What is Pruitthealth-Crystal Coast's Medicare star rating?

CMS rates Pruitthealth-Crystal Coast 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Pruitthealth-Crystal Coast get at its last inspection?

1 health deficiency at the standard inspection on January 22, 2026. The North Carolina average is 4.7.

Does Pruitthealth-Crystal Coast 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 Pruitthealth-Crystal Coast?

CMS lists 13 owners and managers, and links the home to Pruitthealth. Legal business name: PRUITTHEALTH - CRYSTAL COAST, LLC.

Pruitthealth-Crystal Coast: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).

Of 10 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $29,223 in the last three years; the largest was $25,495, and the latest is dated June 23, 2026.

Nurses and nurse aides worked 3.23 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.

40.6% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Pruitthealth, an affiliated group of 96 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.

009/23

208/24

510/24

111/24

101/26

106/26

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

Actual harm

Potential for more than minimal harm

Potential for minimal harm

June 23, 2026Complaint inspection · 1 citation

J

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

F742 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record review, staff, Medical Director, and family member interviews, the facility failed to ensure Resident #1 received a mental health evaluation and monitoring, failed to implement suicide precautions and failed to heighten awareness amongst all staff after Resident #1 had disclosed suicidal ideations. On 6/8/26 at 10:00pm, Resident #1 was found in his bed with the cord to the bed control wrapped around his neck tight with no breath or pulse. Nurse #2 called a code blue (a facility wide announcement that a resident was not breathing and without a pulse) and began Cardiopulmonary Resuscitation (CPR) while Nurse Aide (NA) #1 called for emergency medical services. The Emergency Medical Services (EMS) arrived and after performing CPR for 45 minutes, pronounced Resident #1 deceased . This deficient practice was for 1 of 1 resident reviewed for mental health services (Resident #1).

January 22, 2026Standard inspection, Complaint inspection · 1 citation

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 2, 2026

Inspectors wroteBased on observations, record review, and resident, staff, and Medical Doctor interviews, the facility failed to administer oxygen at the physician prescribed rate for 1 of 1 resident reviewed for respiratory care (Resident #48).

November 15, 2024Complaint inspection · 1 citation

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) November 18, 2024

Inspectors wroteBased on record review, staff and physician interviews, the facility failed to provide close supervision to a severely cognitively impaired resident and to implement effective interventions to prevent further falls when a resident was readmitted from the hospital after a fall. Resident #3 was at high risk for falls due to generalized weakness, lack of coordination, and impaired judgment. This deficient practice affected 1 of 3 residents reviewed for accidents.

October 3, 2024Standard inspection · 5 citations

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 · Corrected (the home has a date of correction) November 15, 2024

Inspectors wroteBased on record review, staff interviews and physician interview the facility failed to inform the physician of a change in the residents' nutritional status and failed to notify the responsible party of changes in a resident's condition including skin integrity impairment and/or weight loss for 4 of 5 residents sampled for nutrition. (Resident #4, Resident #41, Resident #45, and Resident #81)
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 · Corrected (the home has a date of correction) November 15, 2024

Inspectors wroteBased on record review, and resident, ombudsman, and staff interviews, the facility failed to allow the residents to personalize their space by restricting their ability to hang any items on the walls or doors to their rooms to include pictures and decorations and not permitting the residents to bring in their own furniture. The residents expressed feeling as though it was impossible to make their rooms homelike with these restrictions. This deficient practice affected 5 out of 5 residents (Resident #19, # 54, #50, #16 and #25) reviewed for homelike environment and had the potential to affect other facility residents.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024

Inspectors wroteBased on observation and staff interviews, the facility failed to label opened food items, stored in their walk-in refrigerator in the kitchen, with the date opened and a use-by or expiration date. This practice had the potential to affect foods served to the residents.
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 15, 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 resident reviewed for hospice (Resident #6).
D

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024

Inspectors wroteBased on observation, record review, resident interview and staff interviews the facility failed to provide food in a form to meet the individual needs of a resident with a physician's order to upgrade diet to mechanical soft/finger foods with thin liquids for 1 of 5 Residents sampled for nutrition (Resident #4).

August 15, 2024Complaint inspection · 2 citations

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) September 6, 2024

Inspectors wroteBased on observations, staff and resident interviews, the facility failed to keep 3 of 8 resident rooms (Rooms #204, #206 and #706) and 4 of 4 day rooms at a temperature of 71 degrees to 81 degrees Fahrenheit (F).
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.

F761 · 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) September 6, 2024

Inspectors wroteBased on observations and staff interviews the facility failed to secure resident medications stored in an unattended medication cart and left medications on top of the cart in a unit with residents with dementia (800 hall medication cart), for 1 of 4 medication carts.

September 14, 2023Standard inspection · 0 citations

Fire safety inspections

14 fire safety citations on file: 8 on January 22, 2026, 2 on October 3, 2024, 4 on September 14, 2023.

