Home / North Carolina / Henderson
Kerr Lake Nursing and Rehabilitation Center
1245 Park Avenue, Henderson, NC 27536 · Vance County · (252) 492-7021
92 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345321 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 12, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 10 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $19,620 in the last three years; the largest was $19,620, and the latest is dated May 1, 2024.
Nurses and nurse aides worked 4.55 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
28.2% 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.
308/23
305/24
211/24
202/26
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 10 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
0C
February 12, 2026Standard inspection, Complaint 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 observations and staff interviews, the facility failed to keep food service equipment clean, free of grease buildup, and/or dried spills by failing to clean the convection oven during two kitchen observations. This practice had the potential to affect food served to the residents who resided in the facility.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on observations, record reviews, staff and Pharmacist interviews, the facility failed to protect the resident's right to be free from misappropriation of narcotic medication (Oxycodone) for 1 of 4 residents reviewed for misappropriation of property (Resident #76).
November 6, 2024Standard inspection · 2 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, staff interview and Consultant Pharmacist interview, the Consultant Pharmacist failed to identify and report a medication irregularity on 7 Monthly Medication Reviews when Dyskinesia Identification System Condensed User Scale (DISCUS) assessments (used for medication monitoring of side effects of antipsychotic medication) were not completed for a resident who received Risperdal, Haloperidol and Olanzapine (antipsychotic medications). The Consultant Pharmacist also failed to identify and address an order for as needed (PRN) Haloperidol that extended beyond the 14-day limit for 1 of 6 residents reviewed for unnecessary medications. (Resident #57)
- 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.
Inspectors wroteBased on record review, staff interview, Consultant Pharmacist interview and Medical Director interview, the facility failed to complete a Dyskinesia Identification System Condensed User Scale (DISCUS) assessment (used for monitoring side effects of antipsychotic medication) for a resident who received multiple antipsychotic medications (Resident #57), ensure an as needed (PRN) antipsychotic order was limited to a 14-day duration (Resident #57), and ensure orders for PRN antianxiety medication were time limited in duration (Resident #23) for 2 of 6 residents reviewed for unnecessary medications.
May 1, 2024Complaint inspection · 3 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interviews with staff, Responsible Party (RP), Medical Director, Poison Control Center, and Hospital Physician, the facility failed to provide a safe environment to prevent an avoidable accident for 1 of 3 residents reviewed for supervision to prevent accidents (Resident #1). Resident #1 had severe cognitive impairment, was dependent on staff for assistance, and was allergic to ingredients that were commonly found in shampoos, skin care products, and soap. On 4/23/24 Resident #1 had access to a bar of soap (Soap #1), she ingested the soap, and had an allergic reaction which included mouth and lip swelling and was transferred to the Emergency Department (ED) for further treatment. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff interviews, Responsible Party (RP) interview, and Medical Director interview, the facility failed to identify and enter reported allergies into the medical record for 1 of 3 residents reviewed for allergies (Resident #1).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record review and interviews with staff, Responsible Party (RP), Medical Director, Poison Control Center, and Hospital Physician, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions the committee put into place following the 3/28/23 complaint investigation survey. This was for one recited deficiency on the current complaint investigation survey of 5/01/24 in the area of Provide Supervision to Prevent Accidents (F689). The continued failure during two federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
August 23, 2023Standard inspection · 3 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and staff interviews, the facility failed to determine upon readmission to the facility a resident's code status for 1 of 4 residents reviewed for advanced directives (Resident #55).
- 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, staff interviews, Responsible Party interview, and Medical Director interview, the facility failed to notify the residents Responsible Party and failed to notify the physician of a change in condition for 1 of 1 resident reviewed for change in condition (Resident #69).
- 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, staff interviews, and Medical Director interview, the facility failed to obtain a physician order for the use of an indwelling urinary catheter for 1 of 2 residents reviewed for catheter (Resident #56).
Fire safety inspections
5 fire safety citations on file: 3 on February 12, 2026, 2 on August 23, 2023.
Every fire safety citation5 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install properly constructed and protected linen or trash chutes.
- F Install an approved automatic sprinkler system.
- D Install properly constructed and protected linen or trash chutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 1, 2024 | Fine | $19,620 |
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) | 4.55 | 3.85 | 3.86 |
| Registered nurses | 0.76 | 0.62 | 0.69 |
| All nursing staff on weekends | 4.01 | 3.42 | 3.42 |
| Nurse aides | 2.63 | ||
| Licensed practical nurses | 1.15 | ||
| Nursing staff turnover (share who left in a year) | 28.2% | 49.0% | 45.8% |
| Registered nurse turnover | 36.4% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.89 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 4.77 on weekdays and 4.01 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.07 in April to June 2025 to 4.55 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 | 4.55 | 0.76 | 4.77 | 4.01 | 1.9% | 0 of 90 | 69 |
| Oct to Dec 2025 | 4.20 | 0.62 | 4.36 | 3.80 | 0.3% | 0 of 92 | 69 |
| Jul to Sep 2025 | 4.16 | 0.54 | 4.30 | 3.79 | 0.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 4.07 | 0.56 | 4.17 | 3.83 | 0.5% | 0 of 91 | 68 |
| 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 | 11.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 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 | 17.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: EAGLE PEAK 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 |
|---|---|---|---|---|
| Sundar, Valarmathi | Managing control - governing body | Individual | 01/01/2025 | |
| Johnson, Dianne | Corporate director | Individual | 01/01/2011 | |
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Hughes, Nancy | Operational/managerial control | Individual | 01/01/2011 | |
| Boice, Gale | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/27/2026 | |
| Hughes, Nancy | Adp of the SNF | Individual | 04/14/2025 | |
| Sundar, Valarmathi | Adp of the SNF | Individual | 06/11/2025 |
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 3 problems in this area, most recently on May 1, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on November 6, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- 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 August 23, 2023: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 12, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Camellia Gardens Center for Nursing and Rehab Henderson, 1 mi · 1 of 5 stars · 37 citations
- Senior Citizens Home Henderson, 2.4 mi · 1 of 5 stars · 26 citations
- Brantwood Nh & Retirement Center Oxford, 9.9 mi · 4 of 5 stars · 9 citations
- Oxford Health and Rehabilitation Center Oxford, 10.1 mi · 1 of 5 stars · 18 citations
- Warren Hills Nursing Center Warrenton, 15.6 mi · 3 of 5 stars · 17 citations
- Louisburg Healthcare & Rehabilitation Center Louisburg, 15.9 mi · 1 of 5 stars · 27 citations
- Franklin Oaks Nursing and Rehabilitation Center Louisburg, 17.4 mi · 3 of 5 stars · 18 citations
- Clarksville Health & Rehab Center Clarksville, 22.4 mi · 4 of 5 stars · 38 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 Kerr Lake Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Kerr Lake Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Kerr Lake Nursing and Rehabilitation Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 12, 2026. The North Carolina average is 4.7.
- Has Kerr Lake Nursing and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $19,620 in the last three years.
- Does Kerr Lake 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 Kerr Lake Nursing and Rehabilitation Center?
- CMS lists 8 owners and managers, and links the home to Principle Long Term Care. Legal business name: EAGLE PEAK 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.