Federal inspection record · CMS data as of October 1, 2026

Elizabeth City Health and Rehabilitation

1075 US Highway 17 South, Elizabeth City, NC · (252) 338-3975

CMS overall rating

2 of 5

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Certified beds
170
Residents per day
145
Ownership
For-Profit
Chain
Sanstone Health & Rehabilitation
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 13, 1967

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Elizabeth City Health and Rehabilitation carries 53.75 inspection points. That is fewer than 30% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 53.75 pts · 2★

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

22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 5 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 3 0 pts

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 (5)

  1. J

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

    November 22, 2023 · Complaint inspection · Resident Rights · F580 · Corrected November 30, 2023

  2. J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 22, 2023 · Complaint inspection · Quality of Life and Care · F684 · Corrected November 30, 2023

  3. J

    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.

    November 22, 2023 · Complaint inspection · Nursing and Physician Services · F726 · Corrected November 30, 2023

  4. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 28, 2023 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 6, 2023

  5. G

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

    January 27, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected June 9, 2022

Everything else, by area of care

Resident Rights4C
  1. B

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

    April 5, 2024 · Standard · F623 · Corrected April 13, 2024

  2. C

    Assure the security of all personal funds of residents deposited with the facility.

    January 27, 2023 · Standard · F570 · Corrected February 23, 2023

  3. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    January 27, 2023 · Standard · F577 · Corrected February 13, 2023

  4. C

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

    January 27, 2023 · Standard · F623 · Corrected February 6, 2023

Resident Assessment and Care Planning3D
  1. B

    Ensure each resident receives an accurate assessment.

    June 19, 2025 · Standard · F641 · Corrected June 20, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 22, 2023 · Complaint · F842 · Corrected November 30, 2023

  3. D

    Ensure each resident receives an accurate assessment.

    January 27, 2023 · Standard · F641 · Corrected February 27, 2023

Administration3E
  1. B

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

    April 5, 2024 · Standard · F867 · Corrected April 13, 2024

  2. D

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

    November 22, 2023 · Complaint · F867 · Corrected November 30, 2023

  3. E

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

    January 27, 2023 · Standard · F867 · Corrected March 1, 2023

Quality of Life and Care3E
  1. E

    Provide activities to meet all resident's needs.

    January 27, 2023 · Standard · F679 · Corrected February 13, 2023

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 27, 2023 · Standard · F677 · Corrected March 1, 2023

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 27, 2023 · Standard · F684 · Corrected March 1, 2023

Nutrition and Dietary1E
  1. E

    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.

    April 5, 2024 · Standard · F803 · Corrected April 6, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    October 28, 2023 · Complaint · F607 · Corrected November 6, 2023

Pharmacy Service1E
  1. 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.

    January 27, 2023 · Standard · F761 · Corrected March 1, 2023

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    January 27, 2023 · Standard · F880 · Corrected March 1, 2023

Inspection history

  1. 2025-06-19

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

  2. 2024-04-05

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  3. 2023-01-27

    18 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 58 min of nursing staff time a day, 12 min of it from a registered nurse.

This home

3 h 58 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 26% of nursing staff and 54% of registered nurses left in the past year, along with 2 administrators.

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

$77,760 in federal fines on record over the past three years.

DatePenaltyAmount
2023-10-28Fine$77,760
2023-10-28Payment Denial · 14 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.61.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse2.01.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better100.0%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse3.8%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms1.6 pts better5.2%6.8%13.5%
Percentage of long-stay residents who lose too much weight2.5 pts better4.6%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse22.0%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.3 pts better7.6%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.4 pts worse19.0%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts worse16.6%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse1.3%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts better0.0%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse20.7%19.9%18.3%
Percentage of long-stay residents with pressure ulcers6.9 pts worse12.3%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts better88.3%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts better11.7%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8 pts better89.1%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse25.0%22.2%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sprenger, Christopher5% Or Greater Direct Ownership Interest · Individual100%16 facilities
Elizabeth City Healthcare Properties, LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Waring, TinaW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    April 5, 2024 · K918 · Corrected June 10, 2024

  2. D

    Have proper medical gas storage and administration areas.

    April 5, 2024 · K923 · Corrected June 10, 2024

Smoke1D
  1. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 5, 2024 · K345 · Corrected June 10, 2024

·

Other homes nearby

  1. Laurel Park Rehabilitation and Healthcare Center

    Elizabeth City, NC · Yad Healthcare

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    2 h 58 min
    Fines
    $10,868
  2. Hertford Rehabilitation and Healthcare Center

    Hertford, NC · Simcha Hyman & Naftali Zanziper

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 5 min
    Fines
    $0
  3. Currituck Health & Rehab Center

    Barco, NC · Saber Healthcare Group · Abuse icon

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 25 min
    Fines
    $120,975