Kerr Lake Nursing and Rehabilitation Center

Name: Kerr Lake Nursing and Rehabilitation Center
Address: 1245 Park Avenue, Henderson, NC, 27536, US
Telephone: 2524927021

1245 Park Avenue, Henderson, NC 27536 · Vance County · 92 certified beds · avg 69 residents/day · certified since Jul 13, 1990

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

4/5

Health inspection rating (on-site)

Serious findings on record

$19,620

Fines, last 3 years

4.49

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 · May 1, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

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: Apr 25, 2024 (Past Non-Compliance)

All citations in the current public record (10)

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
Feb 12, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 12, 2026	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
Nov 6, 2024	E · Potential for harm, repeated	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.
Nov 6, 2024	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.
May 1, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 1, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 1, 2024	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. · from a complaint
Aug 23, 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.
Aug 23, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 23, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	D
2024	5	1	J ▲
2026	2	0	E

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)

1 fine totaling $19,620.

Date	Type	Amount / length
May 1, 2024	Fine	$19,620

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)	4.49	4.01	3.95	top 19% in North Carolina; top 23% in the U.S.
Registered Nurse hours	0.75	0.64	0.69	top 22% in North Carolina; top 31% in the U.S.
Weekend total nurse staffing	3.96	3.56	3.50	top 20% in North Carolina; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.41	0.48	top 24% in North Carolina; top 33% in the U.S.
Total nursing staff turnover (%)	28.2	49.0	45.8	top 8% in North Carolina; top 11% in the U.S.
RN turnover (%)	36.4	45.7	42.9	top 34% in North Carolina; top 40% 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 4.55, RN 0.76, weekend 4.01. Staffing rating: 4/5.

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: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

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	04/27/2026
Hughes, Nancy	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Hughes, Nancy	Individual	ADP of the SNF	NOT APPLICABLE	04/14/2025
Johnson, Dianne	Individual	Corporate Director	NOT APPLICABLE	01/01/2011
Principle Long Term Care, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Sundar, Valarmathi	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Sundar, Valarmathi	Individual	ADP of the SNF	NOT APPLICABLE	06/11/2025

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"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
Camellia Gardens Center for Nursing and Rehab	1.0 mi	Henderson, NC	★☆☆☆☆	1/5
Senior Citizens Home	2.4 mi	Henderson, NC	★☆☆☆☆	3/5
Brantwood Nh & Retirement Center	9.9 mi	Oxford, NC	★★★★☆	4/5
Oxford Health and Rehabilitation Center	10.1 mi	Oxford, NC	★☆☆☆☆	2/5
Warren Hills Nursing Center	15.6 mi	Warrenton, NC	★★★☆☆	3/5
Louisburg Healthcare & Rehabilitation Center	15.9 mi	Louisburg, NC	★☆☆☆☆	2/5
Franklin Oaks Nursing and Rehabilitation Center	17.4 mi	Louisburg, NC	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Henderson →

Facility data as of CMS processing date 2026-08-01. CCN 345321.

The Care File

Visit checklist — Kerr Lake Nursing and Rehabilitation Center

1245 Park Avenue, Henderson, NC 27536 · 2524927021

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $19,620

Most serious findings on record:

▲ May 1, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "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 345321 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)