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D
Poor

Accordius Health at Rose Manor LLC

4230 North Roxboro Street · Durham, NC 27704

9194779805 · For profit - Limited Liability company

111 beds83.8 residents230 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accordius Health at Rose Manor LLC receives an overall staffing grade of D (Poor). With 3.6402 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.364 HPRD, below the recommended 0.75. It is 0.26 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.65% compared to weekdays. The facility relies heavily on temporary agency staff (16.68% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.364 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️16.68% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 8.65% drop-off
Total Nurse HPRD
3.6402hrs/resident/day▼ 0.26
CMS benchmark: 3.48
RN HPRD
0.364hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
8.65%
3.7315 weekday → 3.4086 weekend
Agency Staff
16.68%
31.9% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0916hrs/resident/day
Direct care aides
LPN HPRD
1.1846hrs/resident/day
Licensed practical nurses
Consistency
0.3063std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Durham County Average-0.21 HPRD
3.85
03.64 HPRD
vs. North Carolina State Average-0.13 HPRD
3.77
03.64 HPRD
vs. National Average-0.26 HPRD
3.90
03.64 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accordius Health at Rose Manor LLC ★
Durham · This facility
—
D
3.64020.364★★☆☆☆
Pettigrew Rehabilitation Center
Durham
3.1 mi
C
3.48580.5387★★☆☆☆
Hillcrest Convalescent Center
Durham
3.1 mi
A+
5.55631.2503★★★★★
Durham Nursing & Rehabilitation Center
Durham
3.5 mi
C
3.430.4491★★☆☆☆
Pruitthealth-Durham
Durham
4 mi
B
3.69360.743★★☆☆☆
Carol Woods
Chapel Hill
9.7 mi
A+
6.21341.9775★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
38
Total Deficiencies
$16,801
Fines Assessed
Dec 15, 2025Health
1 deficiency cited
▼
May 8, 2025Health
11 deficiencies cited
▼
Jan 29, 2024Health
14 deficiencies cited· Includes actual harm
▼
Sep 16, 2022Health
12 deficiencies cited
▼

Penalty History

Jan 29, 2024Fine
$16,801
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.