Federal inspection record · CMS data as of October 1, 2026
Eden Rehabilitation and Healthcare Center
226 N Oakland Avenue, Eden, NC · (336) 623-1750
- Certified beds
- 112
- Residents per day
- 98
- Ownership
- For-Profit
- Chain
- Simcha Hyman & Naftali Zanziper
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 4, 1984
1
How this home got 2 stars
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.
-
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Eden Rehabilitation and Healthcare Center carries 54.5 inspection points. That is fewer than 30% 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
11 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
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Everything else, by area of care
Pharmacy Service3E
- 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.
- 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.
Quality of Life and Care2D
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Rights1D
- D
Give the resident's representative the ability to exercise the resident's rights.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-02-19
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-11-15
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-07-27
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 27 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 47% 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
$16,572 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-13 | Fine | $16,572 |
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 days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 2.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts worse | 91.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 4.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts better | 2.5% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse | 28.7% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 9.3% | 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 worsened2.3 pts worse | 18.9% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 13.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts worse | 2.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts worse | 22.2% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 5.8% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 81.8% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.8 pts worse | 21.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.9 pts worse | 77.2% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better | 22.0% | 22.2% | 23.4% |
·
Who owns and runs it
4 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 |
|---|---|---|---|
| Nc East Holding LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Alter, Tzvi | 5% Or Greater Indirect Ownership Interest · Individual | 80% | 23 facilities |
| Alter, Tzvi | Corporate Director · Individual | 0% | 23 facilities |
| Jones, Cassandrea | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure electrical receptacles or cover plates have distinctive color or marking.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 8 min
- Fines
- $0
-
Martinsville Health And Rehab
Martinsville, VA · Trio Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
Jacob's Creek Nursing and Rehabilitation Center
Madison, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 37 min
- Fines
- $16,801