Cycle 1
Health 2025-03-13 · Fire 2025-03-13
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Tarboro, NC
Edgecombe Health Center by Harborview
3-star overall rating with 3-star inspections with 6 recent health deficiencies
1000 Western Boulevard, Tarboro, NC
(252) 823-0401
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
159
Certified beds
Average residents
139
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Harborview Health Systems
Operator or chain grouping
Approved since
1979-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 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
0.47
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.36
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,219
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.10
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.07% · Performance 21.34% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.72
Baseline 8.18% · Performance 7.16% · Measure score 2.72 · Achievement 2.26 · Improvement 2.72
Total nurse turnover
4.04
Performance 47.15% · Measure score 4.04 · Achievement 4.04 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.68
Baseline 4.16 hours · Performance 3.56 hours · Measure score 1.68 · Achievement 1.68 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.87% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 221 · Observed rate 9.95% · Lower 95% interval 7.5% |
| Discharge to community | 52.87% |
50.57%
2.3 pts better
|
No Different than the National Rate · Eligible stays 158 · Observed rate 47.47% · Lower 95% interval 43.42% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.99% |
95.27%
3.7 pts better
|
Numerator 196 · Denominator 198 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 198 |
| Discharge self-care score | 65.22% |
53.69%
11.5 pts better
|
Numerator 90 · Denominator 138 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 69 · Denominator 138 |
| Pressure ulcers or injuries, new or worsened | 5.05% |
2.29%
2.8 pts worse
|
Numerator 10 · Denominator 198 · Adjusted rate 4.88% |
| Healthcare-associated infections requiring hospitalization | 7.16% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 143 · Observed rate 7.69% · Lower 95% interval 4.86% |
| Staff COVID-19 vaccination coverage | 7.74% |
8.2%
0.5 pts worse
|
Numerator 12 · Denominator 155 |
| Staff flu vaccination coverage | 27.31% |
42%
14.7 pts worse
|
Numerator 71 · Denominator 260 |
| Discharge function score | 65.94% |
56.45%
9.5 pts better
|
Numerator 91 · Denominator 138 |
| Transfer of health information to provider | 97.83% |
95.95%
1.9 pts better
|
Numerator 45 · Denominator 46 |
| Transfer of health information to patient | 98% |
96.28%
1.7 pts better
|
Numerator 49 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 28.07% |
25.2%
2.9 pts better
|
Numerator 32 · Denominator 114 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.6 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.2 |
1.8
1.4 pts worse
|
1.8
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
91.5%
3.9 pts better
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.0% · Q3 94.6% · Q4 94.8% · 4Q avg 95.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
94.1%
1.6 pts better
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.6%
0.6 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.5% · Q3 4.5% · Q4 3.4% · 4Q avg 4.2% · 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 6.8% · Q2 7.4% · Q3 8.2% · Q4 6.9% · 4Q avg 7.3% |
| Percentage of long-stay residents who lose too much weight | 15.0% |
7.2%
7.8 pts worse
|
5.4%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 16.7% · Q3 14.6% · Q4 16.0% · 4Q avg 15.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.2% |
21.6%
5.4 pts better
|
19.6%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 18.6% · Q3 16.7% · Q4 15.0% · 4Q avg 16.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.4% |
15.0%
8.6 pts better
|
16.7%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.1% · Q3 7.2% · Q4 9.8% · 4Q avg 6.4% · 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 | 36.0% |
21.5%
14.5 pts worse
|
16.3%
19.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 49.9% · 4Q avg 36.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.0% |
16.8%
18.2 pts worse
|
14.9%
20.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.8% · Q2 30.3% · Q3 36.8% · Q4 27.5% · 4Q avg 35.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.9%
0.1 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 0.7% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.6%
0.8 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.6% · Q3 0.9% · Q4 0.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
21.2%
3 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 27.8% · Q3 23.3% · Q4 22.8% · 4Q avg 24.2% |
| Percentage of long-stay residents with pressure ulcers | 11.1% |
6.0%
5.1 pts worse
|
5.1%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 9.7% · Q3 16.7% · Q4 13.6% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
79.9%
14.9 pts better
|
81.7%
13.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 95.9% · Q3 95.5% · Q4 89.5% · 4Q avg 94.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.9% |
13.2%
4.7 pts worse
|
12.0%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 17.6% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.7% |
78.1%
16.6 pts better
|
79.7%
15 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.1% |
22.9%
0.2 pts worse
|
23.9%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 23.3% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-25 · Fire 2024-01-25
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-12-22 · Fire 2022-12-22
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-01-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-06
F · Potential for more than minimal harm
2022-12-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-04
D · Potential for more than minimal harm
2025-03-13
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 2025-04-04
D · Potential for more than minimal harm
2025-03-13
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-04
D · Potential for more than minimal harm
2025-03-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-04
D · Potential for more than minimal harm
2025-03-13
F700 · Quality of Life and Care Deficiencies
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 2025-04-04
D · Potential for more than minimal harm
2025-03-13
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-04
D · Potential for more than minimal harm
2024-01-25
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-25
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
G · Actual harm
2022-12-22
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 2022-11-12
D · Potential for more than minimal harm
2022-12-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-22
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-22
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-22
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-22
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-01-16
C · Minimal harm
2022-12-22
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-01-16
Penalties and ownership
What sits behind the stars
Ownership
Ga Nc 14, LLC
5% Or Greater Direct Ownership Interest · Organization
Cl 2022 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
De 2021 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Bell, Jamie
W-2 Managing Employee · Individual
Englander, David
Corporate Officer · Individual
Leibowitz, Chaim
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Tarboro Health and Rehabilitation
Tarboro, NC
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Rocky Mount Rehabilitation Center
Rocky Mount, NC
2-star overall rating with 2-star inspections with $27,872 in total fines with 13 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
The Carrolton of Nash
Rocky Mount, NC
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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