Tre’ More Manor ALF

Tre’ More Manor Alf is a 31-bed assisted living center at 6016 Pine Town Road, Oxford, Granville County, North Carolina, located in downtown Oxford. the facility offers assisted living, memory care, and rehabilitation with 24-hour staffing. Amenities include medication assistance, bathing and feeding assistance, daily housekeeping, scheduled transportation, in-house physician, psychiatric and physical therapists, and salon and barbershop facilities. CMS Overall Rating is 3 out of 5 stars.

The facility does not accept Medicaid or Medicare.

The regulatory record spans ten years of persistent deficiencies in medication management, facility maintenance, fire safety, infection control, and care practices. Over eight years, Tre’ More Manor logged 69 deficiencies, averaging 8.6 annually, 65 percent worse than North Carolina’s 5.2-deficiency benchmark. A February 18, 2015, construction survey cited sixteen deficiencies in fire safety reports, unstable handrails, sanitation, fire rehearsals, fire protection systems, prohibited electric heaters, and ventilation. A March 31, 2017, construction survey cited eight deficiencies in exterior railings, grab rails, paint, door hardware, shower piping, gaps, and fire-resistant ceilings.

A May 25, 2017, follow-up survey cited four deficiencies in separated ramp railings, separated grab rail, rotten fascia, and peeling paint. A November 29, 2018, annual survey cited nine deficiencies in bathroom cleanliness and furnishings, tuberculosis testing, dietary menus, milk service, pharmacy reviews, physical restraint use, and controlled substance screening. A February 27, 2019, construction survey cited nine deficiencies in inspection reports, outside premises, wall and ceiling repair, handrails, fire systems, and basement water damage. A March 14, 2019, follow-up survey cited one deficiency in improper physical restraint use without physician order or alternatives documentation.

A May 16, 2019, follow-up construction survey cited one deficiency in basement standing water causing damage. A March 24, 2022, annual survey cited eight deficiencies in tuberculosis testing, therapeutic diet menus, therapeutic diet service, medication administration records, medication aide training, and COVID-19 infection control. A December 7, 2023, construction survey cited eight deficiencies in fire and safety reports, bathroom accessibility, outside premises, wall repair, fire rehearsals, fire safety equipment and doors, ceiling penetrations, and heat detectors. An October 30, 2024, follow-up construction survey cited one deficiency in bathtub accessibility after renovation replaced it with shower.

A March 19, 2025, annual survey cited four deficiencies: failure to administer medications as ordered for one resident, failure to document medication administration immediately on eMAR, failure to implement infection control during medication administration with healthcare worker not changing gloves between residents, and failure to secure medications with unlocked medication carts, rooms, and offices. No fines or license suspensions are records.

The facility’s 3-star CMS rating combined with 65 percent worse-than-average deficiency rate spanning ten years reflects persistent operational failures. The March 2025 medication security failures with unlocked medication storage accessible to unauthorized persons and medication administration errors represent immediate patient safety risks. Decade-long facility maintenance failures including unrepaired railings, unstable handrails, basement water damage, and improper bathroom renovations removing required accessible bathtub demonstrate inability to maintain basic resident safety and accessibility.

Before placement, families should ask about the March 2025 medication security failures and current protocols for medication administration safeguards and facility maintenance.

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Facility Direct Line (919) 693-2984 tremoremanoralf@gmail.com