9 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Ahoskie, NC
2-star overall rating with 3-star inspections with $11,629 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
604 Stokes Street East, Ahoskie, NC
(252) 332-2126
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
151
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
August Healthcare
Operator or chain grouping
Approved since
1991-04-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.44
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.50
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
10,425
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.39% · Performance 22.82% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 9.80% · Performance 11.37% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.39
Baseline 71.77% · Performance 44.12% · Measure score 5.39 · Achievement 4.79 · Improvement 5.39
Adjusted total nurse staffing
2.77
Baseline 4.01 hours · Performance 3.87 hours · Measure score 2.77 · Achievement 2.77 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 16.84% |
10.72%
6.1 pts worse
|
Worse than the National Rate · Eligible stays 100 · Observed rate 27% · Lower 95% interval 12.74% |
| Discharge to community | 39.53% |
50.57%
11 pts worse
|
No Different than the National Rate · Eligible stays 74 · Observed rate 32.43% · Lower 95% interval 28.23% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.44% |
95.27%
3.2 pts better
|
Numerator 63 · Denominator 64 |
| Falls with major injury | 4.69% |
0.77%
3.9 pts worse
|
Numerator 3 · Denominator 64 |
| Discharge self-care score | 34.21% |
53.69%
19.5 pts worse
|
Numerator 13 · Denominator 38 |
| Discharge mobility score | 36.84% |
50.94%
14.1 pts worse
|
Numerator 14 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 10.94% |
2.29%
8.6 pts worse
|
Numerator 7 · Denominator 64 · Adjusted rate 8.35% |
| Healthcare-associated infections requiring hospitalization | 11.37% |
7.12%
4.2 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 19.67% · Lower 95% interval 6.35% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 109 |
| Staff flu vaccination coverage | 13.33% |
42%
28.7 pts worse
|
Numerator 14 · Denominator 105 |
| Discharge function score | 36.84% |
56.45%
19.6 pts worse
|
Numerator 14 · Denominator 38 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.76% |
25.2%
13.4 pts worse
|
Numerator 4 · Denominator 34 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.8
0.9 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% |
91.5%
0.9 pts worse
|
93.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 93.3% · Q3 88.9% · Q4 87.6% · 4Q avg 90.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
94.1%
0.3 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.6%
0.9 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.8% · Q3 2.8% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.7% |
4.8%
4.9 pts worse
|
11.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.7% · Q3 13.8% · Q4 10.6% · 4Q avg 9.7% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
7.2%
6.7 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
21.6%
3.6 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.0% · Q3 17.8% · Q4 11.8% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.3% |
15.0%
9.3 pts worse
|
16.7%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 21.7% · Q3 26.6% · Q4 23.6% · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.2% |
21.5%
3.3 pts better
|
16.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 28.1% · Q3 13.7% · Q4 20.3% · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.0% |
16.8%
2.8 pts better
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 21.0% · Q3 20.2% · Q4 6.1% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.9%
0.7 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.0% · Q3 3.2% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
2.6%
1.1 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 4.0% · Q3 1.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
21.2%
4.2 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.1% · Q3 16.5% · Q4 20.9% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 13.1% |
6.0%
7.1 pts worse
|
5.1%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 18.8% · Q3 11.2% · Q4 6.9% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.6% |
79.9%
37.3 pts worse
|
81.7%
39.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.6% · Q2 39.0% · Q3 35.1% · Q4 40.7% · 4Q avg 42.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
13.2%
1.8 pts better
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.3% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.5%
1.8 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.1% · Q4 9.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.0% |
78.1%
28.1 pts worse
|
79.7%
29.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
22.9%
1.4 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 22.5% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-27
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-13
Inspection history
Health
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.
Corrected 2026-01-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-14
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-01-14
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-01-14
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2026-01-14
Health
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.
Corrected 2026-01-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-14
Health
Post nurse staffing information every day.
Corrected 2026-01-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-14
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-10-24
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-10-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-10-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-24
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-24
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-10-24
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-10-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-07
Health
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.
Corrected 2023-09-07
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-07
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-28
Penalties and ownership
Fine · fine $11,629
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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