Cycle 1
Health 2025-05-21 · Fire 2025-05-21
12 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Elizabeth City, NC
Laurel Park Rehabilitation and Healthcare Center
1-star overall rating with 2-star inspections with $16,720 in total fines with 12 recent health deficiencies
901 Halstead Boulevard, Elizabeth City, NC
(252) 338-0137
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
108
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Yad Healthcare
Operator or chain grouping
Approved since
1978-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.33
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.74
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.77
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.03
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.43
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
2.93
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
75%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,368
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
6.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.45
Baseline 19.01% · Performance 20.30% · Measure score 2.45 · Achievement 2.45 · Improvement 0
Healthcare-associated infections
0
Baseline 9.22% · Performance 9.17% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 73.03% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.36 hours · Performance 2.85 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.95% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 147 · Observed rate 14.29% · Lower 95% interval 8.68% |
| Discharge to community | 44.15% |
50.57%
6.4 pts worse
|
No Different than the National Rate · Eligible stays 142 · Observed rate 36.62% · Lower 95% interval 35.53% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.46% |
95.27%
3.2 pts better
|
Numerator 128 · Denominator 130 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 130 |
| Discharge self-care score | 43.59% |
53.69%
10.1 pts worse
|
Numerator 34 · Denominator 78 |
| Discharge mobility score | 52.56% |
50.94%
1.6 pts better
|
Numerator 41 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 6.92% |
2.29%
4.6 pts worse
|
Numerator 9 · Denominator 130 · Adjusted rate 5.76% |
| Healthcare-associated infections requiring hospitalization | 9.17% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 96 · Observed rate 12.5% · Lower 95% interval 5.59% |
| Staff COVID-19 vaccination coverage | 4.17% |
8.2%
4 pts worse
|
Numerator 3 · Denominator 72 |
| Staff flu vaccination coverage | 1.65% |
42%
40.4 pts worse
|
Numerator 2 · Denominator 121 |
| Discharge function score | 64.1% |
56.45%
7.6 pts better
|
Numerator 50 · Denominator 78 |
| Transfer of health information to provider | 98.18% |
95.95%
2.2 pts better
|
Numerator 54 · Denominator 55 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 2.53% |
25.2%
22.7 pts worse
|
Numerator 2 · Denominator 79 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.8
0.5 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
91.5%
7.2 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 100.0% · Q4 97.4% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.6% |
94.1%
2.5 pts worse
|
95.5%
3.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
4.8%
2.7 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.8% · Q3 1.4% · Q4 1.4% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 7.4% |
7.2%
0.2 pts worse
|
5.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 9.9% · Q3 8.3% · Q4 4.3% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
21.6%
6.4 pts better
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 14.9% · Q3 15.1% · Q4 14.3% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
15.0%
4.4 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 9.1% · Q3 9.1% · Q4 12.7% · 4Q avg 10.6% · 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 | 29.0% |
21.5%
7.5 pts worse
|
16.3%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 25.4% · Q4 33.1% · 4Q avg 29.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
16.8%
1.8 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 26.5% · Q3 7.5% · Q4 22.4% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
2.6%
0.3 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 2.6% · Q4 4.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
21.2%
7.4 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 40.3% · Q3 18.1% · Q4 25.2% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
6.0%
0.4 pts better
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.4% · Q3 8.3% · Q4 6.0% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.5% |
79.9%
7.4 pts worse
|
81.7%
9.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.9% · Q2 75.8% · Q3 80.2% · Q4 67.7% · 4Q avg 72.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.8% |
13.2%
0.6 pts worse
|
12.0%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 15.6% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.1% |
78.1%
27 pts worse
|
79.7%
28.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
22.9%
2.2 pts worse
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 30.0% · Expected 28.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-22 · Fire 2024-05-22
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Cycle 3
Health 2023-03-02 · Fire 2023-03-02
15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-05-22
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-19
D · Potential for more than minimal harm
2024-05-22
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-19
D · Potential for more than minimal harm
2024-05-22
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-07-19
D · Potential for more than minimal harm
2024-05-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-19
F · Potential for more than minimal harm
2023-03-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-03-02
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-03-02
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-03-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-03-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-08
Inspection history
Recent health citations
G · Actual harm
2025-05-21
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-19
F · Potential for more than minimal harm
2025-05-21
F838 · Administration Deficiencies
Health
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.
Corrected 2025-06-19
E · Potential for more than minimal harm
2025-05-21
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 2025-06-19
E · Potential for more than minimal harm
2025-05-21
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-21
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-21
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 2025-06-19
D · Potential for more than minimal harm
2025-05-21
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-21
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-19
D · Potential for more than minimal harm
2025-05-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-19
B · Minimal harm
2025-05-21
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-19
B · Minimal harm
2025-05-21
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 2025-06-19
E · Potential for more than minimal harm
2024-05-22
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 2024-06-19
E · Potential for more than minimal harm
2024-05-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-19
D · Potential for more than minimal harm
2024-05-22
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 2024-06-19
D · Potential for more than minimal harm
2024-05-22
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 2024-06-19
D · Potential for more than minimal harm
2024-05-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-19
D · Potential for more than minimal harm
2024-05-22
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-06-19
E · Potential for more than minimal harm
2023-03-02
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-03-30
E · Potential for more than minimal harm
2023-03-02
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
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 2023-03-30
D · Potential for more than minimal harm
2023-03-02
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 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-03-30
D · Potential for more than minimal harm
2023-03-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-30
B · Minimal harm
2023-03-02
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-03-30
B · Minimal harm
2023-03-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-30
B · Minimal harm
2023-03-02
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 2023-03-30
Penalties and ownership
What sits behind the stars
$16,720
2025-05-21
Fine
Fine · fine $16,720
Fine
Ownership
Alter, Tzvi
5% Or Greater Direct Ownership Interest · Individual
Alter, Tzvi
5% Or Greater Indirect Ownership Interest · Individual
Alter, Tzvi
Corporate Director · Individual
Kintyhtt, Jennifer
W-2 Managing Employee · Individual
Laurel Park Opco Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Elizabeth City Health and Rehabilitation
Elizabeth City, NC
2-star overall rating with 2-star inspections with $77,760 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Hertford Rehabilitation and Healthcare Center
Hertford, NC
1-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Currituck Health & Rehab Center
Barco, NC
1-star overall rating with 1-star inspections with abuse icon flag with $130,293 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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