Home / North Carolina / Edenton
Chowan River Nursing and Rehabilitation Center
1341 Paradise Road, Edenton, NC 27932 · Chowan County · (252) 482-7481
130 certified beds, about 57 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345164 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 30, 2026, inspectors cited 5 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 13 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.61 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
33.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
102/24
205/24
504/25
507/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
0F
Potential for minimal harm
0A
2B
1C
July 30, 2026Standard inspection, Complaint inspection · 5 citations
- E 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.
Inspectors wroteBased on observations, record review, staff and Pharmacist interviews, the facility failed to remove expired medication and refrigerate medications according to the manufacturer's recommendations for 1 of 3 medication refrigerators observed for medication storage (Refrigerator #3).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, record review, resident, staff, and physician interviews, the facility failed to obtain a physician order for the use of an indwelling urinary catheter for 1 of 4 residents (Resident #26) reviewed for urinary catheter.
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, record review, resident, and staff interviews, the facility failed to maintain an effective pest control program as evidenced by the presence of roaches in a resident's room and in the staff bathroom in the lobby for 2 of 5 areas observed for pest control.
- C Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on staff interview and review of the Facility Assessment, the facility failed to have an accurate Facility Assessment that recorded the current administrative staff. This deficient practice had the potential to affect 58 of 58 residents.
- B Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to notify the resident and resident's representative (RR) in writing of the reason for the transfer/discharge to the hospital and failed to send a copy of the discharge notice to the Ombudsman for 4 of 5 residents. (Resident #57, Resident #24, Resident #2, and Resident #8) The facility also failed to notify the resident and/or Resident's Representative of the facility policy for bed hold for 1 of 5 residents reviewed for hospitalization. (Resident #8)
April 2, 2025Standard inspection · 5 citations
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to restrict the fluid intake for a resident with End Stage Renal Disease (a condition in which the kidneys lose the ability to remove waste and balance fluids) as ordered by the physician for 1 of 1 sampled resident reviewed for dialysis (Resident #114).
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, and resident and staff interviews, the facility failed to assess a resident for self-administration of medication for 1 of 3 residents reviewed for medication administration (Resident #10).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and staff interview, the facility failed to update the care plan to reflect the change in smoking status for 1 of 1 sampled resident (Resident #33).
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to obtain a physician order for the management of a peripherally inserted central catheter (PICC) for 1 of 2 residents reviewed for intravenous antibiotic use (Resident #41).
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to provide written notice of discharge or transfer including the reason for the hospital transfer to the resident and resident representative for 2 of 5 residents reviewed for hospitalization (Resident #44, Resident #114).
May 30, 2024Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, family, staff, and physician interviews the facility failed to provide notification to the physician and responsible party upon initial observance of maggots in and on the dressing of a heel wound for one (Resident #1) of three residents reviewed for notification of a change in condition.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, family, staff, and physician interviews the facility failed to determine if a higher level of care was needed when maggots were observed in a heel wound for one (Resident #1) of three residents reviewed for professional standards of care for wounds.
February 22, 2024Standard inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interviews the facility failed to accurately code a Flowsheet of Non-ulcer Skin Conditions for the use of a gastrostomy tube (a tube inserted into the stomach used to provide nutrition) for 1 of 18 residents (Resident #13) reviewed for accuracy of assessments.
Fire safety inspections
8 fire safety citations on file: 3 on February 22, 2024, 5 on December 2, 2022.
Every fire safety citation8 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- F Use approved construction type or materials.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.85 | 3.86 |
| Registered nurses | 0.45 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.42 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 49.0% | 45.8% |
| Registered nurse turnover | 44.4% | 45.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.53 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.71 on weekdays and 3.38 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.45 | 3.71 | 3.38 | 1.4% | 2 of 90 | 57 |
| Oct to Dec 2025 | 3.37 | 0.41 | 3.51 | 3.03 | 0.1% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.48 | 0.40 | 3.63 | 3.09 | 4.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.23 | 0.37 | 3.39 | 2.82 | 1.9% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.7 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.5 | 1.8 | 1.8 |
Owners and operators
Legal business name: TAR RIVER LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Severa, Jeffrey | Managing control - governing body | Individual | 01/01/2025 | |
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Turner, Meredith | Operational/managerial control | Individual | 03/05/2025 | |
| Principle Long Term Care, Inc. | Adp of the SNF | Organization | 04/09/2025 | |
| Hill, Raymond | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Robert | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Stephen | Adp of the SNF | Individual | 01/01/2011 | |
| Severa, Jeffrey | Adp of the SNF | Individual | 05/16/2025 | |
| Turner, Meredith | Adp of the SNF | Individual | 05/16/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 30, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on July 30, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 2, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 30, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Hertford Rehabilitation and Healthcare Center Hertford, 10.4 mi · 3 of 5 stars · 20 citations
- The Carrolton of Plymouth Plymouth, 17.2 mi · 3 of 5 stars · 21 citations
- Three Rivers Health and Rehabilitation Center Windsor, 19.5 mi · 4 of 5 stars · 6 citations
- Windsor Rehabilitation and Healthcare Center Windsor, 19.5 mi · 1 of 5 stars · 52 citations
- Gates Health and Rehabilitation Center Gatesville, 22.9 mi · 2 of 5 stars · 11 citations
- Elizabeth City Health and Rehabilitation Elizabeth City, 23.8 mi · 2 of 5 stars · 22 citations
- Laurel Park Rehabilitation and Healthcare Center Elizabeth City, 24.6 mi · 1 of 5 stars · 33 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Chowan River Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Chowan River Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Chowan River Nursing and Rehabilitation Center get at its last inspection?
- 5 health deficiencies at the standard inspection on July 30, 2026. The North Carolina average is 4.7.
- Has Chowan River Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Chowan River Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Chowan River Nursing and Rehabilitation Center?
- CMS lists 11 owners and managers, and links the home to Principle Long Term Care. Legal business name: TAR RIVER LTC GROUP, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.