Federal inspection record · CMS data as of October 1, 2026
Kerr Lake Nursing and Rehabilitation Center
1245 Park Avenue, Henderson, NC · (252) 492-7021
- Certified beds
- 92
- Residents per day
- 69
- Ownership
- For-Profit
- Chain
- Principle Long Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 13, 1990
1
How this home got 4 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
★★★★★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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Kerr Lake Nursing and Rehabilitation Center carries 19 inspection points. That is fewer than 61% 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
10 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
Resident Rights2D
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-02-12
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-11-06
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-08-23
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 35 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
4 h 35 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
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
$19,620 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-01 | Fine | $19,620 |
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 daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 96.2% | 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 injury2.9 pts better | 0.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 2.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 6.1% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts better | 11.7% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts better | 10.9% | 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 worsened5.3 pts worse | 21.9% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 17.2% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.4% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 2.4% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.8 pts better | 7.1% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 7.0% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8 pts better | 89.5% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 11.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11 pts better | 92.1% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better | 17.9% | 22.2% | 23.4% |
·
Who owns and runs it
8 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 |
|---|---|---|---|
| Boice, Gale | Corporate Officer · Individual | 0% | 38 facilities |
| Boice, Gale | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 38 facilities |
| Hughes, Nancy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hughes, Nancy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Dianne | Corporate Director · Individual | 0% | 37 facilities |
| Principle Long Term Care, Inc. | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Sundar, Valarmathi | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Sundar, Valarmathi | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Install an approved automatic sprinkler system.
Services2D
- D
Install properly constructed and protected linen or trash chutes.
- D
Install properly constructed and protected linen or trash chutes.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Camellia Gardens Center for Nursing and Rehab
Henderson, NC · Alliance Health Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
- $92,104
-
Senior Citizens Home
Henderson, NC · Alliance Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0
-
Brantwood Nh & Retirement Center
Oxford, NC
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0