Federal inspection record · CMS data as of October 1, 2026
Hertford Rehabilitation and Healthcare Center
1300 Don Juan Road, Hertford, NC · (252) 426-5391
- Certified beds
- 78
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- Simcha Hyman & Naftali Zanziper
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 24, 1987
1
How this home got 3 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.
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Staffing
★★★★★−1 star
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.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Hertford Rehabilitation and Healthcare Center carries 14 inspection points. That is fewer than 70% 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
20 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nursing and Physician Services4F
- F
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.
- C
Post nurse staffing information every day.
- E
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.
- C
Post nurse staffing information every day.
Quality of Life and Care4D
- D
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights3C
- B
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.
- C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Administration2F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service2E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-07-30
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2025-06-05
8 health deficiencies · 14 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2024-05-16
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 5 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 78% of registered nurses left in the past year, along with 3 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
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 days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better | 97.7% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 96.6% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 0.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts better | 2.9% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 5.4% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts better | 18.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts better | 7.9% | 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 worsened7.4 pts worse | 24.0% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.1 pts worse | 25.1% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts worse | 4.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 25.1% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 5.5% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts worse | 76.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.5 pts worse | 26.2% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9 pts worse | 72.1% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 17.4% | 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 |
| Rogers, Kirk | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Smoke7F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Services3D
- D
Have properly installed electrical wiring and gas equipment.
- D
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.
Miscellaneous3F
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Construction2D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- D
Use approved construction type or materials.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Chowan River Nursing and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0
-
Elizabeth City Health and Rehabilitation
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- Nursing / resident / day
- 3 h 58 min
- Fines
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-
Laurel Park Rehabilitation and Healthcare Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 2 h 58 min
- Fines
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