North Carolina › Chowan County › Edenton
Chowan River Nursing and Rehabilitation Center
1341 Paradise Road, Edenton, NC 27932
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Chowan River Nursing and Rehabilitation Center is a For-profit, limited liability company nursing home in Edenton, North Carolina, certified for 130 beds and caring for about 57 residents a day.
CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (5, 1, 4 by cycle, most recent first), none at the actual-harm level. That is 7.7 per 100 beds, fewer than the state median of 15.6.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the North Carolina median of 3.5; nursing staff turnover is 33.3%.
Compared with county, state and nation
| Measure | This facility | Chowan Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 10 | 16 | 28.7 |
| Citations per 100 beds | 7.7 | 7.7 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 33.3% | 33.3% | 48.6% | 45.8% |
| Fines listed | $0 | $0 | $8,512 | — |
County and state figures are medians across facilities (1 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Apr 2025, 22 Feb 2024.
Severity mix: D ×8 E ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 30 Apr 2025 |
| 2 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 30 Apr 2025 |
| 30 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 14 Jun 2024 |
| 30 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Jun 2024 |
| 22 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 11 Mar 2024 |
| 2 Dec 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 22 Dec 2022 |
| 2 Dec 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Dec 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 33.3%, RNs 44.4%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.4% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Tar River Ltc Group, Llc. Chain: Principle Long Term Care (40 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Principle Long Term Care, Inc. | Operational/managerial control | NOT APPLICABLE | 01/01/2011 |
| Principle Long Term Care, Inc. | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Chowan River Nursing and Rehabilitation Center been cited for?
10 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Chowan River Nursing and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Chowan River Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Chowan River Nursing and Rehabilitation Center?
It is part of the Principle Long Term Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Principle Long Term Care, Inc.. Individual owners and managers are not listed on this site.
When was Chowan River Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Apr 2025; the most recent standard health survey was 2 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.