Total health inspections
5
North Carolina average 4
Last Health inspection on May 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Litchford Falls Health & Rehabilitation Center
Nursing Home in Wake County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Litchford Falls Health & Rehabilitation Center
Nursing Home in Wake County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Litchford Falls Health & Rehabilitation Center
Maintain your maximum potential with Litchford Falls Health & Rehabilitation Center, a dedicated community in Raleigh, NC for those needing short-term rehabilitation and long-term care. Their compassionate and reliable care rehab team uses advanced therapy technology and equipment to help residents achieve excellent outcomes from their rehabilitation journey. Physicians and nursing team members are also available to help residents living with chronic illnesses or requiring more complex care services maintain a high quality of life.
Bright and spacious accommodations are provided with housekeeping and maintenance services, ensuring residents remain in a safe and organized environment without the hassles. Meals are prepared by talented chefs and served restaurant-style in a cozy dining room. With an array of activities designed based on residents’ abilities and interests, residents can make the most of their lives even as they recover or face the challenges of a health condition.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 59th out of 76 homes in North Carolina.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 59th out of 76 homes in North Carolina.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 32m per day
vs North Carolina avg
-11%
Standout metric
Physical Therapist is +60% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 26% State avg: 35m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 12m per day | ▼ 5% State avg: 2h 19m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 16m per day | ■ Avg State avg: 3h 20m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 8m per day | ▲ 60% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▲ 9% State avg: 23m per day · National avg: 29m per day |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
65.6%
Avg. Length of Stay
87 days
Occupancy rate
65.6%
Avg. Length of Stay
87 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
61% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.0M
Operating loss
-$54.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.0M
Operating loss
-$54.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.1M
Walk Score: 51 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Rehabilitation Services
Skilled Nursing
State-Of-The-Art Gym
Restaurant-Style Dining
Culture Of Caring
Specific ProgramsLifeWorks Rehab, Center Features, Options for Care, Recovery from Planned Surgeries, Recovery from Accidents & Illnesses
Food DescriptionRestaurant-style dining where chefs prepare food on demand.
What does this home offer?
Housing Options: Private / Shared Rooms
Building Type: Single-story
Dining Services
Exercise Programs
Recreational Activities
Health Programs
Types of Care at Litchford Falls Health & Rehabilitation Center
Nursing Home
Health Inspection History
Inspections
Total health citations
16
North Carolina average 20.9
Citations per inspection
3.2
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 16 citations resulted from standard inspections; 10 of 16 resulted from complaint investigations; and 3 of 16 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
131% worse than North Carolina averageNorth Carolina average: 1.3
Serious Health citations
0
0
100% better than North Carolina averageNorth Carolina average: 0.9
3 critical citations
0 serious citations
13 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 08, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 08, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Wake County The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
Filter by care type
| Hillside Nursing & Rehab |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wake Forest | 150 | 74.1% | -3% | 4.05 | +12% | +2% | 0 | 1 | 1.0 | 0 | 111 | A+ | 19 | Clifton, Mary Margaret | $15.5M | $7.0M | 45.1% | 345417 | ||||
| BellaRose Nursing and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Garner | 100 | 92.0% | +20% | 3.20 | +24% | -20% | 0 | 2 | 2.0 | 0 | 91 | - | 4 | Burroughs, William | $16.4M | $7.0M | 42.4% | 345574 | ||||
| Sunnybrook Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Raleigh (East Raleigh) | 95 | 89.5% | +17% | 3.86 | +42% | -3% | 4 | 15 | 2.1 | 4 | 86 | - | 49 | Mcintyre, Hannah | $14.6M | $5.1M | 35.2% | 345077 | ||||
| Litchford Falls Health & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Raleigh (North Raleigh) | 114 | 65.6% | -14% | 3.53 | -36% | -11% | 2 | 16 | 3.2 | 3 | 86 | - | 51 | Universal Health Care / Raleigh, Inc | $7.8M | $4.3M | 55.4% | 345499 | ||||
| Perry Creek Health & Rehabilitation Center | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Raleigh (Northeast Raleigh) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 24 | - | - | - | - | - |
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1 miles from city center
Estimated distance in miles from Raleigh's city center to Litchford Falls Health & Rehabilitation Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
139
Employees
130
Contractors
9
Staff to resident ratio
1.58:1
15% worse than North Carolina averageNorth Carolina average ratio: 1.85:1
Avg staff/day
50
Average shift
8 hours
0% compared with North Carolina averageNorth Carolina average: 8 hours
Total staff hours (quarter)
36,397
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
0.8%
309 contractor hours this quarter
Licensed Practical Nurse: 5
Certified Nursing Assistant: 3
