Person Memorial Hospital
Roxboro, Person County, North Carolina · CCN 345004 · For-profit (LLC) · part of Lifepoint Health (8 facilities, chain average 4.1 stars)
CMS rates Person Memorial Hospital 1 of 5 overall as of August 2026. 56 certified beds, 47 residents a day on average. 22 citations on record from the current inspection cycles, 1 at immediate jeopardy; 5 fines totalling $43,074 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 3.09608 hours per resident per day |
|---|---|
| Registered nurses | 0.7796 hours per resident per day |
| Weekend total | 2.84159 hours per resident per day |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-17 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-14 |
| 2025-12-17 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-14 |
| 2025-12-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-14 |
| 2025-12-17 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | No revisit needed 2026-01-14 |
| 2025-11-25 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-11-26 |
| 2024-09-19 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-19 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-19 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-19 complaint survey |
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. Resident Rights Deficiencies · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-19 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-19 complaint survey |
Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-19 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has plan of correction 2024-10-17 |
| 2023-08-23 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-08 |
| 2023-08-23 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2023-10-08 |
| 2023-08-23 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2023-10-08 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-25 | Payment denial for 1 days from 2025-11-25 | — |
| 2025-11-25 | Fine | $16,153 |
| 2023-10-02 | Fine | $4,545 |
| 2023-09-11 | Fine | $13,635 |
| 2023-08-28 | Fine | $4,545 |
| 2023-08-21 | Fine | $4,196 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Dlp Healthcare LLC Organization | 5% or greater direct ownership interest | 100% | 2011-10-01 |
| Dlp Partner LLC Organization | 5% or greater indirect ownership interest | — | 2011-10-01 |
| Historic Lifepoint Hospitals, LLC Organization | 5% or greater indirect ownership interest | — | 2011-10-01 |
| Legacy Lifepoint Health LLC Organization | 5% or greater indirect ownership interest | — | 2014-01-01 |
| Lifepoint Holdings 2 LLC Organization | 5% or greater indirect ownership interest | — | 2011-10-01 |
| Lifepoint Hospitals Holdings LLC Organization | 5% or greater indirect ownership interest | — | 2011-10-01 |
| Sensing, Phillip Individual | adp of the snf | — | 2026-05-04 |
| Brown, Elliott Individual | corporate officer | — | 2026-04-02 |
| Lawrence, Charlotte Individual | corporate officer | — | 2022-03-24 |
| Monte, Christopher Individual | corporate officer | — | 2011-10-01 |
| Polite, Elmer Individual | corporate officer | — | 2020-12-14 |
| Poppell, Marcus Individual | corporate officer | — | 2018-11-16 |
| Sensing, Phillip Individual | corporate officer | — | 2026-05-04 |
| Beard, Bertrand Individual | operational/managerial control | — | 2022-05-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Person Memorial Hospital.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Person County.