Person Memorial Hospital — nursing home in Roxboro, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 56 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 47.5 CMS, MDS-derived
CMS Certification Number: 345004
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): Dlp Person Memorial Hospital LLC
CMS chain: Lifepoint Health 8 facilities
Phone: (336) 503-5707
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Dec 17, 2025

Citations

29

22 health · 7 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E9	F5
Minimal	A·	B2	C2

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffingfn 24

Quality measures

Penalties · about the last 3 years

Fines

1

$16,153

Payment denials

1

Latest

Nov 25, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345004
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 56
First approved: Jan 1, 1967
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 17, 2025	Health	Health Standard	4	Potential harm	—	Open →
Nov 25, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Sep 19, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Sep 19, 2024	Health	Health Complaint, Health Standard	7	Potential harm	1	Open →
Aug 23, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Aug 23, 2023	Health	Health Standard	10	Potential harm	2	Open →
Jan 7, 2022	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Nov 25, 2025	Denial of payment for new admissions	—	Nov 25, 2025 · 1 days	345004\|Payment Denial\|2025-11-25
Nov 25, 2025	Civil money penalty (fine)	$16,153	—	345004\|Fine\|136504

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E9	F5
Minimal	A·	B2	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 17, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 14, 2026
Dec 17, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 14, 2026
Dec 17, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 14, 2026
Dec 17, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	No revisit needed Jan 14, 2026
Nov 25, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Nov 26, 2025	Complaint
Sep 19, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 20, 2024
Sep 19, 2024	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 17, 2024	Complaint
Sep 19, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 17, 2024	Complaint
Sep 19, 2024	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 17, 2024	Complaint
Sep 19, 2024	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Oct 17, 2024	Complaint
Sep 19, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Oct 17, 2024
Sep 19, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 17, 2024
Sep 19, 2024	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Plan of correction, not yet verified Oct 17, 2024
Aug 23, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 8, 2023
Aug 23, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 5, 2023
Aug 23, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 5, 2023
Aug 23, 2023	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 5, 2023
Aug 23, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 5, 2023
Aug 23, 2023	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 8, 2023
Aug 23, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2023
Aug 23, 2023	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 8, 2023
Aug 23, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Oct 8, 2023
Aug 23, 2023	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Oct 8, 2023
Aug 23, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 8, 2023
Aug 23, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 8, 2023
Aug 23, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Oct 8, 2023
Aug 23, 2023	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Oct 8, 2023
Aug 23, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Plan of correction, not yet verified Oct 8, 2023
Jan 7, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 25, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing1.24

State avg 3.87US avg 3.90

Registered nurse (RN)0.22

State avg 0.62US avg 0.69

Licensed practical nurse0.33

State avg 0.88US avg 0.86

Nurse aide0.69

State avg 2.37US avg 2.35

Weekend total nurse1.03

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 1.24 (case-mix index 1.40).

Staff turnover

Total nursing staff turnoverNot reported

State avg 48.7%US avg 45.3%

Registered nurse turnoverNot reported

State avg 45.7%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 17, 2025
Cycle 1 health score: 99
Total weighted score: 87.25

Operating entity

Dlp Person Memorial Hospital LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Lifepoint Health

8 facilities in 6 states. CMS chain ID 787.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4

Ownership disclosures

Disclosures

14

Organizations

6

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Dlp Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2011
Dlp Partner LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Historic Lifepoint Hospitals, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Legacy Lifepoint Health LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2014
Lifepoint Holdings 2 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Lifepoint Hospitals Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Dlp Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2011
Dlp Partner LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Historic Lifepoint Hospitals, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Legacy Lifepoint Health LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2014
Lifepoint Holdings 2 LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Lifepoint Hospitals Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2011
Bertrand Beard	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2022
Elliott Brown	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 2, 2026
Charlotte Lawrence	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 24, 2022
Christopher Monte	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2011
Elmer Polite	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 14, 2020
Marcus Poppell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 16, 2018
Phillip Sensing	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 4, 2026
Phillip Sensing	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 4, 2026

Same chain in North Carolina

All 7 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Wilson Rehabilitation and Nursing Center 1705 South Tarboro Street, Wilson, NC 27893 CCN 345423	90		May 20, 2026	194 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 615 Ridge Road, Roxboro, NC 27573
ZIP: 27573
County: Person County FIPS 37145
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Roxboro Healthcare & Rehab Center 901 Ridge Road, Roxboro, NC 27573 CCN 345311	0.3 km	140		Dec 4, 2025	392 harm1 open	$57k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345004	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345004	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345004

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction