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

Grantsbrook Nursing and Rehabilitation Center

290 Keel Road, Grantsboro, NC · (252) 745-5005

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
96
Residents per day
70
Ownership
For-Profit
Chain
Principle Long Term Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 13, 1988

1

How this home got 5 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

    +1 star

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

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Grantsbrook Nursing and Rehabilitation Center carries 7 inspection points. That is fewer than 84% 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 · 7 pts · 4★

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

10 health citations on record since 2024. 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 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

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

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning3D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 12, 2025 · Standard · F656 · Corrected May 16, 2025

  2. D

    Assess the resident when there is a significant change in condition

    April 4, 2024 · Standard · F637 · Corrected April 16, 2024

  3. D

    Ensure each resident receives an accurate assessment.

    April 4, 2024 · Standard · F641 · Corrected April 16, 2024

Resident Rights2D
  1. D

    Keep residents' personal and medical records private and confidential.

    July 2, 2026 · Complaint · F583 · Corrected July 27, 2026

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    April 4, 2024 · Standard · F582 · Corrected April 16, 2024

Nutrition and Dietary2E
  1. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    May 12, 2025 · Complaint · F806 · Corrected May 16, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 4, 2024 · Standard · F812 · Corrected April 16, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    May 12, 2025 · Standard · F880 · Corrected May 16, 2025

Quality of Life and Care1D
  1. D

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

    April 4, 2024 · Complaint · F677 · Corrected April 16, 2024

Administration1D
  1. D

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

    April 4, 2024 · Standard · F867 · Corrected April 16, 2024

Inspection history

  1. 2026-07-02

    1 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (1 deficiency)

  2. 2025-05-12

    3 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2024-04-04

    6 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 15 min of nursing staff time a day, 40 min of it from a registered nurse.

This home

3 h 15 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 36% 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

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 days0.8 pts better0.91.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better0.41.71.7
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 injury2.1 pts better1.3%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms6.8 pts better0.0%6.8%13.5%
Percentage of long-stay residents who lose too much weight4.4 pts better2.7%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better17.4%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.8 pts better4.1%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 worsened5.6 pts better11.0%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts better6.2%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.9%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.8 pts better7.1%19.9%18.3%
Percentage of long-stay residents with pressure ulcers3.3 pts worse8.7%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.8 pts better99.3%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts better8.3%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better1.3%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.9 pts better100.0%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse23.0%22.2%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Boice, GaleCorporate Officer · Individual0%38 facilities
Boice, GaleIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%38 facilities
Burrell, JamesOperational/Managerial Control · Individual0%1 facilities
Burrell, JamesAdp Of The SNF · Individual0%1 facilities
Hill, RaymondAdp Of The SNF · Individual0%30 facilities
Johnson, DianneCorporate Officer · Individual0%37 facilities
Karstetter, BrianManaging Control - Governing Body · Individual0%3 facilities
Karstetter, BrianOperational/Managerial Control · Individual0%3 facilities
Lamsal, SumanManaging Control - Governing Body · Individual0%1 facilities
Lamsal, SumanAdp Of The SNF · Individual0%1 facilities
Principle Long Term Care, Inc.Operational/Managerial Control · Organization0%37 facilities
Principle Long Term Care, Inc.Adp Of The SNF · Organization0%37 facilities

·

Fire safety

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

Smoke3D
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 12, 2025 · K321 · Corrected June 25, 2025

  2. D

    Install a fire alarm system that can be heard throughout the facility.

    May 12, 2025 · K341 · Corrected July 21, 2025

  3. D

    Install corridor and hallway doors that block smoke.

    March 22, 2023 · K363 · Corrected July 21, 2023

Gas, Vacuum, and Electrical Systems3F
  1. D

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

    April 4, 2024 · K918 · Corrected June 10, 2024

  2. D

    Have proper medical gas storage and administration areas.

    April 4, 2024 · K923 · Corrected June 10, 2024

  3. F

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

    March 22, 2023 · K918 · Corrected July 21, 2023

·

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