Federal inspection record · CMS data as of October 1, 2026
Scotland Manor Health and Rehabilitation Center
920 Jr High School Road, Scotland Neck, NC · (252) 826-5146
- Certified beds
- 62
- Residents per day
- 53
- Ownership
- For-Profit
- Chain
- August Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 12, 1991
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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Scotland Manor Health and Rehabilitation Center carries 11 inspection points. That is fewer than 76% 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
11 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care3D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Pharmacy Service1D
- 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.
Inspection history
2025-11-20
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-09-11
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-05-25
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 23 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 33% 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
Fines and payment denials
$7,361 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-24 | Fine | $3,680 |
| 2024-10-24 | Fine | $3,681 |
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 days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine45.5 pts worse | 46.9% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.4 pts worse | 83.3% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.8 pts worse | 14.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 3.0% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts worse | 24.4% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 9.5% | 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 need for help with daily activities has increased3.6 pts worse | 18.6% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts better | 17.6% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 6.0% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine66.4 pts worse | 15.1% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.8 pts worse | 22.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine65.9 pts worse | 15.2% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.6 pts better | 12.6% | 22.2% | 23.4% |
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Who owns and runs it
18 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 |
|---|---|---|---|
| Accordius Health At Scotland Manor Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| August Nc5 Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Augustnc Holdco LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Batchelor, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Batchelor, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cohen, Itamar | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Cohen, Itamar | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Cross River Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| Emanuel, Shandal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Emanuel, Shandal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hc Family Trust | Adp Of The SNF · Organization | 0% | 18 facilities |
| Hyman, Simcha | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Locust Point Private Credit Fund Iii LP | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Nc SNF Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Schonfeld, Akiva | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Zanziper Family Trust | Adp Of The SNF · Organization | 0% | 17 facilities |
| Zanziper, Naftali | Adp Of The SNF · Individual | 0% | 16 facilities |
| Zanziper, Natalie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 10 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke1D
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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Other homes nearby
-
Bryan Health and Rehab
Scotland Neck, NC
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h
- Fines
- $0
-
Rich Square Health & Rehabilitation Center
Rich Square, NC · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 46 min
- Fines
- $190,684
-
Edgecombe Health Center by Harborview
Tarboro, NC · Harborview Health Systems
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $17,796