Nursing home report
Raleigh, NC · Medicare-certified · 90 beds
Litchford Falls Health and Rehabilitation Center in Raleigh has an overall rating of 1 out of 5 stars, with especially weak staffing at 1 out of 5 and reported nurse staffing below the federal benchmark (3.59 vs. 4.1 hours per resident per day). It also had $177,911 in fines in the last 24 months and a recent federal penalty; health inspection and quality measures are each 2 out of 5 stars.
Health inspections
Staffing
3.5888 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5888.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited December 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 756 — 42 CFR §483.45(c) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2025 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, potential for harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 5 health deficiencies.
Health inspection found 5 health deficiencies.
A federal fine of $177,911 was recorded.
On record with Medicare: 2 fines · $181,873 in total fines.
Federal fine
Dec 17, 2024
Federal fine
Sep 28, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
