Federal inspection record · CMS data as of October 1, 2026

Oxford Health and Rehabilitation Center

500 Prospect Avenue, Oxford, NC · (919) 693-1531

CMS overall rating

1 of 5

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Certified beds
160
Residents per day
156
Ownership
For-Profit
Chain
Lifeworks Rehab
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 15, 1988

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Oxford Health and Rehabilitation Center carries 49 inspection points. That is fewer than 33% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 49 pts · 2★

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

18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 4 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service4E
  1. D

    Ensure medication error rates are not 5 percent or greater.

    June 15, 2026 · Complaint · F759 · Corrected July 1, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    November 21, 2025 · Complaint · F760 · Corrected January 11, 2026

  3. E

    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.

    July 3, 2024 · Standard · F761 · Corrected July 31, 2024

  4. E

    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.

    May 18, 2023 · Standard · F761 · Corrected June 13, 2023

Nutrition and Dietary4F
  1. F

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

    November 21, 2025 · Standard · F812 · Corrected January 11, 2026

  2. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    November 21, 2025 · Standard · F803 · Corrected January 11, 2026

  3. F

    Dispose of garbage and refuse properly.

    July 3, 2024 · Standard · F814 · Corrected July 31, 2024

  4. E

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

    July 3, 2024 · Standard · F812 · Corrected July 31, 2024

Resident Assessment and Care Planning4D
  1. D

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

    November 21, 2025 · Standard · F656 · Corrected January 11, 2026

  2. D

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

    November 21, 2025 · Standard · F658 · Corrected January 11, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    May 18, 2023 · Standard · F641 · Corrected June 13, 2023

  4. D

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

    May 18, 2023 · Standard · F656 · Corrected June 13, 2023

Resident Rights3D
  1. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    November 21, 2025 · Complaint · F582 · Corrected January 11, 2026

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    July 3, 2024 · Standard · F550 · Corrected July 31, 2024

  3. 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.

    July 3, 2024 · Complaint · F584 · Corrected July 31, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    November 21, 2025 · Complaint · F602 · Corrected October 25, 2025

Quality of Life and Care1D
  1. D

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

    November 21, 2025 · Complaint · F689 · Corrected January 11, 2026

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    July 3, 2024 · Standard · F732 · Corrected July 31, 2024

Inspection history

  1. 2025-11-21

    9 health deficiencies · 5 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-07-03

    6 health deficiencies · 6 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2023-05-18

    3 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 23 min of nursing staff time a day, 26 min of it from a registered nurse.

This home

3 h 23 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 71% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.41.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse2.91.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better99.8%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts worse94.2%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse3.7%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms14.8 pts worse21.6%6.8%13.5%
Percentage of long-stay residents who lose too much weight3.3 pts worse10.4%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better14.3%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.6 pts worse25.5%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened13.5 pts better3.1%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11.8 pts better3.2%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.6%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse23.8%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better3.2%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts better95.6%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts worse16.9%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.6 pts better96.7%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts worse22.5%22.2%23.4%

