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Ayden Court Nursing and Rehabilitation CenterCMS ratings, inspections and fines

Address
128 Snow Hill Road, Ayden, NC 28513
CCN
345490
Ownership type
For-profit, limited liability company
Certified beds
82
Residents per day
78
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Ayden Court Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 12 May 2026. The latest survey cycle has 6 health citations. The median for nursing homes in North Carolina is 3. CMS lists 3 fines with a total of $37,700 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Ayden Court Nursing and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homePitt County medianNorth Carolina medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating12.03.02.8
Staffing rating12.03.02.9
Quality measure rating33.03.03.6

A median is the middle value of the homes in the group: 6 homes in the county, 419 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Ayden Court Nursing and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsNorth Carolina median
Cycle 1 (latest)12 May 202663
Cycle 26 Feb 202585
Cycle 3No date96

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 23 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 6 citations

Standard survey of this cycle: .

Health citations of Ayden Court Nursing and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 May 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey9 Jun 2026
12 May 2026F0641Ensure each resident receives an accurate assessment.DStandard survey9 Jun 2026
12 May 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey9 Jun 2026
12 May 2026F0880Provide and implement an infection prevention and control program.DStandard survey9 Jun 2026
12 May 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey9 Jun 2026
2 Apr 2026F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation12 May 2026

Survey cycle 2: 8 citations

Standard survey of this cycle: .

Health citations of Ayden Court Nursing and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
6 Feb 2025F0584Honor 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.DComplaint investigation6 Mar 2025
6 Feb 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation1 May 2024
6 Feb 2025F0641Ensure each resident receives an accurate assessment.DStandard survey6 Mar 2025
6 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation6 Mar 2025
6 Feb 2025F0688Provide 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.DStandard survey6 Mar 2025
6 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation6 Mar 2025
6 Feb 2025F0761Ensure 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.DComplaint investigation6 Mar 2025
6 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint investigation6 Mar 2025

Survey cycle 3: 9 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Ayden Court Nursing and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Nov 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey22 Dec 2023
16 Nov 2023F0578Honor 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.DStandard survey22 Dec 2023
16 Nov 2023F0641Ensure each resident receives an accurate assessment.BStandard survey22 Dec 2023
16 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Dec 2023
16 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation22 Dec 2023
16 Nov 2023F0758Implement 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.DStandard survey22 Dec 2023
16 Nov 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation22 Dec 2023
16 Nov 2023F0761Ensure 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.EStandard survey22 Dec 2023
16 Nov 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey22 Dec 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Ayden Court Nursing and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
2 Apr 2026Fine$25,495
2 Apr 2026Fine$6,103
2 Apr 2026Fine$6,102
2 Apr 2026Payment denial48

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Ayden Court Nursing and Rehabilitation Center
StaffThis homeNorth Carolina medianNorth Carolina average (CMS)
All nurse staff2.993.503.83
Registered nurses (RN)0.470.500.61
Licensed practical nurses (LPN)0.710.89
Nurse aides1.812.34
All nurse staff, weekends2.763.103.40
Nurse staff turnover in a year
58.4%
Nurse staff turnover, North Carolina median
48.6%
RN turnover in a year
46.2%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Ayden Court Nursing and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.2%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.5%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.1%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.0%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.7%13.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
River Neuse Group, LLC
Chain
Principle Long Term Care (40 homes in the CMS chain file)
Organisations in the CMS ownership record of Ayden Court Nursing and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Principle Long Term Care, Inc.Operational/managerial control1 Jan 2011

The site shows organisations only. It does not show the names of persons.

Other homes in Pitt County

The 5 nearest other nursing homes in Pitt County, North Carolina
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Macgregor Downs Health Center by HarborviewGreenville2 of 53$10,02330 Apr 2026
Greenville Health and Rehabilitation CenterGreenville1 of 510$64,00211 Jun 2025
East Carolina Health and Rehabilitation CenterGreenville1 of 514$61,58525 Mar 2026
Cypress Glen Retirement CommunityGreenville5 of 50$014 Aug 2025
Pruitthealth-FarmvilleFarmville3 of 54$14,6977 Aug 2025

All 6 nursing homes in Pitt County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Ayden Court Nursing and Rehabilitation Center (CCN 345490). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/ayden-court-nursing-and-rehabilitation-center-ayden-nc-345490/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Ayden Court Nursing and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 12 May 2026. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 6 Feb 2025.
Who operates Ayden Court Nursing and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Principle Long Term Care. The CMS ownership file names Principle Long Term Care, Inc. for operational or managerial control. This site does not show the names of persons.
Is Ayden Court Nursing and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.