Hearth Record

Litchford Falls Health and Rehabilitation Center

A nursing home in Raleigh, North Carolina 27615

8200 Litchford Road, Raleigh, North Carolina 27615. (919) 878-7772.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 21 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

6 health citations at the latest inspection cycle

The North Carolina average is 4.6.

Last standard inspection Jul 10, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Dec 17, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

21 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

21 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 21 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 16 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 10, 2026: standard inspection2 citations
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 27, 2026.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 27, 2026.

Jul 10, 2026: standard and complaint inspection1 citation
  • Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Rule F0585. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 27, 2026.

Jan 8, 2026: complaint inspection3 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 5, 2026.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 5, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 5, 2026.

May 8, 2025: standard inspection3 citations
  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2025.

May 8, 2025: standard and complaint inspection2 citations
  • Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 5, 2025.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 5, 2025.

Feb 17, 2025: complaint inspection5 citations
  • Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Rule F0578. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 6, 2025.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 6, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 6, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 6, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 6, 2025.

Dec 17, 2024: complaint inspection4 citations
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 17, 2025.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 16, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 16, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 16, 2025.

Mar 21, 2024: standard and complaint inspection1 citation
  • Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Rule F0584. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Mar 2, 2000.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 90 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $177,911 in all.
  • No Medicare payment denials in the last three years.
  • 16 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Dec 17, 2024Fine$177,911

Who does the caring?

3.67 nurse hours per resident per day

The North Carolina average is 3.87.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNorth Carolina average
Nurse hours per resident per day3.673.87
Of which registered nurses0.540.62
At weekends3.243.40
Nursing staff turnover54.1%48.7%
Registered nurse turnover53.3%45.7%
Administrators who left2Not given

Who owns it?

  • Litchford Holdings I LLC owns an unstated share directly since Jun 1, 2024.
  • 15 owners or officers are people: Hillel D Weiss (trustee); Moss M Ellenbogen (trustee); Moss M Ellenbogen (additional disclosable party (controls, leases property to, or provides services to the home)); Eliezer Rubin (trustee); Linda Richards (on the governing body (managing control)); Tabitha Berg (on the governing body (managing control)); Noah Burton (trustee); Noah Burton (additional disclosable party (controls, leases property to, or provides services to the home)); Ramesh B Konduru (runs it (operational or managerial control)); Ramesh B Konduru (additional disclosable party (controls, leases property to, or provides services to the home)); Karen Bryant -Levant (runs it (operational or managerial control)); Karen Bryant -Levant (on the governing body (managing control)); Karen Bryant -Levant (additional disclosable party (controls, leases property to, or provides services to the home)); Julius Chamberlain Shayo (runs it (operational or managerial control)); Julius Chamberlain Shayo (on the governing body (managing control)).
  • Part of Lifeworks Rehab (64 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • A real-estate investment trust is among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Uh Carolina Lf SNF Operations Holdings LLCOwns a share through other companies100%Jun 1, 2024
Universal Operations Holdings LLCOwns a share through other companies69.83%Jun 1, 2024
Milano Family Holdings LLCOwns a share through other companies23.3%Jun 1, 2024
Tol Opco Investco LLCOwns a share through other companies23.28%Jun 1, 2025
Jk 2022 Grantor Family TrustOwns a share through other companies23.25%Jun 1, 2024
Bridgewater NC Holdings LLCOwns a share through other companies23.25%Jun 1, 2024
Ib Mimi 2022 Family TrustOwns a share through other companies22.13%Jun 1, 2024
Ml Milano 2022 Family TrustOwns a share through other companies22.13%Jun 1, 2024
Tj Family TrustOwns a share through other companies9.31%Jun 1, 2024
Hl Family TrustOwns a share through other companies9.31%Jun 1, 2024
Will Family 2016 TrustOwns a share through other companies4.9%Jun 1, 2024
Cz Family TrustOwns a share through other companies4.66%Jun 1, 2024
Hshc 2024 Family TrustOwns a share through other companies2%Jun 1, 2024
Ml Milano 2022 Family Grantor TrustOwns a share through other companies1.14%Jun 1, 2024
Ib Mimi 2022 Family Grantor TrustOwns a share through other companies1.14%Jun 1, 2024
Ib Mimi 2022 Family TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
8200 Litchfield Road LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
8200 Litchfield Road LLCOwns a share through other companiesJun 1, 2024
Ml Milano 2022 Family TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Milano Family Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Mozart Holdings, LPAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Hshc 2024 Family TrustTrusteeJun 1, 2024
Cyop Cyber Security LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Healthcare Services Group Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Ml Milano 2022 Family Grantor TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 23, 2025
Live Well Plus LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Medical Facilities of America Administrative Consulting Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Medical Facilities of America Administrative Consulting Services LLCOwns a share through other companiesJun 1, 2024
Acs Pro Global SolutionsAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Litchford Holdings I LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 23, 2025
Litchford Holdings I LLCOwns a share directlyJun 1, 2024
Digacore ConsultingAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Turning Point ConsultingAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Bridgewater NC Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Ib Mimi 2022 Family Grantor TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 23, 2025
Mfa Heritage Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024

How do residents fare?

  • CMS rates its quality measures 3 of 5 (North Carolina average 3.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 8.3 miles, this one had the 2nd most health citations at the latest inspection cycle (6; the middle value was 4).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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