Ayden Court Nursing and Rehabilitation Center

Name: Ayden Court Nursing and Rehabilitation Center
Address: 128 Snow Hill Road, Ayden, NC, 28513, US
Telephone: 2527468223

128 Snow Hill Road, Ayden, NC 28513 · Pitt County · 82 certified beds · avg 78 residents/day · certified since Feb 5, 1999

Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)

1/5

Health inspection rating (on-site)

Serious findings on record

$37,700

Fines, last 3 years

3.03

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Apr 2, 2026 · F-0678 · triggered by a complaint

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: May 12, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 12, 2026	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
May 12, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
May 12, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 12, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 12, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 2, 2026	▲ J · Immediate jeopardy, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 6, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 6, 2025	B · Minimal risk, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 16, 2023	E · Potential for harm, repeated	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Nov 16, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Nov 16, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 16, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Nov 16, 2023	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Nov 16, 2023	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	0	E
2025	8	0	D
2026	6	1	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

3 fines totaling $37,700, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Apr 2, 2026	Fine	$6,102
Apr 2, 2026	Fine	$6,103
Apr 2, 2026	Fine	$25,495
Apr 2, 2026	Payment Denial	48 days from Apr 22, 2026

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.03	4.01	3.95	bottom 7% in North Carolina; bottom 15% in the U.S.
Registered Nurse hours	0.48	0.64	0.69	bottom 40% in North Carolina; bottom 34% in the U.S.
Weekend total nurse staffing	2.80	3.56	3.50	bottom 12% in North Carolina; bottom 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.41	0.48	bottom 38% in North Carolina; bottom 26% in the U.S.
Total nursing staff turnover (%)	58.4	49.0	45.8	bottom 27% in North Carolina; bottom 19% in the U.S.
RN turnover (%)	46.2	45.7	42.9	bottom 48% in North Carolina; bottom 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.99, RN 0.47, weekend 2.76. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Boice, Gale	Individual	Corporate Officer	NOT APPLICABLE	03/05/2018
Boice, Gale	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	11/24/2025
Boice, Gale	Individual	ADP of the SNF	NOT APPLICABLE	03/05/2018
Eason, Sarah	Individual	Operational/Managerial Control	NOT APPLICABLE	02/15/1993
Eason, Sarah	Individual	ADP of the SNF	NOT APPLICABLE	07/03/2025
Hill, Raymond	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2011
Hill, Robert	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2011
Hill, Stephen	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2011
Johnson, Dianne	Individual	Corporate Officer	NOT APPLICABLE	01/01/2011
Krishnaraj, Ramesh	Individual	ADP of the SNF	NOT APPLICABLE	02/17/2025
Principle Long Term Care, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"Who is your infection preventionist, and what training do they have?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Macgregor Downs Health Center by Harborview	10.1 mi	Greenville, NC	★★☆☆☆	2/5
Greenville Health and Rehabilitation Center	10.6 mi	Greenville, NC	★☆☆☆☆	1/5
East Carolina Health and Rehabilitation Center	10.7 mi	Greenville, NC	★☆☆☆☆	1/5
Cypress Glen Retirement Community	10.8 mi	Greenville, NC	★★★★★	5/5
Pruitthealth-Farmville	11.8 mi	Farmville, NC	★★★☆☆	3/5
Greendale Forest Nursing and Rehabilitation Center	12.8 mi	Snow Hill, NC	★☆☆☆☆	2/5
Signature Healthcare of Kinston	14.0 mi	Kinston, NC	★★★☆☆	3/5
Harmony Hall Nursing and Rehabilitation Center	15.8 mi	Kinston, NC	★★★☆☆	3/5
NC State Veterans Home-Kinston	16.4 mi	Kinston, NC	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Ayden →

Facility data as of CMS processing date 2026-08-01. CCN 345490.

The Care File

Visit checklist — Ayden Court Nursing and Rehabilitation Center

128 Snow Hill Road, Ayden, NC 28513 · 2527468223

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $37,700

Most serious findings on record:

▲ Apr 2, 2026 (F-0678, Immediate jeopardy, one-off): The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Questions for the administrator:

☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "Who is your infection preventionist, and what training do they have?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345490 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)