4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Barco, NC
1-star overall rating with 1-star inspections with abuse icon flag with $130,293 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3907 Caratoke Highway, Barco, NC
(252) 457-0500
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
69
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1988-09-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.45
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
11,438
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.06% · Performance 22.24% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.31
Baseline 7.71% · Performance 7.14% · Measure score 2.31 · Achievement 2.31 · Improvement 1.59
Total nurse turnover
3.72
Baseline 52.70% · Performance 48.48% · Measure score 3.72 · Achievement 3.72 · Improvement 1.01
Adjusted total nurse staffing
0.68
Baseline 3.31 hours · Performance 3.27 hours · Measure score 0.68 · Achievement 0.68 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.15% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 241 · Observed rate 12.86% · Lower 95% interval 8.55% |
| Discharge to community | 48.53% |
50.57%
2 pts worse
|
No Different than the National Rate · Eligible stays 210 · Observed rate 42.86% · Lower 95% interval 42.61% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 92.04% |
95.27%
3.2 pts worse
|
Numerator 104 · Denominator 113 |
| Falls with major injury | 1.77% |
0.77%
1 pts worse
|
Numerator 2 · Denominator 113 |
| Discharge self-care score | 38.75% |
53.69%
14.9 pts worse
|
Numerator 31 · Denominator 80 |
| Discharge mobility score | 33.75% |
50.94%
17.2 pts worse
|
Numerator 27 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 113 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.14% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 134 · Observed rate 7.46% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 84 |
| Staff flu vaccination coverage | 37.63% |
42%
4.4 pts worse
|
Numerator 35 · Denominator 93 |
| Discharge function score | 41.25% |
56.45%
15.2 pts worse
|
Numerator 33 · Denominator 80 |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 44 · Denominator 46 |
| Transfer of health information to patient | 82.05% |
96.28%
14.2 pts worse
|
Numerator 32 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 23.81% |
25.2%
1.4 pts worse
|
Numerator 15 · Denominator 63 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.6 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
91.5%
3.3 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.8% · Q3 90.9% · Q4 90.7% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
94.1%
4.3 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.6%
1 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.2% · Q3 1.8% · Q4 1.9% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.3% |
4.8%
2.5 pts worse
|
11.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.9% · Q3 7.7% · Q4 7.5% · 4Q avg 7.3% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
7.2%
0.8 pts better
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 10.7% · Q3 4.2% · Q4 6.2% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.8% |
21.6%
3.2 pts worse
|
19.6%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 28.6% · Q3 27.1% · Q4 22.4% · 4Q avg 24.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
15.0%
5.8 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 7.1% · Q3 6.8% · Q4 11.4% · 4Q avg 9.2% · 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 | 22.8% |
21.5%
1.3 pts worse
|
16.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.1% |
16.8%
9.3 pts worse
|
14.9%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 38.8% · Q3 19.0% · Q4 14.0% · 4Q avg 26.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.6%
About the same
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 1.8% · Q4 5.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% |
21.2%
0.3 pts better
|
19.8%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 25.7% · Q3 9.7% · Q4 30.7% · 4Q avg 20.9% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
6.0%
0.8 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.8% · Q3 4.2% · Q4 5.0% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.8% |
79.9%
42.1 pts worse
|
81.7%
43.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.0% · Q2 29.4% · Q3 37.7% · Q4 39.6% · 4Q avg 37.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
13.2%
3.9 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.6% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 32.4% |
78.1%
45.7 pts worse
|
79.7%
47.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 32.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
22.9%
1.2 pts worse
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 26.3% · Expected 26.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-14
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-14
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-20
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-20
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-12-19
Health
Assess the resident when there is a significant change in condition
Corrected 2025-12-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-12-19
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-12-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-31
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 2024-09-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-16
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-09-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-16
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 2024-09-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-09-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-16
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-09-16
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-09-16
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 2024-09-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-07
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-03
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 2023-07-03
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-07-03
Penalties and ownership
Fine · fine $120,975
Fine
Fine · fine $9,318
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Elizabeth City, NC
1-star overall rating with 2-star inspections with $16,720 in total fines with 12 recent health deficiencies
Elizabeth City, NC
2-star overall rating with 2-star inspections with $77,760 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Virginia Beach, VA
0-star overall rating with 0-star inspections
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