Federal inspection record · CMS data as of October 1, 2026
Ayden Court Nursing and Rehabilitation Center
128 Snow Hill Road, Ayden, NC · (252) 746-8223
- Certified beds
- 82
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Principle Long Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 5, 1999
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Ayden Court Nursing and Rehabilitation Center carries 89.25 inspection points. That is fewer than 15% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Ensure each resident receives an accurate assessment.
Pharmacy Service5E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- E
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.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Rights3E
- D
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.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
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.
Quality of Life and Care3D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control2F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-05-12
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-02-06
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-11-16
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 11 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 64% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$24,505 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-02 | Fine | $3,966 |
| 2026-04-02 | Fine | $3,967 |
| 2026-04-02 | Fine | $16,572 |
| 2026-04-02 | Payment Denial · 48 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32.3 pts worse | 60.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine25.8 pts worse | 68.9% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts better | 0.0% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 4.8% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.5 pts better | 11.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.4 pts better | 4.5% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.1 pts better | 15.5% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 15.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11 pts better | 8.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 3.2% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.7 pts worse | 54.8% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts worse | 14.2% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27.3 pts worse | 53.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.3 pts worse | 34.5% | 22.2% | 23.4% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Boice, Gale | Corporate Officer · Individual | 0% | 38 facilities |
| Boice, Gale | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 38 facilities |
| Boice, Gale | Adp Of The SNF · Individual | 0% | 38 facilities |
| Eason, Sarah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Eason, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hill, Raymond | Adp Of The SNF · Individual | 0% | 30 facilities |
| Hill, Robert | Adp Of The SNF · Individual | 0% | 30 facilities |
| Hill, Stephen | Adp Of The SNF · Individual | 0% | 29 facilities |
| Johnson, Dianne | Corporate Officer · Individual | 0% | 37 facilities |
| Krishnaraj, Ramesh | Adp Of The SNF · Individual | 0% | 4 facilities |
| Principle Long Term Care, Inc. | Operational/Managerial Control · Organization | 0% | 37 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3E
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke1D
- D
Install corridor and hallway doors that block smoke.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Macgregor Downs Health Center by Harborview
Greenville, NC · Harborview Health Systems
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 31 min
- Fines
- $10,023
-
Greenville Health and Rehabilitation Center
Greenville, NC · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $159,482
-
East Carolina Health and Rehabilitation Center
Greenville, NC
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $62,160