Oxford Health and Rehabilitation Center
500 Prospect Avenue, Oxford, NC 27565
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Follow this homeOxford Health and Rehabilitation Center is a nursing home in Oxford, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionNovember 21, 2025 (11 months ago)
- Health citations since May 18, 202318 (North Carolina average 18)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of June 24, 2026
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
Health inspection on June 15, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on July 1, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of January 14, 2026
Name
CMS lists a new name for this home. It was Universal Health Care/Oxford.
Health inspection on November 21, 2025
8 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 8 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 11, 2026.
CMS has cited this home for F0812 2 times since 2024.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS lists it as corrected on January 11, 2026.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on January 11, 2026.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on October 25, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 11, 2026.
CMS has cited this home for F0656 2 times since 2023.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on January 11, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 11, 2026.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on January 11, 2026.
Fire safety inspection on November 21, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on March 30, 2026.
Citation K0223. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on March 30, 2026.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 30, 2026.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on March 30, 2026.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for K0918 2 times since 2023.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of June 25, 2025
Ownership
CMS lists this home under a new chain.
CMS update of May 28, 2025
Ownership
CMS lists this home under a new chain.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of October 30, 2024
Staffing
Total nurse staffing reported to CMS went from 2.8 to 1.6 hours per resident per day.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Name
CMS lists a new name for this home. It was UNIVERSAL HEALTH CARE / OXFORD.
Staffing
Total nurse staffing reported to CMS went from 3.2 to 2.8 hours per resident per day.
Health inspection on July 3, 2024
6 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 6 citations
Citation F0814. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on July 31, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 31, 2024.
CMS has cited this home for F0761 2 times since 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 31, 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 31, 2024.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 31, 2024.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on July 31, 2024.
Fire safety inspection on July 3, 2024
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on July 31, 2024.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on October 28, 2024.
CMS has cited this home for K0321 2 times since 2023.
Citation K0111. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
CMS lists it as corrected on October 28, 2024.
Citation K0200. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on October 28, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on October 28, 2024.
CMS has cited this home for K0351 2 times since 2023.
Citation K0374. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on October 28, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on May 18, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 13, 2023.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on June 13, 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 13, 2023.
Fire safety inspection on May 18, 2023
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on August 15, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 15, 2023.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on August 15, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on August 15, 2023.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 15, 2023.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on August 15, 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 15, 2023.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 15, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (919) 693-1531
- Last standard health inspection
- November 21, 2025 (11 months ago)
- Certified beds
- 160
- Residents per day, on average
- 156.1
- Ownership type
- For profit - Corporation
- Legal business name
- Oxford Operator LLC
- Chain
- Lifeworks Rehab
- Takes part in
- Medicare and Medicaid
The same number of health citations as the North Carolina average (18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- OXFORD HOLDINGS I LLCDirect ownership interest · not applicable · since 06/01/2024
- BRIDGEWATER NC HOLDINGS LLCIndirect ownership interest · not applicable · since 06/01/2024
- HL FAMILY TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- HSHC 2024 FAMILY TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- IB MIMI 2022 FAMILY GRANTOR TRUSTIndirect ownership interest · not applicable · since 06/01/2024
Show 15 more
- JK 2022 GRANTOR FAMILY TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- MILANO FAMILY HOLDINGS LLCIndirect ownership interest · not applicable · since 06/01/2024
- ML MILANO 2022 FAMILY GRANTOR TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- ML MILANO 2022 FAMILY TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- OXFORD HOLDINGS I LLCIndirect ownership interest · not applicable · since 06/01/2024
- TJ FAMILY TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- TOL OPCO INVESTCO LLCIndirect ownership interest · not applicable · since 06/01/2024
- UH CAROLINA SNF OPERATIONS HOLDINGS LLCIndirect ownership interest · not applicable · since 06/01/2024
- UNIVERSAL OPERATIONS HOLDINGS LLCIndirect ownership interest · not applicable · since 06/01/2024
- WILL FAMILY 2016 TRUSTIndirect ownership interest · not applicable · since 06/01/2024
- DEAL, MARTINOperational/managerial control · not applicable · since 06/01/2024
- PLYLER, KIMBERLYOperational/managerial control · not applicable · since 06/01/2024
- SHAYO, JULIUSOperational/managerial control · not applicable · since 03/17/2026
- TERRELL, MUNASHEOperational/managerial control · not applicable · since 06/01/2024
- THOMAS, RHONDAOperational/managerial control · not applicable · since 06/01/2024
Questions
When was Oxford Health and Rehabilitation Center last inspected?
CMS lists November 21, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Oxford Health and Rehabilitation Center have?
CMS lists 18 health citations since May 18, 2023. CMS also calls these deficiencies.
Has Oxford Health and Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Oxford Health and Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is Oxford Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.