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Nursing homeFAID #8901

Accordius Health At Rose Manor

4230 NORTH ROXBORO STREET, DURHAM, NC, 27704

(919) 477-9805

rosemanorrehab.com

111 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of ACCORDIUS HEALTH AT ROSE MANOR LLC

Photo via Google · Rose Manor Health and Rehab

Address

4230 North Roxboro Street

Durham, NC 27704

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Public record summary

What we can show you for free.

Bed capacity

111

CMS facility ID

345081

Care type

Nursing home

County

Durham

Facility name

Accordius Health At Rose Manor

Street address

4230 NORTH ROXBORO STREET

City / state / ZIP

Durham, NC 27704

Phone

(919) 477-9805

Website

rosemanorrehab.com

About this facility — Accordius Health At Rose Manor

Accordius Health At Rose Manor is a Medicare/Medicaid-certified skilled nursing facility in Durham, North Carolina. It is licensed for 111 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 140 senior care facilities in Durham and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Accordius Health At Rose Manor 59 times across 9 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $16,801 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Simcha Hyman & Naftali Zanziper

Ownership type

For profit - Limited Liability company

Registered owners & officers

Accordius Health At Rose Manor Llc

Direct owner — 100% stake — since 2019

Gorelick, Batya

Officer — since 2021

Houston, Ingrid

Managing employee — since 2021

Regulatory standing

Federal court records

2 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1973-09-01

CMS overall rating

2 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

$16,801 total

Last standard inspection

2025-05-08

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$367 per day (≈ $11,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

83% Medicaid · 4% Medicare · 12% private/other

Occupancy

81% (fiscal year 2023)

Vs. state median

2% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds

111

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-15Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

2025-05-08Health inspectionComplaint-triggered11 citations

F-0578

D · No harm found

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.

Corrected 2025-05-30

F-0584

B · No harm found

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.

Corrected 2025-05-30

F-0607

D · No harm foundFrom a complaint

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

Corrected 2025-05-30

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-05-30

F-0644

D · No harm found

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

Corrected 2025-05-30

F-0657

D · No harm found

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

Corrected 2025-05-30

F-0658

D · No harm found

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

Corrected 2025-05-30

F-0688

D · No harm found

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.

Corrected 2025-05-30

F-0812

F · No harm foundFood safetyFrom a complaint

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

Corrected 2025-05-30

F-0814

E · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2025-05-30

F-0925

F · No harm foundFrom a complaint

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

Corrected 2025-05-30

5 earlier / fire-safety inspections (47 citations)

2024-01-29Health inspectionComplaint-triggered14 citations

F-0565

D · No harm found

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

Corrected 2024-02-22

F-0578

E · No harm found

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.

Corrected 2024-02-22

F-0623

B · No harm found

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

Corrected 2024-02-22

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-02-22

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-02-22

F-0657

E · No harm found

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

Corrected 2024-02-22

F-0686

E · No harm found

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

Corrected 2024-02-22

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-02-22

F-0756

E · No harm foundFrom a complaint

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

Corrected 2024-02-22

F-0758

E · No harm foundFrom a complaint

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.

Corrected 2024-02-22

F-0761

D · No harm found

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.

Corrected 2024-02-22

F-0809

E · No harm foundFood safety

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.

Corrected 2024-02-22

F-0842

B · No harm found

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

Corrected 2024-02-22

F-0867

E · No harm found

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

Corrected 2024-02-22

2022-09-16Health inspection12 citations

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2022-10-14

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2022-10-14

F-0656

D · No harm found

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

Corrected 2022-10-14

F-0657

D · No harm found

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

Corrected 2022-10-14

F-0689

E · No harm found

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

Corrected 2022-10-14

F-0695

D · No harm found

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

Corrected 2022-10-14

F-0756

D · No harm found

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

Corrected 2022-10-14

F-0758

D · No harm found

Corrected 2022-10-14

F-0812

F · No harm foundFood safety

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

Corrected 2022-10-14

F-0867

D · No harm found

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

Corrected 2022-10-14

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2022-10-14

F-0921

C · No harm found

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

Corrected 2022-10-14

2025-05-08Fire-safety inspection10 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2025-07-11

K-0211

D · No harm found

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

Corrected 2025-07-11

K-0321

D · No harm found

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

Corrected 2025-07-11

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-07-11

K-0345

E · No harm found

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

Corrected 2025-07-11

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-11

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-07-11

K-0741

D · No harm found

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

Corrected 2025-07-11

K-0918

D · No harm found

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

Corrected 2025-07-11

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-07-11

2024-01-29Fire-safety inspection5 citations

K-0321

D · No harm found

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

Corrected 2024-03-21

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-03-21

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-21

K-0917

F · No harm found

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

Corrected 2024-03-21

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-03-21

2022-09-16Fire-safety inspection6 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-10-14

K-0321

D · No harm found

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

Corrected 2023-01-20

K-0372

D · No harm found

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

Corrected 2023-01-20

K-0521

F · No harm found

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

Corrected 2023-01-20

K-0918

D · No harm found

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

Corrected 2023-01-20

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-01-20

Federal penalties

2024-01-29Fine$16,801

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345081.

Visitor reviews

What people say on Google.

3.042 ratings on Google

★Sabrina Reams · 2026-03-28 · via Google
“I am deeply disappointed with the level of care my loved one received at this facility. During multiple visits, I found them sitting in soiled clothing and not properly cleaned. No patient should have to remain wet or unclean for extended periods of time. The nurse aides were often unprofessional and did not check on patients regularly. On several occasions, I had to repeatedly ask staff to come a…”

★Jarrel Wilson · 2025-10-21 · via Google
“Review for Rose Manor Rehabilitation Center – Durham, NC My experience with Rose Manor regarding my mother’s care has been very disappointing. The facility has not provided bed sheets on her bed, which is both uncomfortable and unsanitary. In addition, her wound care has not been handled properly — the wound nurse has not been coming through daily as required, even though her dressing needs to be…”

★Cortland Chatel · 2026-04-26 · via Google
“PLEASE PLEASE PLEASE, DO NOT SEND YOUR FAMILY MEMBER TO THIS FACILITY. THIS FACILTITY ALMOST KILLED MY MOTHER BECAUSE OF NEGLECT. THE STAFF IS INATTENTIVE AND CLAIMS THEY DO WORK WHEN THEY DO NOT. THEY FAILED TO TAKE ADEQUATE CARE OF MY MOTHER AND IT RESULTED IN HER BLOOD PREASURE BEING 60/30 AND FAILED TO GIVE HER, HER DOCTOR PRESCRIBED MEDICATIONS.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 59 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered