Ayden Court Nursing and Rehabilitation Center

Nursing Home · Ayden, NC

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number345490

Contact & location

128 Snow Hill Road
Ayden, NC 28513
Pitt County
Phone
(252) 746-8223
ZIP code
28513 – all care providers

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Facility details

Certified beds
82
Residents per day
78.4 (96% occupied)
Ownership
For profit - Limited Liability company
Legal name
River Neuse Group, LLC
Chain
Principle Long Term Care (40 facilities, avg 3.0★)
Medicare certified since
February 5, 1999
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 1/5
State avg 2.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.99 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.47 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.71 (state 0.89 · U.S. 0.86)
Nurse aides
1.81 (state 2.34 · U.S. 2.32)
Weekend total
2.76 (state 3.40 · U.S. 3.42)
Nursing staff turnover
58.4 (state 49.0 · U.S. 45.8)%
RN turnover
46.2 (state 45.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 12, 2026
Health deficiencies (last cycle)
6.0 (state 4.8 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
23 health · 8 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-12 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-05-12 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-05-12 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-05-12 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-05-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-04-02 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2026-05-12
2025-02-06 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.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-01
2025-02-06 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2025-03-06
2023-11-16 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-22
2023-11-16 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2023-12-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $37,700 in fines.

DateTypeAmount
2026-04-02Payment Denial48 days payment denial
2026-04-02Fine$25,495
2026-04-02Fine$6,103
2026-04-02Fine$6,102

Ownership & management

NameRoleSince
Boice, Gale (individual)Administrator · NOT APPLICABLE
Eason, Sarah (individual)Administrator · NOT APPLICABLE
Hill, Raymond (individual)Administrator · NOT APPLICABLE
Hill, Robert (individual)Administrator · NOT APPLICABLE
Hill, Stephen (individual)Administrator · NOT APPLICABLE
Krishnaraj, Ramesh (individual)Administrator · NOT APPLICABLE
Boice, Gale (individual)Corporate Officer · NOT APPLICABLE
Johnson, Dianne (individual)Corporate Officer · NOT APPLICABLE
Boice, Gale (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Eason, Sarah (individual)Operational/managerial Control · NOT APPLICABLE
Principle Long Term Care, INC. (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Ayden Court Nursing and Rehabilitation Center?

Ayden Court Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Ayden Court Nursing and Rehabilitation Center have?

It has 82 certified beds and cares for about 78 residents per day.

Has Ayden Court Nursing and Rehabilitation Center been fined?

Yes. CMS lists 4 penalties totaling $37,700 in the last three years.

Who owns Ayden Court Nursing and Rehabilitation Center?

It is part of Principle Long Term Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Ayden Court Nursing and Rehabilitation Center?

(252) 746-8223. The facility is located at 128 Snow Hill Road, Ayden, NC 28513.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.