·

Who owns and runs it

48 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
500 Prospect Avenue LLCAdp Of The SNF · Organization0%1 facilities
Acs Pro Global SolutionsAdp Of The SNF · Organization0%8 facilities
Berg, TabithaManaging Control - Governing Body · Individual0%2 facilities
Bridgewater Nc Holdings LLCIndirect Ownership Interest · Organization0%5 facilities
Bridgewater Nc Holdings LLCAdp Of The SNF · Organization0%5 facilities
Burton, NoahTrustee Of The SNF · Individual0%11 facilities
Cyop Cyber Security LLCAdp Of The SNF · Organization0%7 facilities
Deal, MartinOperational/Managerial Control · Individual0%2 facilities
Deal, MartinAdp Of The SNF · Individual0%2 facilities
Digacore ConsultingAdp Of The SNF · Organization0%9 facilities
Ellenbogen, MossTrustee Of The SNF · Individual0%30 facilities
Healthcare Services Group IncAdp Of The SNF · Organization0%30 facilities
Hl Family TrustIndirect Ownership Interest · Organization0%4 facilities
Hshc 2024 Family TrustIndirect Ownership Interest · Organization0%5 facilities
Ib Mimi 2022 Family Grantor TrustIndirect Ownership Interest · Organization0%5 facilities
Ib Mimi 2022 Family Grantor TrustAdp Of The SNF · Organization0%5 facilities
Jk 2022 Grantor Family TrustIndirect Ownership Interest · Organization0%4 facilities
Live Well Plus LLCAdp Of The SNF · Organization0%9 facilities
Medical Facilities Of America Administrative Consulting Services LLCAdp Of The SNF · Organization0%5 facilities
Medline IndustriesAdp Of The SNF · Organization0%2 facilities
Mfa Clinical Consulting LLCAdp Of The SNF · Organization0%3 facilities
Mfa Heritage Consulting LLCAdp Of The SNF · Organization0%5 facilities
Milano Family Holdings LLCIndirect Ownership Interest · Organization0%6 facilities
Milano Family Holdings LLCAdp Of The SNF · Organization0%6 facilities
Ml Milano 2022 Family Grantor TrustIndirect Ownership Interest · Organization0%4 facilities
Ml Milano 2022 Family Grantor TrustAdp Of The SNF · Organization0%4 facilities
Ml Milano 2022 Family TrustIndirect Ownership Interest · Organization0%7 facilities
Ml Milano 2022 Family TrustAdp Of The SNF · Organization0%7 facilities
Myers, LindaAdp Of The SNF · Individual0%1 facilities
Oxford Holdings I LLCDirect Ownership Interest · Organization0%1 facilities
Oxford Holdings I LLCIndirect Ownership Interest · Organization0%1 facilities
Plyler, KimberlyOperational/Managerial Control · Individual0%1 facilities
Richards, LindaManaging Control - Governing Body · Individual0%2 facilities
Rubin, EliezerTrustee Of The SNF · Individual0%6 facilities
Rytes Company LLCAdp Of The SNF · Organization0%10 facilities
Shayo, JuliusManaging Control - Governing Body · Individual0%4 facilities
Shayo, JuliusOperational/Managerial Control · Individual0%4 facilities
Terrell, MunasheOperational/Managerial Control · Individual0%1 facilities
Thomas, RhondaManaging Control - Governing Body · Individual0%1 facilities
Thomas, RhondaOperational/Managerial Control · Individual0%1 facilities
Thomas, RhondaAdp Of The SNF · Individual0%1 facilities
Tj Family TrustIndirect Ownership Interest · Organization0%4 facilities
Tol Opco Investco LLCIndirect Ownership Interest · Organization0%4 facilities
Turning Point ConsultingAdp Of The SNF · Organization0%6 facilities
Uh Carolina SNF Operations Holdings LLCIndirect Ownership Interest · Organization0%3 facilities
Universal Operations Holdings LLCIndirect Ownership Interest · Organization0%4 facilities
Weiss, HillelTrustee Of The SNF · Individual0%13 facilities
Will Family 2016 TrustIndirect Ownership Interest · Organization0%4 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. D

    Provide properly protected cooking facilities.

    November 21, 2025 · K324 · Corrected March 30, 2026

  2. F

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

    July 3, 2024 · K321 · Corrected October 28, 2024

  3. D

    Install an approved automatic sprinkler system.

    July 3, 2024 · K351 · Corrected October 28, 2024

  4. D

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

    July 3, 2024 · K374 · Corrected October 28, 2024

  5. D

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

    May 18, 2023 · K321 · Corrected August 15, 2023

  6. D

    Install an approved automatic sprinkler system.

    May 18, 2023 · K351 · Corrected August 15, 2023

  7. D

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

    May 18, 2023 · K372 · Corrected August 15, 2023

Egress4D
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    November 21, 2025 · K222 · Corrected March 30, 2026

  2. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    November 21, 2025 · K223 · Corrected March 30, 2026

  3. D

    Meet other general requirements.

    July 3, 2024 · K200 · Corrected October 28, 2024

  4. D

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

    May 18, 2023 · K211 · Corrected August 15, 2023

Gas, Vacuum, and Electrical Systems4F
  1. D

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

    November 21, 2025 · K918 · Corrected March 30, 2026

  2. F

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

    May 18, 2023 · K918 · Corrected August 15, 2023

  3. E

    Meet requirements for the installation and maintenance of electrical systems.

    May 18, 2023 · K911 · Corrected August 15, 2023

  4. D

    Have proper medical gas storage and administration areas.

    May 18, 2023 · K923 · Corrected August 15, 2023

Services2F
  1. D

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

    November 21, 2025 · K521 · Corrected March 30, 2026

  2. F

    Have properly installed electrical wiring and gas equipment.

    May 18, 2023 · K511 · Corrected August 15, 2023

Emergency Preparedness1F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    July 3, 2024 · E4 · Corrected July 31, 2024

Construction1D
  1. D

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    July 3, 2024 · K111 · Corrected October 28, 2024

·

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