Public Record
Person Memorial Hospital
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 56
- Avg. residents per day
- 45
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 29
- Inspections on file
- 7
- Last inspection
- 2025-12-17
*CMS
*CMS
*CMS
Citations
29 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0577Generalno actual harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 0585Generalpotential for harm
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.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0727Generalpotential for harm
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.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0761Generalpotential for harm
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.
- 0565Generalpotential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 0727Generalpotential for harm
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.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0640Generalno actual harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0916Generalpotential for harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection4 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection8 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection15 deficiencies
- View inspection reportInspection15 deficiencies
- View inspection reportInspection1 deficiency
FAQ
Questions and answers
- What is Person Memorial Hospital?
- Person Memorial Hospital is a Medicare- and Medicaid-certified nursing home in Roxboro, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345004.
- What is the CMS rating for Person Memorial Hospital?
- Person Memorial Hospital has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Person Memorial Hospital have?
- Person Memorial Hospital is certified for 56 beds. It serves an average of 45 residents per day.
- How many citations does Person Memorial Hospital have?
- Person Memorial Hospital has 29 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Person Memorial Hospital last inspected?
- Person Memorial Hospital was last inspected on December 17, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/345004-person-memorial-hospital