nursing home in Ayden, NC
Ayden Court Nursing and Rehabilitation Center
128 Snow Hill Road, Ayden, NC 28513 · (252) 746-8223
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ayden Court Nursing and Rehabilitation Center at a glance
Ayden Court Nursing and Rehabilitation Center is a 82-bed for-profit nursing home in Ayden, North Carolina (Pitt County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 12, 2026) found 6 health citations. The North Carolina average is 4.7.
Federal regulators fined it 3 times in the past three years, totaling $37,700.
Nursing staff turnover is 58.4% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 82
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Principle Long Term Care
- Medicare-certified since
- February 5, 1999
- Resident/family council
- Resident
- County
- Pitt County
- CMS Certification Number
- 345490
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.99 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.81 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.76 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58.4% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 89.3 | 49.2 | 80.6 | Worse |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $37,700 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 82 | 105 | 107 | |
| Average residents per day | 78 | 87 | 86 | |
| Occupancy | 95.6% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 2.7% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.2% | 15.6% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 20.1% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.8% | 7.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.4% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 11% | 20.7% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 80.8% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 65.8% | 92% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.4% | 78.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 65.6% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 12, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected June 9, 2026 |
| May 12, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 12, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 12, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 12, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 9, 2026 |
| April 2, 2026 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected May 12, 2026 |
| February 6, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 25, 2025 |
| February 6, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected March 25, 2025 |
| February 6, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected March 25, 2025 |
| February 6, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected March 25, 2025 |
| February 6, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Standard | Provide 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 1, 2024 |
| February 6, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Complaint | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | B No harm, pattern | Corrected March 6, 2025 |
| November 16, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected January 18, 2024 |
| November 16, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected January 18, 2024 |
| November 16, 2023 Standard | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 16, 2023 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 16, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 16, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 16, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 16, 2023 Standard | Honor 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 16, 2023 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 16, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 16, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected December 22, 2023 |
| August 25, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected October 17, 2022 |
| August 25, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected October 17, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $37,700 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 2, 2026 | Payment Denial | 48 days from April 22, 2026 |
| April 2, 2026 | Fine | $25,495 |
| April 2, 2026 | Fine | $6,103 |
| April 2, 2026 | Fine | $6,102 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BOICE, GALE Individual | adp of the snf | NOT APPLICABLE | 03/05/2018 |
| 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 |
| KRISHNARAJ, RAMESH Individual | adp of the snf | NOT APPLICABLE | 02/17/2025 |
| BOICE, GALE Individual | corporate officer | NOT APPLICABLE | 03/05/2018 |
| JOHNSON, DIANNE Individual | corporate officer | NOT APPLICABLE | 01/01/2011 |
| BOICE, GALE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/24/2025 |
| EASON, SARAH Individual | operational/managerial control | NOT APPLICABLE | 02/15/1993 |
| PRINCIPLE LONG TERM CARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/01/2011 |
Other nursing homes near Ayden Court Nursing and Rehabilitation Center
Macgregor Downs Health Center By Harborview
2910 Macgregor Downs Road, Greenville, NC 27834 · 10.1 mi
For-profit · 152 beds · Part of Harborview Health Systems
★★★★★2Below averageGreenville Health and Rehabilitation Center
2578 West Fifth Street, Greenville, NC 27834 · 10.6 mi
For-profit · 120 beds · Part of Lifeworks Rehab
★★★★★1Much below averageEast Carolina Health and Rehabilitation Center
2575 W 5th Street, Greenville, NC 27834 · 10.7 mi
For-profit · 130 beds
★★★★★1Much below averageCypress Glen Retirement Community
1000 Hickory Street, Greenville, NC 27858 · 10.8 mi
Non-profit · 6 beds · Part of Life Care Services
★★★★★5Much above averagePruitthealth-Farmville
4351 South Main Street, Farmville, NC 27828 · 11.8 mi
For-profit · 56 beds · Part of Pruitthealth
★★★★★3AverageGreendale Forest Nursing and Rehabilitation Center
1304 SE Second Street, Snow Hill, NC 28580 · 12.8 mi
For-profit · 115 beds · Part of Principle Long Term Care
★★★★★1Much below average
Frequently asked questions
What is Ayden Court Nursing and Rehabilitation Center's rating?
Ayden Court Nursing and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Ayden Court Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 6 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Ayden Court Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ayden Court Nursing and Rehabilitation Center?
It is for profit - limited liability company and part of Principle Long Term Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ayden Court Nursing and Rehabilitation Center and how do I contact it?
Ayden Court Nursing and Rehabilitation Center is at 128 Snow Hill Road, Ayden, NC 28513. Phone: (252) 746-8223.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.