Federal inspection record · CMS data as of October 1, 2026
Premier Nursing and Rehabilitation Center
225 White Street, Jacksonville, NC · (910) 353-7222
- Certified beds
- 239
- Residents per day
- 140
- Ownership
- For-Profit
- Chain
- Principle Long Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 25, 1981
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.
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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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Premier Nursing and Rehabilitation Center carries 38 inspection points. That is fewer than 40% 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
25 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.
Harm and immediate-jeopardy citations (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Assessment and Care Planning7D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care7D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control4D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service3D
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
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.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-08-13
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-04-24
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-03-27
11 health deficiencies · 3 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 10 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 10 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 20% 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
$51,984 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-27 | Fine | $51,984 |
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 days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts worse | 89.8% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine12 pts worse | 82.7% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.7 pts better | 5.1% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.7 pts better | 1.4% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 17.7% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts worse | 20.7% | 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 worsened3.5 pts worse | 20.1% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts worse | 17.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.9% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12 pts better | 7.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 6.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.8 pts worse | 63.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 14.3% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.3 pts worse | 72.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 18.3% | 22.2% | 23.4% |
·
Who owns and runs it
15 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 | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Boice, Gale | Adp Of The SNF · Individual | 0% | 38 facilities |
| Hill, Raymond | Direct Ownership Interest · Individual | 0% | 30 facilities |
| Hill, Raymond | Adp Of The SNF · Individual | 0% | 30 facilities |
| Hill, Robert | Direct Ownership Interest · Individual | 0% | 30 facilities |
| Hill, Robert | Adp Of The SNF · Individual | 0% | 30 facilities |
| Hill, Stephen | Direct Ownership Interest · Individual | 0% | 29 facilities |
| Hill, Stephen | Adp Of The SNF · Individual | 0% | 29 facilities |
| Johnson, Dianne | Corporate Officer · Individual | 0% | 37 facilities |
| Principle Long Term Care, Inc. | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Schmidt, Melissa | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Schmidt, Melissa | Adp Of The SNF · Individual | 0% | 2 facilities |
| Schmoke, Raymond | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Schmoke, Raymond | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- F
Install corridor and hallway doors that block smoke.
- D
Install a fire alarm system that can be heard throughout the facility.
Egress3F
- D
Meet other general requirements.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems3D
- D
Have proper medical gas storage and administration areas.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Have proper medical gas storage and administration areas.
Services3E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1D
- D
Use approved construction type or materials.
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Brook Stone Living Center
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-
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