Cycle 1
Health 2026-01-07 · Fire 2024-09-18
1 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Morehead City, NC
Crystal Bluffs Rehabilitation and Health Care Cent
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
4010 Bridges Street Extension, Morehead City, NC
(252) 726-0031
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
92
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Century Care Management
Operator or chain grouping
Approved since
1977-08-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 4 health / 3 staffing / 3 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
0.62
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.72
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.99
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,939
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.80
Composite VBP score used to determine payment impact.
Payment multiplier
1.0002
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.22
Baseline 20.10% · Performance 20.87% · Measure score 1.22 · Achievement 1.22 · Improvement 0
Healthcare-associated infections
8.29
Baseline 7.28% · Performance 5.36% · Measure score 8.29 · Achievement 8.29 · Improvement 7.91
Total nurse turnover
6.78
Baseline 40.51% · Performance 35.95% · Measure score 6.78 · Achievement 6.78 · Improvement 2.41
Adjusted total nurse staffing
2.43
Baseline 3.47 hours · Performance 3.77 hours · Measure score 2.43 · Achievement 2.43 · Improvement 0.79
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.9% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 441 · Observed rate 10.88% · Lower 95% interval 9.34% |
| Discharge to community | 57.99% |
50.57%
7.4 pts better
|
Better than the National Rate · Eligible stays 426 · Observed rate 60.33% · Lower 95% interval 53.85% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.81% |
95.27%
1.5 pts better
|
Numerator 182 · Denominator 188 |
| Falls with major injury | 3.19% |
0.77%
2.4 pts worse
|
Numerator 6 · Denominator 188 |
| Discharge self-care score | 70.39% |
53.69%
16.7 pts better
|
Numerator 107 · Denominator 152 |
| Discharge mobility score | 63.82% |
50.94%
12.9 pts better
|
Numerator 97 · Denominator 152 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 4 · Denominator 188 · Adjusted rate 2.34% |
| Healthcare-associated infections requiring hospitalization | 5.36% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 254 · Observed rate 2.76% · Lower 95% interval 3.71% |
| Staff COVID-19 vaccination coverage | 8.08% |
8.2%
0.1 pts worse
|
Numerator 8 · Denominator 99 |
| Staff flu vaccination coverage | 50.81% |
42%
8.8 pts better
|
Numerator 63 · Denominator 124 |
| Discharge function score | 75% |
56.45%
18.5 pts better
|
Numerator 114 · Denominator 152 |
| Transfer of health information to provider | 99.32% |
95.95%
3.4 pts better
|
Numerator 146 · Denominator 147 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 15.28% |
25.2%
9.9 pts worse
|
Numerator 11 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.8 |
1.8
2 pts worse
|
1.8
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.5%
7.8 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
94.1%
3.1 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.6%
1.4 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
4.8%
1.3 pts worse
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 11.1% · Q3 0.0% · Q4 5.0% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 9.9% |
7.2%
2.7 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 6.2% · Q3 13.6% · Q4 9.1% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.3% |
21.6%
5.7 pts worse
|
19.6%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 27.9% · Q3 28.4% · Q4 26.1% · 4Q avg 27.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
15.0%
1 pts better
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 13.0% · Q3 13.8% · Q4 16.1% · 4Q avg 14.0% · 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 | 46.7% |
21.5%
25.2 pts worse
|
16.3%
30.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 46.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.8% |
16.8%
14 pts worse
|
14.9%
15.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 31.0% · Q3 35.0% · Q4 37.7% · 4Q avg 30.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.6%
1.5 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.9% |
21.2%
3.3 pts better
|
19.8%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 19.7% · Q3 23.4% · Q4 19.5% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
6.0%
3.1 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.0% · Q3 2.7% · Q4 4.8% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
79.9%
19.5 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 99.1% · Q3 99.2% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.0% |
13.2%
3.8 pts worse
|
12.0%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 14.8% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.2% · Q3 1.8% · Q4 1.6% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
78.1%
15.7 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
22.9%
3.1 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 14.8% · Expected 17.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-18 · Fire 2023-06-08
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-08 · Fire 2022-04-21
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-18
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-12-10
D · Potential for more than minimal harm
2024-09-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-10
D · Potential for more than minimal harm
2024-09-18
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-12-10
D · Potential for more than minimal harm
2024-09-18
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-10
D · Potential for more than minimal harm
2022-04-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-27
Inspection history
Recent health citations
C · Minimal harm
2026-01-07
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2026-01-23
Penalties and ownership
What sits behind the stars
Ownership
Noah K Duncan Fam Tr
5% Or Greater Direct Ownership Interest · Organization
Boyette, Barbara
Corporate Officer · Individual
Century Care Management, Inc.
Operational/Managerial Control · Organization
Gilliam, Robert
Corporate Officer · Individual
Salter, Jennifer
W-2 Managing Employee · Individual
Schmidlin, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
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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
#2
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2-star overall rating with 2-star inspections with $181,643 in total fines with 11 fire-safety deficiencies in the latest cycle
#3
Pruitthealth-Crystal Coast
Beaufort, NC
4-star overall rating with 4-star inspections with $3,728 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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