Prestige Estates Home
State licensed4120 Holt School Road, Durham, NC 27704
Assisted Living
Call for pricing
Prices not published
🏥
Medicare-certifiedSkilled Nursing
Accordius Health at Rose Manor LLC
Durham, North CarolinaMedicare inspection record
About Accordius Health at Rose Manor LLC
Accordius Health at Rose Manor LLC brings together compassionate care and clinical expertise for adults in Durham, North Carolina who need skilled nursing and rehabilitation services. Our team focuses on helping you regain strength and independence during recovery with personalized treatment plans.
Community at a glance
Capacity
111 residents
Location
Durham, NC
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4230 North Roxboro Street, Durham, North Carolina 27704
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 8, 2025, state inspectors cited 12 health deficiencies (the North Carolina average is 4.7).
Nurses and nurse aides spend 3 hours 56 minutes with each resident a day, about the same as the North Carolina average.
Medicare fined Accordius Health at Rose Manor LLC once in the last three years, $16,801 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 56 minutes |
| Registered nurse time per resident, per day | 35 minutesBelow the North Carolina average |
| Nursing staff who left in the past year | 52%Above the North Carolina average |
Inspections
26 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
December 15, 2025 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed before the inspection
May 8, 2025 · Standard inspection · 11 citations
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected May 30, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected May 30, 2025Dispose of garbage and refuse properly.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 30, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 30, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 30, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 30, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 30, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 30, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 30, 2025Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025Honor 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.
Minimal harm or risk, a pattern (level B)Resident RightsPlan to fix it accepted
January 29, 2024 · Standard inspection · 14 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 22, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 22, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 22, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Feb 22, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 22, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Feb 22, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 22, 2024Implement 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Feb 22, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 22, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 22, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 22, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Feb 22, 2024Ensure each resident receives an accurate assessment.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Feb 22, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Feb 22, 2024
Fines and payment denials
1 fine totaling $16,801 in the last three years.
- January 29, 2024Fine: $16,801
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Accordius Health at Rose Manor LLC
- Medicare-certified beds
- 111
- Average residents per day
- 77
- Accepts
- Medicare and Medicaid
- First certified
- September 1, 1973
- Part of a chain
- Simcha Hyman & Naftali Zanziper, 79 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 345081
Location
Loading map…
4230 North Roxboro StreetDurham, NC 27704
12 other communities within 10 miles
Senior living near Durham
Carver Living Center
Medicare-certified303 East Carver Street, Durham, NC 27704
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
221 Commons Blvd, Durham, NC 27704
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
Questions about Accordius Health at Rose Manor LLC
How did Accordius Health at Rose Manor LLC do on its last inspection?+
State inspectors visited on May 8, 2025 and cited 12 health deficiencies, 4 of them from complaint investigations. The North Carolina average is 4.7.
How much nursing care does each resident get at Accordius Health at Rose Manor LLC?+
Nurses and aides spend 3 hours 56 minutes with each resident per day, including 35 minutes from registered nurses. 52% of nursing staff left over the past year.
Has Accordius Health at Rose Manor LLC been fined by Medicare?+
Yes. Medicare fined Accordius Health at Rose Manor LLC once in the last three years, totaling $16,801.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.