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Croatan Ridge Nursing and Rehabilitation Center

210 Foxhall Road, Newport, NC 28570 · Carteret County · (252) 223-2560

64 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1999

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345491 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 10 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 3.38 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

44.7% 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.

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
1E
0F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 0 citations
February 7, 2025Standard inspection, Complaint inspection · 6 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on record review, and staff and Nurse Practitioner (NP) interviews, the facility failed to notify the physician when a resident missed a dose of insulin due to the medication being unavailable for administration. This resulted in the nurse not obtaining authorization to administer insulin from the backup supply. This deficient practice affected 1 of 5 residents sampled for Pharmaceutical Services (Resident #28).
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review, resident interview, and staff interviews, the facility failed to protect a resident's right to be free from misappropriation of property when a staff member (Nurse Aide #1) took a cell phone from the Resident. The deficient practice was reviewed for 1 of 3 residents for misappropriation of residents' property (Resident #12).
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on record review and Pharmacy Consultant and staff interviews, the Pharmacy Consultant failed to report a irregularity related to a physicians order for an as needed (PRN) psychotropic medication, Ativan, (a medication used to treat anxiety) to ensure it included a rationale for extended use and was time limited in duration for 2 of 5 residents reviewed for unnecessary medications (Resident #22 and Resident #47).
  4. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on record review, and staff, Nurse Practitioner (NP), and Medical Director (MD) interviews the facility failed to ensure the physicians order for an as needed (PRN) psychotropic medication, Ativan, (a medication used to treat anxiety) included a rationale for extended use and was time limited in duration for 2 of 5 residents reviewed for unnecessary medications (Resident #22 and Resident #47).
  5. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to ensure it was free of a medication error rate less than 5% as evidenced by 2 medication errors out of 29 opportunities, resulting in a medication error rate of 6.9% for 2 of the 5 sampled residents observed during medication administration (Resident #44 and Resident #45).
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on record review, resident, facility and pharmacy staff interviews, the facility failed to administer medication as ordered by the physician to meet resident's need of 1 of 5 sampled residents reviewed for pharmacy services (Resident #28).
February 2, 2024Standard inspection, Complaint inspection · 4 citations
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, record review and staff interviews, the facility failed to prevent medication diversion, keep an accurate account of control medications and safeguard Residents' controlled substance count records for 3 of 12 residents sampled for misappropriation of property (Resident #3, Resident #260, and Resident #261).
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on record review and staff interviews the facility failed to code the Minimum Data Set (MDS) accurately for hospice for 1 of 1 residents reviewed for hospice (Resident #49).
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on record review, and staff interviews, the facility failed to revise the care plan to reflect changes in oxygen therapy for 1 of 24 sampled residents (Resident #6).
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 21, 2024
    Inspectors wroteBased on observations, record review, and staff and physician interviews, the facility failed to administer oxygen at the physician prescribed rate for 1 of 1 resident sampled for respiratory care (Resident #6).

Fire safety inspections

11 fire safety citations on file: 4 on May 21, 2026, 3 on February 7, 2025, 4 on February 2, 2024.

Every fire safety citation11 citations
  1. E
    Have properly located and lighted "Exit" signs.
    K 293 · May 21, 2026 · deficient, provider has
  2. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · May 21, 2026 · deficient, provider has
  3. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 21, 2026 · deficient, provider has
  4. D
    Install an approved automatic sprinkler system.
    K 351 · May 21, 2026 · deficient, provider has
  5. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 7, 2025 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 7, 2025 · Corrected (the home has a date of correction)
  7. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 7, 2025 · Corrected (the home has a date of correction)
  8. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 2, 2024 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 2, 2024 · Corrected (the home has a date of correction)
  10. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 2, 2024 · Corrected (the home has a date of correction)
  11. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 2, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.383.853.86
Registered nurses0.440.620.69
All nursing staff on weekends3.203.423.42
Nurse aides1.99
Licensed practical nurses0.95
Nursing staff turnover (share who left in a year)44.7%49.0%45.8%
Registered nurse turnover37.5%45.6%42.9%
Administrators who left0

CMS expects 3.62 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 3.45 on weekdays and 3.20 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.380.443.453.20 1.8%0 of 9056
Oct to Dec 20253.300.493.422.99 14.4%0 of 9257
Jul to Sep 20253.180.463.322.83 15.0%0 of 9259
Apr to Jun 20253.170.423.342.76 0.0%0 of 9158
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%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.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.915.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.12.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.818.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.15.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.114.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.422.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.712.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.81.8

Owners and operators

Legal business name: RIVER NEUSE GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.

NameRoleTypeShareSince
Boice, GaleCorporate officerIndividual03/05/2018
Johnson, DianneCorporate officerIndividual01/01/2011
Principle Long Term Care, Inc.Operational/managerial controlOrganization01/01/2011
Neenan, AshleyOperational/managerial controlIndividual10/18/2024
Boice, GaleIndividual is an owner, partner or trustee of any ADP of the SNFIndividual10/01/2025
Principle Long Term Care, Inc.Adp of the SNFOrganization04/09/2025
Boice, GaleAdp of the SNFIndividual03/05/2018
Hill, RaymondAdp of the SNFIndividual01/01/2011
Hill, RobertAdp of the SNFIndividual01/01/2011
Hill, StephenAdp of the SNFIndividual01/01/2011
Neenan, AshleyAdp of the SNFIndividual09/24/2025
Rosso, BiancaAdp of the SNFIndividual09/01/2020

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on February 7, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 2, 2024: "Ensure each resident receives an accurate assessment."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 7, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 7, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

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.

Common questions

What is Croatan Ridge Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Croatan Ridge Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Croatan Ridge Nursing and Rehabilitation Center get at its last inspection?
0 health deficiencies at the standard inspection on May 21, 2026. The North Carolina average is 4.7.
Has Croatan Ridge Nursing and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Croatan Ridge 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 Croatan Ridge Nursing and Rehabilitation Center?
CMS lists 12 owners and managers, and links the home to Principle Long Term Care. Legal business name: RIVER NEUSE GROUP, LLC.

Sources

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