Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 72 Google reviews

Email Litchford Falls Health and Rehabilitation Center to yourself
Get a one-time email with a link to this profile so it is easy to find and share later.
This sends one email and does not add you to a mailing list.
These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 78% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 8 findings, above the NC average of 5.6. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Litchford Falls Health and Rehabilitation Center receives highly polarized feedback, with recent reviews showing a sharp divide between praise for the therapy team and severe reports of neglect. While some families highlight improvements under new management and commend the therapy staff, others report critical issues including unresponsiveness to call lights, poor hygiene, and inadequate staffing levels. Prospective families should be aware of these significant inconsistencies in care quality.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 75 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“The therapy team at Litchford is 2nd to none! The sessions are tailored to match each individual's needs and include music and good conversation to help reduce the stress of rehabilitation all while focusing on maximizing safety and independence.”
“It took NAs over 5 hours to give her a bedpan that she continued to request. Even with family there advocating for her, it took over an hour for them to bring her a bedpan to use the bathroom.”
“Karen, the new Admin has really transformed this whole place since she took over, the facility has newer equipment, response to issues is handled faster, more competent staff has been hired and the best retained.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
4
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents who lost too much weight
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Litchfield Falls has significant concerns with 16 complaint-triggered deficiencies, indicating families have filed reports about care problems. The facility shows recurring issues with medication management, resident rights (particularly family notification), and basic care quality including wound care and nutrition. While the facility corrects deficiencies when cited, problems persist across multiple surveys, suggesting ongoing care challenges that warrant careful family evaluation before placement.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
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.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
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.
Federal Penalties
Fine
Dec 17, 2024
$177,911
Fine
Sep 28, 2023
$3,962
Litchford Falls Health and Rehabilitation Center
for profit
Lifeworks Rehab
64 facilities nationwide
Chain avg rating: 2.1/5 · Rank 52 of 57 (Lowest rating)
Owners
Litchford Holdings I LLC
Owner · Organization
8200 Litchfield Road LLC
Owner (parent company) · Organization
Bridgewater Nc Holdings LLC
Owner (parent company) · Organization
Cz Family Trust
Owner (parent company) · Organization
Hl Family Trust
Owner (parent company) · Organization
Hshc 2024 Family Trust
Owner (parent company) · Organization
Ib Mimi 2022 Family Grantor Trust
Owner (parent company) · Organization
Ib Mimi 2022 Family Trust
Owner (parent company) · Organization
Jk 2022 Grantor Family Trust
Owner (parent company) · Organization
Medical Facilities of America Administrative Consulting Services LLC
Owner (parent company) · Organization
Milano Family Holdings LLC
Owner (parent company) · Organization
Ml Milano 2022 Family Grantor Trust
Owner (parent company) · Organization
Ml Milano 2022 Family Trust
Owner (parent company) · Organization
Tj Family Trust
Owner (parent company) · Organization
Tol Opco Investco LLC
Owner (parent company) · Organization
Uh Carolina Lf Snf Operations Holdings LLC
Owner (parent company) · Organization
Universal Operations Holdings LLC
Owner (parent company) · Organization
Will Family 2016 Trust
Owner (parent company) · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
72 reviews from families & visitors
Official Website
Visit litchfordfallshealthrehab.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
These are the 6 closest facilities in our data within 10 miles. Proximity does not mean they provide the same care type or have stronger quality signals, so compare each profile and verify services directly.
Serenity Falls Family Care Home at Durant Trace
< 1 miAdult Family Home · Raleigh, NC
Falls River Village
1.4 miAssisted Living · Raleigh, NC
Falls River Court
1.4 miAssisted Living · Raleigh, NC
Our Promise Care Homes at Falls Church
2.0 miAdult Family Home · Raleigh, NC
Sunrise at North Hills
2.2 miAssisted Living · Raleigh, NC
Terrabella Northridge
2.2 miAssisted Living · Raleigh, NC