Nursing home report
Registered name: Litchford Falls Health and Rehabilitation Center
Raleigh, NC · Medicare-certified · 90 beds
Litchford Falls Health & Rehabilitation Center in Raleigh, NC has an overall rating of 2 out of 5 stars, with 2-star ratings for health inspections, staffing, and quality measures. It also has a recent federal penalty, $177,911 in fines over the last 24 months, and reported nurse staffing of 3.55 hours per resident per day versus the federal benchmark of 4.1.
Health inspections
Staffing
3.5514 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5514.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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
Now operated by Litchford Falls Health and Rehabilitation Center, previously Litchford Falls Healthcare and Rehabilitation Center.
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.
