Home / North Carolina / Eden
Eden Rehabilitation and Healthcare Center
226 N Oakland Avenue, Eden, NC 27288 · Rockingham County · (336) 623-1750
112 certified beds, about 104 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345241 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 11 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,572 in the last three years; the largest was $16,572, and the latest is dated April 13, 2026.
Nurses and nurse aides worked 3.43 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
46.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 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.
107/23
511/24
106/25
202/26
204/26
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
2E
0F
Potential for minimal harm
0A
0B
1C
April 13, 2026Complaint inspection · 2 citations
- J Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on record review, and staff, Friend #1, Friend #2, Family Member, Home Health Nurse, Adult Protective Services Social Worker, hospital Social Worker, Nurse Practitioner, and Primary Care Physician interviews, the facility failed to ensure a safe and orderly discharge for a resident that had severe cognitive impairment, incontinent of bowel and bladder, required assistance with all activities of daily living, and was not capable of managing her medications prescribed for diabetes, hypertension, hypothyroidism, pain and depression. Resident #1 was discharged to her apartment where she lived alone with friends (Friend #1 and Friend #2) who indicated they were unable to provide the 24-hour level of care the resident required. Resident #1's Family Member was not included in the discharge planning process and was not notified of the discharge by the facility. [...]
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident with severe cognitive impairment, no established legal decision maker for financial or healthcare decisions, and no payor source when Medicare skilled benefit days were exhausted was assisted with pursuit of a legal decision maker (guardianship) and the completion of a Medicaid application for 1 of 3 residents reviewed for discharge planning (Resident #1).
February 19, 2026Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to label and date food and discard expired food from two nourishment refrigerators reviewed for food storage (400 hallway and 500 hallway nourishment refrigerators). These practices had the potential to affect food served to residents.
- D 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, manufacturer instructions review, and staff interviews, the facility failed to date opened multi-dose pen injectors of insulin and failed to remove expired multi-dose pen injectors of insulin from 1 of 5 medication administration carts ( 500-hall). Findings Included: On 2/16/26 at 1:25 PM, an observation of the 500-hall medication cart with Nurse #1 revealed 2 open and undated multi-dose vials of Lantus insulin pens injectors. Review of the manufacturer's instructions indicated to discard Lantus insulin multi-dose vial 28 days after opening. In the second drawer of the 500-hall medication cart, there were: one opened Lispro insulin multi-dose pen injector, marked as expired on 2/10/26, one opened Aspart Flex insulin pen injector, marked as expired on 1/15/26, and one opened Glargine insulin multi-dose pen injector, marked as expired on 2/9/26. [...]
June 12, 2025Complaint inspection · 1 citation
- D Give the resident's representative the ability to exercise the resident's rights.
Inspectors wroteBased on record review, and Legal Guardian, and staff interviews, the facility failed to communicate with the Resident's Legal Guardian regarding resident's abdominal pain and the resident's refusal to go to the hospital. This occurred for 1 of 3 sampled residents reviewed for the surrogate to exercise the resident's rights (Resident #1).
November 15, 2024Standard inspection, Complaint inspection · 5 citations
- 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, staff interview, and record review the facility failed to secure the indwelling urinary catheter to reduce tension for 1 of 2 residents (Resident #200) reviewed for urinary catheter.
- D 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 and staff interviews, the facility failed to (1a) remove expired medication from hall 3 medication cart, (1b) discard loose pills from hall 1,2, and 4 medication carts, and (1c) failed to date an open vial of lidocaine (local anesthetic) found in hall 4's medication cart for 4 of 5 medication carts reviewed for medication storage.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on record review, observations, resident and staff interviews, the facility failed to provide adaptive eating utensils to a resident who required light weight utensils with a rubber grip. This occurred for 1 of 1 resident (Resident #28) reviewed for accommodation of needs.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and record review the facility failed to implement Enhanced Barrier Precautions (EBP) when a nurse aide provided catheter care for Resident #200 and did not wear a gown for 1 of 1 staff members observed for infection control practices.
- C Post nurse staffing information every day.
