Ahoskie, NC

Ahoskie Health and Rehabilitation Center

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2024-09-26

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)

Cycle 2 Health 2024-09-26 · Fire 2023-08-10

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-08-10 · Fire 2022-02-04

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-09-26

K321 · Smoke Deficiencies

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

D · Potential for more than minimal harm 2024-09-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-27

D · Potential for more than minimal harm 2023-08-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-08-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-18

F578 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2025-12-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-14

D · Potential for more than minimal harm 2025-12-18

F690 · Quality of Life and Care Deficiencies

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

D · Potential for more than minimal harm 2025-12-18

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2026-01-14

D · Potential for more than minimal harm 2025-12-18

F729 · Nursing and Physician Services Deficiencies

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

D · Potential for more than minimal harm 2025-12-18

F761 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2025-12-18

F812 · Nutrition and Dietary Deficiencies

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

C · Minimal harm 2025-12-18

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-01-14

B · Minimal harm 2025-12-18

F656 · Resident Assessment and Care Planning Deficiencies

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

F · Potential for more than minimal harm 2024-09-26

F727 · Nursing and Physician Services Deficiencies

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

E · Potential for more than minimal harm 2024-09-26

F758 · Pharmacy Service Deficiencies

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

E · Potential for more than minimal harm 2024-09-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-24

E · Potential for more than minimal harm 2024-09-26

F842 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2024-09-26

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-09-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-09-26

F657 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2024-09-26

F756 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2024-09-26

F806 · Nutrition and Dietary Deficiencies

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

B · Minimal harm 2024-09-26

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-10-24

E · Potential for more than minimal harm 2023-08-10

F755 · Pharmacy Service Deficiencies

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

E · Potential for more than minimal harm 2023-08-10

F761 · Pharmacy Service Deficiencies

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

E · Potential for more than minimal harm 2023-08-10

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-10

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-09-28

Penalties and ownership

What sits behind the stars

$11,629 2023-08-10

Fine

Fine · fine $11,629

Fine

Ownership

Augustnc Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2025-01-01
Cohen, Itamar

5% Or Greater Indirect Ownership Interest · Individual

100% 5 facilities 2025-01-01
El Khoury, Semaan

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Price, Shanel

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01

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1-star overall rating with 1-star inspections with $190,684 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

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#3

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Staffing
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Fines
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