Havelock, NC

Cherry Point Bay Nursing and Rehabilitation Center

2-star overall rating with 2-star inspections with $181,643 in total fines with 11 fire-safety deficiencies in the latest cycle

110 McCotter Boulevard, Havelock, NC

(252) 444-4631

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

63

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Principle Long Term Care

Operator or chain grouping

Approved since

1998-03-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing

LPN hours / resident day

0.41

Licensed practical nurse staffing

Aide hours / resident day

2.54

Nurse aide staffing

Weekend hours

3.22

Weekend nurse staffing

RN turnover

57%

Annual RN turnover

Total nurse turnover

80%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
1.8
0.3 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.5%
8.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.1%
5.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
3.6%
1.2 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.7%
4.8%
2.1 pts better
11.4%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.1%
7.2%
1.1 pts better
5.4%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.1%
21.6%
9.5 pts better
19.6%
7.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.1%
15.0%
6.9 pts better
16.7%
8.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose need for help with daily activities has increased 16.7%
16.8%
0.1 pts better
14.9%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.9%
0.5 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.0%
2.6%
1.6 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.8%
21.2%
10.4 pts better
19.8%
9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 11.3%
6.0%
5.3 pts worse
5.1%
6.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
79.9%
18.4 pts better
81.7%
16.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.6%
13.2%
4.4 pts worse
12.0%
5.6 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.5%
1 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.7%
78.1%
18.6 pts better
79.7%
17 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.0%
22.9%
9.1 pts worse
23.9%
8.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-02 · Fire 2024-07-11

0 health deficiencies

No concentrated health issue counts in this cycle.

11 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-11 · Fire 2023-04-20

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

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

Cycle 3 Health 2023-04-20 · Fire 2021-11-19

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-11

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-07-11

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-07-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-07-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-04

F · Potential for more than minimal harm 2023-04-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-02

D · Potential for more than minimal harm 2023-04-20

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 2023-06-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-07-11

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 2024-08-02

D · Potential for more than minimal harm 2024-07-11

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 2024-08-02

J · Immediate jeopardy 2024-03-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-06

J · Immediate jeopardy 2024-03-05

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-06

J · Immediate jeopardy 2024-03-05

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-03-05

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-03-05

F867 · Administration Deficiencies

Health

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

Corrected 2024-03-06

J · Immediate jeopardy 2023-04-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-17

B · Minimal harm 2023-04-20

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-05-02

Penalties and ownership

What sits behind the stars

$167,122 2024-03-05

Fine

Fine · fine $167,122

Fine

$14,521 2023-04-20

Fine

Fine · fine $14,521

Fine

Ownership

Principle It Services, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 43 facilities 2011-01-01
Principle Long Term Care, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 44 facilities 2011-01-01
Boice, Gale

Corporate Officer · Individual

0% 44 facilities 2018-03-05
Hill, Raymond

5% Or Greater Direct Ownership Interest · Individual

0% 43 facilities 2011-01-01
Hill, Raymond

Operational/Managerial Control · Individual

0% 43 facilities 2011-01-01
Hill, Robert

5% Or Greater Direct Ownership Interest · Individual

0% 43 facilities 2011-01-01
Hill, Robert

Operational/Managerial Control · Individual

0% 43 facilities 2011-01-01
Hill, Stephen

5% Or Greater Direct Ownership Interest · Individual

0% 43 facilities 2011-01-01
Hill, Stephen

Operational/Managerial Control · Individual

0% 43 facilities 2011-01-01
Johnson, Dianne

Corporate Officer · Individual

0% 43 facilities 2011-01-01
Principle Long Term Care, Inc.

Operational/Managerial Control · Organization

0% 44 facilities 2011-01-01

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3-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
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#2

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5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
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Fines
$0

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