Inspectors wroteBased on record review and staff interviews the facility failed to post accurate Registered Nurse (RN) staffing information for 51 of 103 days reviewed for posted nurse staffing (8/12/24, 8/14/24, 8/15/24, 8/19/24, 8/20/24, 8/21/24, 8/22/24, 8/23/24, 8/25/24, 8/28/24, 8/29/24, 8/30/24, 8/31/24, 9/2/24, 9/3/24, 9/4/24, 9/5/24, 9/6/24, 9/7/24, 9/9/24, 9/10/24, 9/11/24, 9/12/24, 9/13/24, 9/16/24, 9/17/24, 9/18/24, 9/19/24, 9/20/24, 9/25/24, 9/26/24, 9/30/24, 10/1/24, 10/5/24, 10/7/24, 10/9/24, 10/10/24, 10/14/24, 10/15/24, 10/17/24, 10/23/24, 10/24/24, 10/26/24, 10/28/24, 10/29/24, 10/30/24, 11/6/24, 11/7/24, 11/8/24, 11/11/24, 11/12/24).
July 27, 2023Standard inspection · 1 citation
- 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 observation, record review and staff interviews the facility failed to monitor temperatures for 1 of 2 medication refrigerators (300/500 Hall medication refrigerator).
Fire safety inspections
12 fire safety citations on file: 2 on February 19, 2026, 2 on November 15, 2024, 8 on July 27, 2023.
Every fire safety citation12 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure electrical receptacles or cover plates have distinctive color or marking.
- D Use approved construction type or materials.
- D Inspect, test, and maintain automatic sprinkler systems.
- F 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.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 13, 2026 | Fine | $16,572 |
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.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 3.85 | 3.86 |
| Registered nurses | 0.49 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.03 | 3.42 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 46.0% | 49.0% | 45.8% |
| Registered nurse turnover | 33.3% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.91 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 3.59 on weekdays and 3.03 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.43 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 | 3.43 | 0.49 | 3.59 | 3.03 | 11.2% | 1 of 90 | 104 |
| Oct to Dec 2025 | 3.38 | 0.50 | 3.50 | 3.07 | 11.8% | 0 of 92 | 102 |
| Jul to Sep 2025 | 3.36 | 0.49 | 3.52 | 2.95 | 11.4% | 0 of 92 | 100 |
| Apr to Jun 2025 | 3.28 | 0.45 | 3.43 | 2.92 | 12.4% | 0 of 91 | 102 |
| 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.
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.
Official wage estimates for North Carolina
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 14.8 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.7 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.3 | 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 | 2.2 | 1.8 | 1.8 |
Owners and operators
Legal business name: EDEN OPCO LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nc East Holding LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2022 |
| Alter, Tzvi | 5% or greater indirect ownership interest | Individual | 80% | 07/01/2022 |
| Jones, Cassandrea | W-2 managing employee | Individual | 07/01/2022 | |
| Alter, Tzvi | Corporate director | Individual | 07/01/2022 |
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 19, 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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 13, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 13, 2026: "Provide medically-related social services to help each resident achieve the highest possible quality of life."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.03 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Unc Rockingham Rehab & Nursing Care Center Eden, 2.5 mi · 5 of 5 stars · 7 citations
- Martinsville Health and Rehab Martinsville, 11.7 mi · 2 of 5 stars · 70 citations
- Jacob's Creek Nursing and Rehabilitation Center Madison, 12.3 mi · 5 of 5 stars · 8 citations
- Penn Nursing Center Reidsville, 12.3 mi · 5 of 5 stars · 1 citation
- Cypress Valley Center for Nursing and Rehabilitati Reidsville, 12.4 mi · 1 of 5 stars · 27 citations
- Mulberry Creek Nursing & Rehab Center Martinsville, 13 mi · 5 of 5 stars · 11 citations
- King's Grant Lacy Health Center Martinsville, 16.5 mi · 5 of 5 stars · 4 citations
- Stanleytown Health and Rehabilitation Center Bassett, 18.5 mi · 4 of 5 stars · 27 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 Eden Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Eden Rehabilitation and Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Eden Rehabilitation and Healthcare Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 19, 2026. The North Carolina average is 4.7.
- Has Eden Rehabilitation and Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $16,572 in the last three years.
- Does Eden Rehabilitation and Healthcare 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 Eden Rehabilitation and Healthcare Center?
- CMS lists 4 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: EDEN OPCO 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.