial Hospital operates 56 certified beds in Roxboro, NC with approximately 47 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 2★).
The inspection file contains 22 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 5 penalties totaling $43K against this provider. Reported nurse staffing runs 3.10 total hours per resident day (national average 3.86); RN hours specifically are 0.78 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Person Memorial Hospital falls into a category where comparative context matters.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (22 most recent)
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 14, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 14, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Jan 14, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 14, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 26, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Category: Resident Rights Deficiencies
Corrected: Oct 17, 2024
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 17, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 17, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Oct 17, 2024
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 drugs.
Category: Pharmacy Service Deficiencies
Corrected: Oct 17, 2024
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 17, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 17, 2024
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 8, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 8, 2023
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 8, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 8, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 8, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Oct 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 8, 2023
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 drugs.
Category: Pharmacy Service Deficiencies
Corrected: Oct 8, 2023
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 8, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Category: Resident Rights Deficiencies
Corrected: Oct 8, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.1% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | N/A | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 81.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 10.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 92.7% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 13.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 58.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 85.2% | No |
Penalty History 5 penalties totaling $43K
| Date | Type | Amount |
|---|---|---|
| Nov 25, 2025 | Fine | $16K |
| Nov 25, 2025 | Payment Denial | - |
| Oct 2, 2023 | Fine | $5K |
| Sep 11, 2023 | Fine | $14K |
| Aug 28, 2023 | Fine | $5K |
| Aug 21, 2023 | Fine | $4K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Person Memorial Hospital, both outside NC so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NC (56 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NC (3.16 here).
Nearby Nursing Homes in NC
418 other nursing homes are on record in NC; 6 are shown here.
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Rose Manor LLC
Durham, NC
Adams Farm Living & Rehabilitation
Jamestown, NC
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
Understanding Nursing Home Data
What the CMS records show for Person Memorial Hospital
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
- Peer homes near 56 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Person Memorial Hospital?
Where does Person Memorial Hospital rank among nursing homes in NC?
What are the staffing levels at Person Memorial Hospital?
How many beds does Person Memorial Hospital have?
Does Person Memorial Hospital have any deficiencies on record?
Has Person Memorial Hospital received any fines or penalties?
Who owns Person Memorial Hospital?
When was Person Memorial Hospital last inspected?
What quality measures are tracked for Person Memorial Hospital?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
