Federal inspection record · CMS data as of October 1, 2026
Litchford Falls Health and Rehabilitation Center
8200 Litchford Road, Raleigh, NC · (919) 878-7772
- Certified beds
- 90
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 2, 2000
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Litchford Falls Health and Rehabilitation Center carries 74.75 inspection points. That is fewer than 19% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
-
J
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Rights6E
- E
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
Quality of Life and Care6D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning4D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Pharmacy Service1D
- D
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.
Inspection history
2026-07-10
6 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-05-08
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-21
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 40 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 53% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$177,911 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-17 | Fine | $177,911 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better | 97.7% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 98.4% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 0.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.5 pts worse | 34.3% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.2 pts worse | 13.3% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.5 pts better | 5.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 9.5% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.2 pts better | 4.4% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts better | 5.4% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.9% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 2.3% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 20.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 4.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 87.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts worse | 15.2% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 84.9% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.7 pts worse | 28.9% | 22.2% | 23.4% |
·
Who owns and runs it
51 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 8200 Litchfield Road LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| 8200 Litchfield Road LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Acs Pro Global Solutions | Adp Of The SNF · Organization | 0% | 8 facilities |
| Berg, Tabitha | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Bridgewater Nc Holdings LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Bridgewater Nc Holdings LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Bryant -Levant, Karen | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Bryant -Levant, Karen | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Bryant -Levant, Karen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Burton, Noah | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Burton, Noah | Adp Of The SNF · Individual | 0% | 11 facilities |
| Cyop Cyber Security LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Cz Family Trust | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Digacore Consulting | Adp Of The SNF · Organization | 0% | 9 facilities |
| Ellenbogen, Moss | Trustee Of The SNF · Individual | 0% | 30 facilities |
| Ellenbogen, Moss | Adp Of The SNF · Individual | 0% | 30 facilities |
| Healthcare Services Group Inc | Adp Of The SNF · Organization | 0% | 30 facilities |
| Hl Family Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Hshc 2024 Family Trust | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Hshc 2024 Family Trust | Trustee Of The SNF · Organization | 0% | 5 facilities |
| Ib Mimi 2022 Family Grantor Trust | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Ib Mimi 2022 Family Grantor Trust | Adp Of The SNF · Organization | 0% | 5 facilities |
| Ib Mimi 2022 Family Trust | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Ib Mimi 2022 Family Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Jk 2022 Grantor Family Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Konduru, Ramesh | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Konduru, Ramesh | Adp Of The SNF · Individual | 0% | 1 facilities |
| Litchford Holdings I LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Litchford Holdings I LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Live Well Plus LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Medical Facilities Of America Administrative Consulting Services LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Medical Facilities Of America Administrative Consulting Services LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Mfa Heritage Consulting LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Milano Family Holdings LLC | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Milano Family Holdings LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Ml Milano 2022 Family Grantor Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Ml Milano 2022 Family Grantor Trust | Adp Of The SNF · Organization | 0% | 4 facilities |
| Ml Milano 2022 Family Trust | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Ml Milano 2022 Family Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Mozart Holdings, LP | Adp Of The SNF · Organization | 0% | 4 facilities |
| Richards, Linda | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Rubin, Eliezer | Trustee Of The SNF · Individual | 0% | 6 facilities |
| Shayo, Julius | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Shayo, Julius | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Tj Family Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Tol Opco Investco LLC | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Turning Point Consulting | Adp Of The SNF · Organization | 0% | 6 facilities |
| Uh Carolina Lf SNF Operations Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Universal Operations Holdings LLC | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Weiss, Hillel | Trustee Of The SNF · Individual | 0% | 13 facilities |
| Will Family 2016 Trust | Indirect Ownership Interest · Organization | 0% | 4 facilities |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress5D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have exits that are accessible at all times.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have exits that are accessible at all times.
- D
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems5F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous3D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Construction2D
- D
Use approved construction type or materials.
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
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Perry Creek Health and Rehabilitation Center
Raleigh, NC
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 40 min
- Fines
- $326,170
-
The Rosewood Health Center
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h 26 min
- Fines
- $0
-
The Cardinal at North Hills
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 7 h 23 min
- Fines
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