Every fire safety citation14 citations

F
Install resident room doors of proper design and width.

K 233 · January 22, 2026 · Corrected (the home has a date of correction)
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 · January 22, 2026 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · January 22, 2026 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 22, 2026 · Corrected (the home has a date of correction)
D
Properly install and monitor supervisory attachments on automatic sprinkler systems.

K 352 · January 22, 2026 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 22, 2026 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · January 22, 2026 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 22, 2026 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 3, 2024 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · October 3, 2024 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 14, 2023 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · September 14, 2023 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · September 14, 2023 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 14, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
June 23, 2026	Fine	$25,495
October 11, 2023	Fine	$3,728
October 11, 2023	Payment Denial	22 days from January 11, 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.

Measure	This home	North Carolina	United States
All nursing staff (RN, LPN and aides)	3.23	3.85	3.86
Registered nurses	1.00	0.62	0.69
All nursing staff on weekends	2.70	3.42	3.42
Nurse aides	1.62
Licensed practical nurses	0.61
Nursing staff turnover (share who left in a year)	40.6%	49.0%	45.8%
Registered nurse turnover	27.8%	45.6%	42.9%
Administrators who left	0

CMS expects 3.68 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 3.44 on weekdays and 2.70 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.90 in April to June 2025 to 3.23 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	3.23	1.00	3.44	2.70	0.0%	0 of 90	93
Oct to Dec 2025	3.12	0.88	3.33	2.58	0.0%	0 of 92	91
Jul to Sep 2025	3.05	0.90	3.30	2.40	0.0%	0 of 92	91
Apr to Jun 2025	2.90	0.92	3.11	2.38	0.0%	0 of 91	85
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. If you work here, your report helps start one.

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.

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.

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	14.7	15.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.6	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.2	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.4	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.8	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	18.1	18.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	5.5	5.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	19.6	14.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	33.6	22.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	17.8	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.5	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	1.8	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pruitthealth-Crystal Coast's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.7% 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

52.7% 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. 142 eligible stays.

Potentially preventable readmissions

12.7% 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. 147 eligible stays.

Infections that led to a hospital stay

6.7% 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. 129 eligible stays.

Self-care and mobility at discharge

71.9% 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. 167 residents counted.

Falls with major injury

0.4% 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. 229 residents counted.

New or worsened pressure ulcers

9.5% 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. 229 residents counted.

Medication list given at discharge

96.0% this home

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. 151 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: PRUITTHEALTH - CRYSTAL COAST, LLC. CMS links this home to Pruitthealth, a group of 96 nursing homes averaging 3 stars overall.

Name	Role	Type	Since
J Paige Pruitt Trust	Indirect ownership interest	Organization	06/22/2021
Lisa P Hamby Trust	Indirect ownership interest	Organization	06/22/2021
Neil L Pruitt Jr Trust	Indirect ownership interest	Organization	06/22/2021
Nwp 2020 Child Tr Fbo Neil L Pruitt Jr	Indirect ownership interest	Organization	08/12/2020
Pruitt, Neil	Indirect ownership interest	Individual	11/27/2013
Small, Philip	Corporate director	Individual	11/27/2013
Pruitt, Nancy	Corporate officer	Individual	11/27/2013
Pruitt, Neil	Corporate officer	Individual	03/19/2013
Hancock, Nena	Operational/managerial control	Individual	04/22/2018
Lisa P Hamby Trust	Adp of the SNF	Organization	06/22/2021
Neil L Pruitt Jr Trust	Adp of the SNF	Organization	06/22/2021
Pruitthealth Consulting Services Inc	Adp of the SNF	Organization	11/26/2013
Hancock, Nena	Adp of the SNF	Individual	04/07/2025

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 June 23, 2026: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on October 3, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
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 October 3, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 3, 2024: "Ensure each resident receives an accurate assessment."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

Embassy at Morehead City
Morehead City, 13.3 mi · not rated · 0 citations
Crystal Bluffs Rehabilitation and Health Care Cent
Morehead City, 13.3 mi · 5 of 5 stars · 1 citation
Croatan Ridge Nursing and Rehabilitation Center
Newport, 19.8 mi · 4 of 5 stars · 10 citations
Cherry Point Bay Nursing and Rehabilitation Center
Havelock, 22 mi · 2 of 5 stars · 9 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 Pruitthealth-Crystal Coast's Medicare star rating?: CMS rates Pruitthealth-Crystal Coast 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pruitthealth-Crystal Coast get at its last inspection?: 1 health deficiency at the standard inspection on January 22, 2026. The North Carolina average is 4.7.
Has Pruitthealth-Crystal Coast been fined?: Yes. CMS lists 2 fines totaling $29,223 in the last three years.
Does Pruitthealth-Crystal Coast 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 Pruitthealth-Crystal Coast?: CMS lists 13 owners and managers, and links the home to Pruitthealth. Legal business name: PRUITTHEALTH - CRYSTAL COAST, 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.