PERSON MEMORIAL HOSPITAL

615 RIDGE ROAD
ROXBORO, NC, 27573
3365035707
CCN: 345004
2
Overall
2
Health
2
Staffing
3
Quality
ChainLIFEPOINT HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
DLP HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
DLP PARTNER LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
DSB ACQUISITION LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HISTORIC LIFEPOINT HOSPITALS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
LEGACY LIFEPOINT HEALTH LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
LIFEPOINT HEALTH INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
LIFEPOINT HOLDINGS 2 LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
LIFEPOINT HOSPITALS HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MONTE, CHRISTOPHERCORPORATE OFFICERNOT APPLICABLE
GROOMS, JOHNCORPORATE OFFICERNOT APPLICABLE
LAWRENCE, CHARLOTTECORPORATE OFFICERNOT APPLICABLE
RIALS, LORENCORPORATE OFFICERNOT APPLICABLE
POLITE, ELMERCORPORATE OFFICERNOT APPLICABLE
POPPELL, MARCUSCORPORATE OFFICERNOT APPLICABLE
BEARD, BERTRANDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (11)
DateTypeAmount
2025-11-25Fine$25K
2025-11-25Payment Denial1 days
2023-10-02Fine$5K
2023-09-11Fine$14K
2023-08-28Fine$5K
2023-08-21Fine$4K
2023-08-14Fine$4K
2023-08-07Fine$3K
2023-07-17Fine$8K
2023-06-26Fine$2K
2023-06-05Fine$4K
Health Deficiencies (22)
2025-12-17 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
2025-11-25 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-19 · Health
E
F761 · Pharmacy Service Deficiencies
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.
F
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
F
F727 · Nursing and Physician Services Deficiencies
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.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F585 · Resident Rights Deficiencies
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.
C
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
2023-08-23 · Health
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
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.
B
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F730 · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
D
F727 · Nursing and Physician Services Deficiencies
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.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
B
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.25
3.68
RN Hrs/Resident/Day
0.63
0.54
LPN Hrs/Resident/Day
0.73
0.81
CNA Hrs/Resident/Day
1.89
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01