Nursing HomeMedicaid Investigative

Oxford Health and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

500 Prospect Avenue, Oxford, NC 27565|160 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

1.9/5

based on 8 Google reviews

(919) 693-1531 Directions

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (8 vs median 4.0)
High staff turnover (55%)
High RN turnover (83%)

Below average in NC · Critically understaffed (RN) · No penalties on record

Source: Medicare data

What this means for your family

The facility shows a concerning downward trend in quality and safety, with recent reports of serious patient injuries and administrative issues. Families should exercise extreme caution and conduct an in-person tour to observe current cleanliness and staffing levels before considering this facility for a loved one.

Google Reviews

8 reviews on Google

“Oxford Health and Rehabilitation Center receives highly polarized feedback, with recent reviews highlighting severe concerns regarding patient safety and administrative accountability. While older reviews from 2020 praised the facility's rehab team and compassionate care, more recent reports describe incidents of neglect and a lack of responsiveness to family grievances.”

Quality Themes

Tap a score for details

Strengths

Skilled rehabilitation team
Compassionate nursing staff (historical)
Knowledgeable care providers

Concerns

Neglect and patient safety incidents

Rating Trends

Tap a year to see what changed

Distribution · 8 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1Given the recent focus on facility maintenance, what specific steps are currently being taken to ensure the cleanliness and hygiene of resident living areas?
2With the current staffing levels, how does the team ensure that each resident receives timely attention and consistent communication regarding their daily care needs?
3Could you walk me through your internal protocols for monitoring patient safety and how you proactively address concerns before they escalate?
4I understand the rehabilitation team is highly regarded here; how do they coordinate with the nursing staff to ensure a seamless recovery process for residents?
5What does a typical daily schedule look like for residents to ensure they remain socially engaged and active within the facility?
6In the event of a sudden change in a resident's health, what is the specific process for notifying family members and coordinating with local medical services?

Personalized based on this facility's data

Key Review Excerpts

“Wonderful facility. Heather and her staff provide Compassionate and skilled care. Strong knowledgeable rehab team.”

Family member · 2020★★★★★

“Horrible facility stinks let my mom fall out of wheelchair and she had brain injury”

Family member · 2023★☆☆☆☆

“Does anyone know what number I can call to file a formal complaint against this facility and it’s administrator?”

Family member · 2024★☆☆☆☆

Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.20hrs

27%

Registered nurses for medical care

Total Nursing

3.25hrs

79%

All nurses + aides combined

Staff Turnover

58%

Lower is better (< 30% = good)

RN Turnover

58%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility32.8%

Worse than Avg

Here

32.8%

15.5%

14.1%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility7.3%

Better than Avg

Here

7.3%

15.3%

20.2%

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility14.6%

Worse than Avg

Here

14.6%

5.3%

7.2%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility8.0%

Better than Avg

Here

8.0%

14.4%

16.4%

😔

Residents with depression symptoms

↓ Lower is better

This Facility13.7%

Worse than Avg

Here

13.7%

12.1%

5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility89.9%

Worse than Avg

Here

89.9%

95.5%

94.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility66.7%

Worse than Avg

Here

66.7%

79.8%

78.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility3.6%

Worse than Avg

Here

3.6%

1.6%

1.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility81.3%

Mixed vs Avgs

Here

81.3%

81.8%

80.1%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies

Above state avg (5.6)

5 complaint-triggered

Oxford Health and Rehabilitation Center shows a pattern of recurring issues, with families filing complaints about medication errors, safety hazards, and protection of residents' belongings. The facility has persistent problems with food safety and nutrition services, fire safety systems, and care planning that appear across multiple surveys from 2022 to 2025, though the facility reports correcting each violation when cited.

Nov 21, 2025Complaint4 findings

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Nov 21, 2025Routine4 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jul 3, 2024Routine11 findings

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0111Potential for harm · IsolatedCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0200Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jul 3, 2024Complaint1 finding

0584Potential for harm · IsolatedCorrected

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.

May 18, 2023Routine11 findings

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 10, 2022Routine1 finding

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oxford Health and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Lifeworks Rehab

Chain Size

66 facilities nationwide

Chain avg rating: 2.1/5 · Rank 25 of 57

Ownership & Management

Owners

Oxford Holdings I LLC

Owner · Organization

Bridgewater Nc Holdings LLC