Oxford Health and Rehabilitation Center
Oxford, North Carolina · CCN 345291
22 surveys since 2010. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 96
- Surveys
- 22
- Harm or worse
- 5
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 160
- Ownership
- For profit - Corporation
- Chain
- LIFEWORKS REHAB
- County
- Granville · rural
- Medicare-certified since
- 1988
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 92 for-profit facilities with 128 or more beds in North Carolina.
Last survey on record
Jun 15, 2026
147 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.05 | 3.49 |
| Registered-nurse hours per resident day | 0.15 | — |
| Annual nurse turnover | 60.4% | 52.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1161.1% | E422.2% | F211.1% |
| No harm, potential for minimal | A— | B— | C15.6% |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7612×
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.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
In the surveyor’s words
From the most serious findings on record at Oxford Health and Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Nov 21, 2025
Based on observations and staff interviews, the facility failed to maintain the double door oven, the stove drip pan, the steam table backsplash and rack under the steam table clean. The facility failed to label, and date opened food and failed to separate raw meat from cooked food in 1 of 1 walk-in refrigerator, and in 1 of 1 walk-in freezer. The facility also failed to label and date resident's foods, failed to discard expired food, and keep nourishment refrigerators clean for 3 of the 4 nourishment refrigerators (200, 300, 400/500 hallway nourishment refrigerators) observed. The facility failed to ensure 2 of 2 dietary staff wore hair restraints and 2 of 2 male dietary staff had all facial hair contained in a face covering. […]
- No harm, potential for more than minimal, widespreadF814Jul 3, 2024
Based on observations, and staff interviews, the facility failed to ensure the garbage and refuse was disposed of and keep 4 of 4 dumpsters and surrounding area clean and free from debris. The findings included: During an initial tour observation on 6/30/24, at 9:54 AM, revealed 4 dumpsters located near a wooded area at the back of the facility had large amounts trash bags of garbage and refuse overflowing from the tops and loose paper products, boxes and loose food products outside of containers on the ground and surrounding areas. […]
- No harm, potential for more than minimal, patternF803Nov 21, 2025
Based on observations, record reviews, and staff interviews, the facility failed to follow the planned menu for renal and diabetic renal diets, and for mechanical altered and pureed diets. Failure to follow the planned menu was observed during 1 of 1 tray line observation conducted. This affected 7 residents on renal diet, 3 residents on renal diabetic diet, 17 residents on mechanically altered diet and 12 residents on pureed diet. Findings included:a. The diet spread sheet for therapeutic diets for lunch meal on 11/18/25 revealed renal and diabetic renal diets were to receive 4-ounces (oz) of carrots.The Diet Type Report revealed there were 7 residents on renal diet and 3 residents on renal diabetic diet.Tray line observation on 11/18/25 at 12:10 PM, revealed the steam table had no… […]
- No harm, potential for more than minimal, patternF761Jul 3, 2024
Based on record review, observations, and staff interviews, the facility failed to secure medications, date opened multi dose medications, and discard expired medications for 3 of 7 medication observations (400 hall medication cart, 500 hall medication storage/prep room, and the100 hall medication cart). Findings included: 1. On 7/03/24 at 10:43 AM the 400 hall medication cart was reviewed with Medication Aide #1. The following were discovered during the review: a. Thirty-two loose unidentifiable tablets in the bottom of the right side second and third drawers. b. One lidocaine 1% 20 milliliter (ml) multidose vial without its security cap with and no opened-on date noted. c. Two lidocaine 1% 10 ml multidose vials without security caps and with no opened-on dates noted. d. […]
- No harm, potential for more than minimal, patternF812Jul 3, 2024
Based on observations and staff interviews, the facility failed to keep food preparation areas and food service equipment clean, free from debris, grease buildup, and/or dried spills during two kitchen observations. The facility failed to clean the floor and ceiling vents located over the food prep and food service area. This practice had the potential to affect food served to residents. The findings: During a kitchen tour on 6/30/24 at 9:34 AM, the following observations were made with the kitchen Cook/Dietary Aide: a. The 6- stove burners had heavy grease build-up on the stove burners, walls behind the stove, and front of the stove. There were large amounts of burnt foods, dried, encrusted, liquid and splatters throughout the stove area. […]
Read 25 findings in full →The most serious and the most recent: 25 of 96 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 15, 2026Complaint1 finding
- Nov 21, 2025Standard and complaint9 findings
- Jul 3, 2024Standard and complaint6 findings
- May 18, 2023Standard and complaint3 findings
- Feb 10, 2022Standard3 findings
- Mar 17, 2021Complaint1 finding
- Sep 1, 2020Complaint1 finding · 1 harm
- May 27, 2020Infection control1 finding
Show the 14 earlier surveys
- Mar 7, 2020Complaint1 finding
- Dec 6, 2019Standard and complaint8 findings · 2 harm
- Nov 4, 2019Complaint3 findings
- Nov 16, 2018Standard3 findings
- Oct 18, 2018Complaint4 findings · 2 harm
- Nov 2, 2017Standard and complaint5 findings
- Nov 10, 2016Standard and complaint6 findings
- Apr 24, 2015Standard1 finding
- Mar 27, 2014Standard5 findings
- Feb 1, 2013—11 findings
- Oct 10, 2012—6 findings
- Feb 2, 2012—1 finding
- Nov 4, 2011—11 findings
- Dec 9, 2010—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction