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Home / North Carolina / Greenville

East Carolina Health and Rehabilitation Center

2575 W 5th Street, Greenville, NC 27834 · Pitt County · (252) 830-9100

130 certified beds, about 90 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345377 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 25, 2026, inspectors cited 7 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 44 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $62,160 in the last three years; the largest was $51,965, and the latest is dated September 11, 2025.

Nurses and nurse aides worked 3.65 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

76.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

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 44 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
29D
10E
1F
Potential for minimal harm
0A
1B
1C
May 14, 2026Complaint inspection · 4 citations
  1. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2026
    Inspectors wroteBased on observation and interviews with staff, residents, and a family member, the facility failed to ensure linens were available for 4 of 4 residents who were interviewed or their family member was interviewed regarding linens (Residents # 9, # 10, # 11, and # 12).
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · 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) June 5, 2026
    Inspectors wroteBased on record review and interviews with staff, Responsible Party (RP), Physicians, and Wound Nurse Practitioner, the facility failed to obtain supplies and implement the Wound Nurse Practitioner's treatment plan for a resident with a pressure sore. This was for 1 of 3 sampled residents reviewed for pressure sores (Resident # 4).
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · 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) June 5, 2026
    Inspectors wroteBased on record review, and interviews with staff and Responsible Party, the facility failed to 1) identify in their accident investigation that an assigned staff member had not been on duty when Resident # 2 fell and thereby evaluate how this might have contributed to the accident occurring in order to take corrective action and 2) failed to toilet Resident # 2 at bedtime as directed by the resident's care plan in order to try and prevent future falls. This was for 1 of 3 sampled residents reviewed for falls (Resident # 2).
  4. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2026
    Inspectors wroteBased on record review and interviews with staff and Physician, the facility failed to have effective systems in place to ensure ordered medications were acquired from the pharmacy and available for administration and the backup supply of medications was utilized for medications that had not been received from the pharmacy for 1 of 1 resident whose medications were reviewed (Resident #1).
March 25, 2026Standard inspection · 7 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide Registered Nurse (RN) coverage for 8 consecutive hours for 2 of 142 days reviewed for staffing (12/28/25 and 1/24/26).
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on record review and staff, Medical Director, and Consultant Pharmacist interviews, the facility failed to provide ongoing Abnormal Involuntary Movement Scale (AIMS) assessments for potential adverse reactions to antipsychotic medications for 1 of 5 residents reviewed for unnecessary medications (Residents #3).
  3. 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) April 21, 2026
    Inspectors wroteBased on record review and facility staff interviews, the facility failed to accurately code Minimum Data Set (MDS) for 1 of 62 residents reviewed for accuracy of assessments (Resident #84).
  4. 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) April 21, 2026
    Inspectors wroteBased on record review and an interview with the Pharmacy Consultant, the Pharmacy Consultant failed to identify and report irregularities when conducting monthly drug regimen reviews for 1 of 5 residents reviewed for unnecessary medications (Resident #3).
  5. 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) April 21, 2026
    Inspectors wroteBased on record review and staff, Dialysis Dietician/Nurse Practitioner, and Medical Director interviews, the facility failed to ensure medications were administered in accordance with physician orders for 1 of 9 residents reviewed for medications (Resident #7).
  6. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, record review, and resident and staff interviews, the facility failed to ensure the resident call light system was functioning properly for 3 of 97 residents observed for resident call system (Resident #78, Resident #4, and Resident #94).
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · no revisit needed April 21, 2026
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure daily nurse staffing sheets were complete and accurate for 36 of 53 days reviewed for 12/1/25 through 3/22/26 (12/12/25, 12/17/25, 2/2/26, 2/4/26, 2/5/26, 2/6/26, 2/9/26, 2/10/26, 2/11/26, 2/13/26, 2/15/26, 2/16/26, 2/17/26, 2/18/26, 2/19/26, 2/21/26, 2/24/26, 2/25/26, 2/26/26, 2/27/26, 2/28/26, 3/3/26, 3/4/26, 3/5/26, 3/7/26, 3/9/26, 3/10/26, 3/11/26, 3/12/26, 3/13/26, 3/14/26, 3/15/26, 3/17/26, 3/18/26, 3/21/26, 3/22/26).
September 11, 2025Complaint inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 10, 2025
    Inspectors wroteBased on observation, record review, and interviews with resident, staff, and a representative from the company that manufactures the mechanical lifts used at the facility, the facility failed to ensure a resident was safely transferred by a mechanical lift. A mechanical lift sling broke while Resident # 3 was being transferred resulting in Resident # 3 sustaining a fractured humerus (large bone of the upper arm). This was for 1 of 3 residents reviewed for accidents (Resident # 3).
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 10, 2025
    Inspectors wroteBased on observation, record review, and interviews with staff and Physicians the facility failed to notify the physician when residents developed pressure sores for 2 of 3 sampled residents with pressure sores (Residents # 1 and Resident #8).
  3. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 10, 2025
    Inspectors wroteBased on observation, record review, and interviews with staff and physicians the facility failed to 1) ensure Nurse Aides reported skin breakdown to a nurse prior to the wound bed being unstageable (Resident # 1); 2) ensure effective communication amongst nursing staff and the Wound Physician to ensure orders were obtained, initiated, and carried out for pressure sore treatments per the Wound Care Physician's plan of care (Resident # 1 and Resident #8); 3) ensure further diagnostic studies were completed per the Wound Care Physician's directions when a wound continued not to heal (Resident # 1), and 4) ensure the settings of a pressure relieving air mattress were set correctly for pressure relief (Resident # 8). This was for 2 of 3 of three sampled residents with pressure sores (Residents # 1 and # 8).
December 19, 2024Standard inspection · 7 citations
  1. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2025
    Inspectors wroteBased on record review, resident, Resident Representative (RR), and staff interviews, the facility failed to invite a resident to participate in the development of his plan of care for 1 of 3 residents were reviewed for care planning (Resident #271).
  2. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to complete a quarterly Minimum Data Set (MDS) assessment within 14 days following the Assessment Reference Date (ARD, last day of the assessment period) for 1 of 2 residents reviewed for assessments (Resident #48).
  3. 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) January 16, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code a Minimum Data Set (MDS) assessment for antipsychotic use, hospice status, and wound status for 3 of 18 resident assessments reviewed (Resident #50, Resident #58, and Resident #173).
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to develop and implement a comprehensive care plan for a resident that exhibited aggressive verbal behaviors, a resident prescribed an antipsychotic medication, and a resident that had a surgical wound, for 3 of 18 residents reviewed for development and implementation of a comprehensive care plan (Resident #55, Resident #62 and Resident #58).
  5. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2025
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to store the wet syringe separately from the barrel when Nurse #3 did not separate a bolus enteral feeding syringe (a large 2 part syringe used to administer oral medications or liquid feedings) used for medication administration through a gastrostomy tube (a hollow tube inserted directly through the skin of the abdomen into the stomach to deliver nutrition, hydration, and medication) for one of one resident (Resident #21). The deficient practice occurred for one of one staff member observed for medication administration via a gastrostomy tube.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2025
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to implement their policy for Enhanced Barrier Precautions (EBP) when Nurse #3, the Wound Nurse, and the Wound Physician failed to apply a gown before entering residents' rooms to provide high contact care activities for two of two residents (Resident #21 and Resident #58). The deficient practice occurred for three of three caregivers observed for infection control practices. These deficient practices placed residents at risk for infection.
  7. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to follow their infection control policy and procedure to ensure facility staff received infection control training on Enhanced Barrier Precautions (EBP) to know what required EBP and when to implement EBP for 1 of 1 staff reviewed for infection control training (Wound Care Nurse).
September 18, 2024Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on record review and staff interview the facility failed to develop and implement a comprehensive care plan for 1 of 1 resident reviewed for physical environment (Resident #6).
April 5, 2024Complaint inspection · 7 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, record review, and interviews with staff, Physician, Psychiatric Nurse Practitioner, and the facility's Pharmacy Consultant the facility failed to 1) analyze Resident #2's falls to determine causative factors and implement interventions to reduce the risk for further falls and 2) ensure a paraplegic resident (Resident # 1) did not roll out of bed during care. Resident # 2 was identified to have an impacted arm fracture (a fracture that generally occurs following a fall). This was for two of three sampled residents reviewed for accidents.
  2. E
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on record review, staff interviews, and an emergency room physician interview the facility failed to provide care to a feeding tube site for one (Resident #1) of three sampled residents reviewed for feeding tube care.
  3. 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 · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on record review, staff interview, Medical Director/Physician interview, and Pharmacist interview the facility failed to remove narcotic pain medications from the medication cart within the parameters set by the physician's orders for narcotic medication; failed to follow procedures for disposal of wasted narcotic medication; and failed obtain an order for narcotic pain medication prior to removing narcotic pain medication from the medication cart. Additionally, the facility failed to have effective safeguards and systems in place to control for, account for, and periodically reconcile controlled medications to protect the residents right to be free from potential drug diversion. This was for three residents, (Resident #6, Resident #7, Resident #8) of three residents reviewed for pharmacy services for narcotic medication.
  4. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on record review, staff interview, and Pharmacist interview the facility failed to document the administration of narcotic medication in the medication administration record for 3 (Resident #6, Resident #7, and Resident #8) of 3 residents reviewed for accuracy of documentation of narcotic medication.
  5. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, record review, staff interviews, hospice staff interview, physician interview, pharmacy consultant interview, and psychiatric nurse practitioner interview the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the recertification and complaint investigation of 4/13/2021, the recertification and complaint survey of 6/30/2022, the recertification and complaint investigation of 11/2/2023, and the complaint investigation of 2/27/2024. This was for 3 repeat deficiencies in the areas of supervision to prevent accidents, hospice services, and pharmacy services. The continued failure of the facility during four federal surveys showed a pattern of the facility's inability to sustain an effective Quality Assessment and Assurance Program.
  6. 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 · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on record review, staff interviews, resident interviews, Medical Director interview, and Pharmacist interview the facility failed to protect residents right to be free from potential diversion of a total of seventeen narcotic tablets for two (Resident #7 and Resident #6) of three residents reviewed for diversion of narcotics.
  7. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, record review, staff interview, hospice staff interview, and physician interview the facility failed to communicate and coordinate with hospice to identify a resident had sustained a dislocated finger. This was for one (Resident # 3) of two sampled hospice residents.
February 27, 2024Complaint inspection · 7 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 · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, record review, staff interview, pharmacy consultant interview, and pharmacy operations manager interview the facility failed to provide pharmacy services within the time frame for a scheduled dose of a medication for one (Resident #6) of four residents observed during a medication pass observation.
  2. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observations, record review, resident, and staff interview the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the recertification survey and complaint investigation completed on 11/2/2023, the recertification survey and complaint investigation completed on 6/30/2022, and the recertification survey and complaint investigation completed on 4/13/2021. [...]
  3. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on record review, staff interview, and resident interview the facility failed to protect a resident's right to be free from mistreatment when an employee (Housekeeper #2) hit Resident #5 with a cell phone charging cord causing pain. This was for one (Resident #5) of three residents reviewed for abuse.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on record review and staff interview the facility failed to complete a thorough investigation of an allegation of staff to resident abuse by not obtaining a written statement from the perpetrator for 1 (Resident #5) of 3 residents reviewed for abuse investigations.
  5. 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.
    F690 · 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) April 5, 2024
    Inspectors wroteBased on observation, record review, and staff interview the facility failed to use the urinary tract prevention method of keeping the drainage bag and tubing off the floor for 1 of 3 (Resident #4) residents reviewed for indwelling catheter care.
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on observations, interviews with staff and the consultant pharmacist and record reviews the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 25 opportunities resulting in a medication error rate of 8% for 2 (Resident #6 and Resident #8) of 4 residents observed during the medication administration observation.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on observation and staff interview the facility failed to follow infection control procedures for the cleaning and disinfecting of a glucometer during a medication pass observation for one (Nurse #1) of two nurses observed for infection control procedures during medication pass.
November 2, 2023Standard inspection · 8 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on record review, observations, resident interview and staff interviews, the facility failed to provide supervision to a resident (Resident # 47), who was assessed as a supervised smoker, while Resident #47 was smoking in the designated smoking area, secure Resident #47's smoking materials and complete quarterly smoking assessments for a resident (Resident #7 ), who was assessed as not requiring supervision when smoking, for 2 of 2 residents reviewed for accidents.
  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) November 30, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately assess cognitive patterns, anticoagulant medication use, and mood for 3 of 20 Minimum Data Set (MDS) assessments reviewed (Resident #55, Resident #47, and Resident #62).
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to complete a Preadmission Screening and Resident Review (PASRR) screening for 1 of 1 resident reviewed for PASRR (Resident #51).
  4. 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) November 30, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure an individualized person-centered care plan was accurate for smoking for 1 of 19 residents reviewed for comprehensive care plan (Resident #47).
  5. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on record review, observations, resident interview and staff interviews, the facility failed to attach an indwelling urinary catheter tubing to a secure device to prevent tension and possible injury, to position the urinary collection bag at a lower level than the urinary bladder to allow gravity drainage of urine into the collection bag, to ensure the urinary tubing was not touching the floor for 1 of 2 residents reviewed for urinary catheter (Resident #47).
  6. 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 · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on record review, observations, resident and staff interviews, the facility failed to administer supplemental oxygen as prescribed by the physician and failed to place signage indicating the use of oxygen for 1 of 1 resident reviewed for oxygen use (Resident #269).
  7. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observations, record review and resident and staff interview, the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor interventions that the committee had previously put in place following the recertification and complaint surveys of 6/30/22 and 4/13/21. This was for 5 recited deficiencies in the areas of Accuracy of Assessments (F641), Preadmission Screening and Resident Review (PASRR) (F644), Baseline Care Plans (F655), Care Plan Timing and Revision (F657), and Free of Accident Hazards/ Supervision/Devices (F689). The continued failure during 2 or more federal surveys of record showed a pattern of the facility's inability to sustain an effective Quality Assurance Program.
  8. B
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · deficient, provider has November 30, 2023
    Inspectors wroteBased on observations and staff interviews, the facility failed to maintain bathroom and closet doors in good repair in 5 of 13 rooms (Rooms 302, 304, 306, 313 and 316) on the 300 hallway.

Fire safety inspections

21 fire safety citations on file: 11 on March 25, 2026, 2 on December 19, 2024, 8 on November 2, 2023.

Every fire safety citation21 citations
  1. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 25, 2026 · deficient, provider has
  2. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 25, 2026 · deficient, provider has
  3. E
    Have simulated fire drills held at unexpected times.
    K 712 · March 25, 2026 · deficient, provider has
  4. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 25, 2026 · deficient, provider has
  5. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 25, 2026 · deficient, provider has
  6. D
    Use approved construction type or materials.
    K 161 · March 25, 2026 · deficient, provider has
  7. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 25, 2026 · deficient, provider has
  8. D
    Have properly located and lighted "Exit" signs.
    K 293 · March 25, 2026 · deficient, provider has
  9. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 25, 2026 · deficient, provider has
  10. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 25, 2026 · deficient, provider has
  11. D
    Have proper medical gas storage and administration areas.
    K 923 · March 25, 2026 · deficient, provider has
  12. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 19, 2024 · Corrected (the home has a date of correction)
  13. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 19, 2024 · Corrected (the home has a date of correction)
  14. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 2, 2023 · Corrected (the home has a date of correction)
  15. F
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · November 2, 2023 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 2, 2023 · Corrected (the home has a date of correction)
  17. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 2, 2023 · Corrected (the home has a date of correction)
  18. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 2, 2023 · Corrected (the home has a date of correction)
  19. E
    Have proper medical gas storage and administration areas.
    K 923 · November 2, 2023 · Corrected (the home has a date of correction)
  20. 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 · November 2, 2023 · Corrected (the home has a date of correction)
  21. D
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · November 2, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 11, 2025Fine $10,195
September 11, 2025Payment Denial 7 days from October 3, 2025
February 27, 2024Fine $51,965
February 27, 2024Payment Denial 14 days from April 26, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.653.853.86
Registered nurses0.470.620.69
All nursing staff on weekends3.093.423.42
Nurse aides2.20
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)76.7%49.0%45.8%
Registered nurse turnover76.2%45.6%42.9%
Administrators who left0

CMS expects 3.87 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 3.88 on weekdays and 3.09 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.65 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.650.473.883.09 16.1%0 of 9090
Oct to Dec 20252.580.392.762.14 12.7%31 of 9272
Jul to Sep 20253.600.703.852.96 12.2%2 of 9270
Apr to Jun 20253.460.613.633.02 8.8%4 of 9171
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For East Carolina Health and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
22.915.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.50.70.8
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
0.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.318.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.85.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.614.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.122.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.112.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.31.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for East Carolina Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (38.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

38.7% this home

No different from the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 84 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 85 eligible stays.

Infections that led to a hospital stay

8.4% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 59 eligible stays.

Self-care and mobility at discharge

32.1% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 28 residents counted.

Falls with major injury

0.0% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 44 residents counted.

New or worsened pressure ulcers

3.9% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 44 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: EAST CAROLINA OPERATOR LLC.

NameRoleTypeShareSince
East Carolina Operator Holdings LLC5% or greater direct ownership interestOrganization100%11/01/2025
Bridgewater Nc Holdings II LLC5% or greater indirect ownership interestOrganization31%11/01/2025
Jbk Nc Holdings LLC5% or greater indirect ownership interestOrganization31%11/01/2025
Milano Nc Holdings II LLC5% or greater indirect ownership interestOrganization31%11/01/2025
Baker, JuanitaOperational/managerial controlIndividual11/01/2025
Boyd, SherriOperational/managerial controlIndividual11/01/2025
Cole, ScottOperational/managerial controlIndividual11/01/2025
Crickmore, ReidOperational/managerial controlIndividual11/01/2025
Grady, KimberlyOperational/managerial controlIndividual11/01/2025
Harris, PamelaOperational/managerial controlIndividual11/01/2025
Rajchenbach, MosheOperational/managerial controlIndividual11/01/2025
Rivers, AbbigailOperational/managerial controlIndividual11/01/2025
Ib Mimi 2022 Family TrustTrustee of the SNFOrganization11/01/2025
Jk 2022 Family TrustTrustee of the SNFOrganization11/01/2025
Ml Milano 2022 Family TrustTrustee of the SNFOrganization11/01/2025
2575 West 5th Street LLCAdp of the SNFOrganization11/01/2025
Isva Holdings LLCAdp of the SNFOrganization11/01/2025
Jkva Holdings LLCAdp of the SNFOrganization11/01/2025
Mlva Holdings LLCAdp of the SNFOrganization11/01/2025
Williamsport Property Holdings II LLCAdp of the SNFOrganization11/01/2025
Cole, ScottAdp of the SNFIndividual11/13/2025
Harris, PamelaAdp of the SNFIndividual11/13/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on May 14, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on March 25, 2026: "Ensure each resident receives an accurate assessment."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on May 14, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. 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 May 14, 2026: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 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 East Carolina Health and Rehabilitation Center's Medicare star rating?
CMS rates East Carolina Health and Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did East Carolina Health and Rehabilitation Center get at its last inspection?
7 health deficiencies at the standard inspection on March 25, 2026. The North Carolina average is 4.7.
Has East Carolina Health and Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $62,160 in the last three years.
Does East Carolina Health 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 East Carolina Health and Rehabilitation Center?
CMS lists 22 owners and managers. Legal business name: EAST CAROLINA OPERATOR LLC.

Sources

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