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 44 | 3 | 47 | 16,815 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 23 | 5 | 28 | 7,562 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,569 | 90 | 99% | 9.6 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,316 | 91 | 100% | 6.4 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,077 | 76 | 84% | 7 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,076 | 86 | 95% | 7.2 |
| Registered Nurse | 8 | 0 | 8 | 1,063 | 76 | 84% | 7.8 |
| Physical Therapy Aide | 8 | 1 | 9 | 966 | 84 | 92% | 6.4 |
| RN Director of Nursing | 2 | 0 | 2 | 878 | 65 | 71% | 7.8 |
| Physical Therapy Assistant | 7 | 0 | 7 | 584 | 76 | 84% | 6.9 |
| Qualified Social Worker | 6 | 0 | 6 | 581 | 68 | 75% | 5.7 |
| Nurse Practitioner | 2 | 0 | 2 | 519 | 64 | 70% | 7.9 |
| Administrator | 2 | 0 | 2 | 509 | 65 | 71% | 7.7 |
| Dietitian | 1 | 0 | 1 | 491 | 64 | 70% | 7.7 |
| Dental Services Staff | 1 | 0 | 1 | 486 | 65 | 71% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 57 | 63% | 8.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 438 | 60 | 66% | 7.3 |
47 Certified Nursing Assistant
% of Days
100%
28 Licensed Practical Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
99%
7 Clinical Nurse Specialist
% of Days
100%
7 Speech Language Pathologist
% of Days
84%
7 Respiratory Therapy Technician
% of Days
95%
8 Registered Nurse
% of Days
84%
9 Physical Therapy Aide
% of Days
92%
2 RN Director of Nursing
% of Days
71%
7 Physical Therapy Assistant
% of Days
84%
6 Qualified Social Worker
% of Days
75%
2 Nurse Practitioner
% of Days
70%
2 Administrator
% of Days
71%
1 Dietitian
% of Days
70%
1 Dental Services Staff
% of Days
71%
1 Mental Health Service Worker
% of Days
63%
1 Other Dietary Services Staff
% of Days
66%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88
Medicare
29
33% of residents
Medicaid
38
43.2% of residents
Private pay or other
21
23.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
24% worse than North Carolina averageNorth Carolina average: 11.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.5
9% worse than North Carolina averageNorth Carolina average: 20.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
11% better than North Carolina averageNorth Carolina average: 17.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
36.3%
Percent of long-stay residents whose ability to move independently worsened
36.3%
56% worse than North Carolina averageNorth Carolina average: 23.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
27% better than North Carolina averageNorth Carolina average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
37% worse than North Carolina averageNorth Carolina average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.5%
Percent of long-stay high risk residents with pressure ulcers
4.5%
29% better than North Carolina averageNorth Carolina average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
65% better than North Carolina averageNorth Carolina average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.5%
Percent of long-stay residents who lose too much weight
9.5%
28% worse than North Carolina averageNorth Carolina average: 7.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
11.8%
Percent of long-stay residents who have depressive symptoms
11.8%
169% worse than North Carolina averageNorth Carolina average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.4%
Percent of long-stay residents who received an antipsychotic medication
11.4%
15% better than North Carolina averageNorth Carolina average: 13.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
74.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
74.2%
19% worse than North Carolina averageNorth Carolina average: 91.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina averageNorth Carolina average: 94.1%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.36
Number of hospitalizations per 1,000 long-stay resident days.
2.36
33% worse than North Carolina averageNorth Carolina average: 1.77
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.28
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.28
25% worse than North Carolina averageNorth Carolina average: 1.82
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
In line with North Carolina averageNorth Carolina average: 79.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
24% worse than North Carolina averageNorth Carolina average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.0%
6% better than North Carolina averageNorth Carolina average: 78.1%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.8%
21% worse than North Carolina averageNorth Carolina average: 22.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
30% worse than North Carolina averageNorth Carolina average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
117% worse than North Carolina averageNorth Carolina average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
70.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
70.9%
32% better than North Carolina averageNorth Carolina average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
56.0%
Rate of successful return to home or community from a skilled nursing facility.
56.0%
11% better than North Carolina averageNorth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$169K
122% higher than North Carolina averageNorth Carolina average: $76K
Number of fines
2
15% fewer fines than North Carolina averageNorth Carolina average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than North Carolina averageNorth Carolina average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$169K
North Carolina average
$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 17, 2024
$165K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 28, 2023
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Litchford Falls Health & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
65.6%
↑ 0.5pp vs 2022
Net Income
-$54.0K
↓ ~$400.8K vs 2022
Total Payroll
$5.0M
↑ ~$83.8K vs 2022
Profit Margin
-0.7%
↓ 5.2pp vs 2022
Loading trend charts...
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