All citations for Roxboro Healthcare & Rehab Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Roxboro Healthcare & Rehab Center

Last standard health inspection on record

December 4, 2025

Showing 1 to 18 of 18 citations

  1. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  2. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  3. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  4. No harm, with potential for more than minimal harm

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0700, Miscellaneous Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  6. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  7. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  8. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  9. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  10. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  11. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  12. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  13. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 4, 2024).

  15. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0200, Egress Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  16. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  17. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  18. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.