Rose Manor Health and Rehab

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionPast Non-Compliance

• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 30, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 30, 2025

• Use approved construction type or materials.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

• Dispose of garbage and refuse properly.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 30, 2025

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 30, 2025

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 30, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 30, 2025

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 30, 2025

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 30, 2025

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 30, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 30, 2025

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity B of L: potential for minimal harm, patternCorrected May 30, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 22, 2024

• Ensure electrical receptacles or cover plates have distinctive color or marking.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 21, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 21, 2024

• Install an approved automatic sprinkler system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 21, 2024

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 22, 2024

• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 22, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 22, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 22, 2024

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 22, 2024

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 22, 2024

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 22, 2024

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 21, 2024

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 22, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 22, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 22, 2024

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 21, 2024

• Ensure each resident receives an accurate assessment.

  Severity B of L: potential for minimal harm, patternCorrected Feb 22, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Feb 22, 2024

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity B of L: potential for minimal harm, patternCorrected Feb 22, 2024

• Keep all essential equipment working safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 14, 2022

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 14, 2022

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 14, 2022

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 20, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 14, 2022

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 20, 2023

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 20, 2023

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 20, 2023

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 20, 2023

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Assess the resident when there is a significant change in condition

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 14, 2022

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 14, 2022

• Ensure each resident receives an accurate assessment.

  Severity B of L: potential for minimal harm, patternCorrected Oct 14, 2022

Rose Manor Health and Rehab offers Skilled Nursing / Long Term Care.

Rose Manor Health and Rehab is located at 4230 North Roxboro Street in Durham, North Carolina.

Rose Manor Health and Rehab is a skilled nursing and rehabilitation facility in Durham that has served the community for decades, but recent reviews raise serious and repeated concerns about basic care standards. Multiple reviewers describe neglect, unsanitary conditions, and slow response to call lights, while at least one family reported a medication error that led to a dangerous drop in blood pressure. A few reviewers noted individual staff members who were attentive and professional despite these broader concerns.

Rose Manor Health and Rehab had 4 government inspection visits in the last three years, with 59 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Rose Manor Health and Rehab directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.