Home / North Carolina / Scotland Neck
Scotland Manor Health and Rehabilitation Center
920 Jr High School Road, Scotland Neck, NC 27874 · Halifax County · (252) 826-5146
62 certified beds, about 52 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345375 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 20, 2025, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 11 health citations since May 2023 was rated as actual harm or immediate jeopardy.
CMS lists 2 fines totaling $7,361 in the last three years; the largest was $3,681, and the latest is dated October 24, 2024.
Nurses and nurse aides worked 3.30 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
43.2% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to August Healthcare, an affiliated group of 6 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.
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.
November 20, 2025Standard inspection · 3 citations
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, record review, and interviews with the resident, staff, and Medical Director, the facility failed to follow up with an audiologist's (a medical professional that specializes in the diagnosis, evaluation and treatment of hearing disorders) recommendation for ear wax removal for 1 of 1 resident reviewed for hearing difficulties (Resident #21).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to follow physician orders to change oxygen supplies, which included the nasal cannula, for 1 of 1 resident reviewed for respiratory care (Resident #21).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to ensure a medical record was accurate regarding oxygen nasal cannula changes. This was for 1 of 23 sampled residents whose medical records were reviewed (Resident #21).
September 11, 2024Standard inspection · 2 citations
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review, and staff and Dialysis Charge Nurse interviews, the facility failed to maintain ongoing communication with the dialysis treatment center for 1 of 1 resident reviewed for dialysis (Resident #18).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to implement their infection prevention program policies and procedures when Nurse Aide (NA) #1 failed to perform hand hygiene after performing bathing and incontinence care for 1 of 2 residents observed for incontinence care (Resident #26).
May 25, 2023Standard inspection · 6 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 1) label and date opened items in 2 kitchen refrigerators (refrigerator #1 located in the stock room, and refrigerator #2 located near the tray line counter) and the kitchen wall freezer located in the stock room and 2) failed to remove expired items from the residents' refrigerator, failed to label and date food items in the residents' refrigerator, and keep 1 of 1 freezer used for residents' personal food items, free from ice build-up.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put in place following the recertification survey conducted on 1/07/22. This was for a recited deficiency on the current recertification and complaint survey in the area of food procurement, store, prepare, and serve in a sanitary manner. The continued failure during two surveys shows a pattern of the facility's inability to sustain an effective QAA program.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and staff interviews, the facility failed to complete a significant change assessment for a resident's admission to hospice services for 1 of 1 resident reviewed for hospice services. (Resident #151).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments for 4 of 24 sampled residents whose MDS were reviewed (Resident #3, Resident #18, Resident #23, and Resident #31).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interviews and record reviews, the facility failed to obtain a Level II Preadmission Screening and Resident Review (PASRR) after the initial approval for nursing home placement expired for 3 of 3 residents reviewed for PASRR (Resident #16, Resident #36, and Resident #35).
- 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 interviews, and Pharmacy Consultant interview, the facility failed to ensure Physician orders for as needed (PRN) psychotropic medications were time limited in duration for 1 of 1 resident reviewed for hospice services (Resident #151).
Fire safety inspections
5 fire safety citations on file: 2 on September 11, 2024, 3 on May 25, 2023.
Every fire safety citation5 citations
- D Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 24, 2024 | Fine | $3,680 |
| October 24, 2024 | Fine | $3,681 |
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) | 3.30 | 3.85 | 3.86 |
| Registered nurses | 0.40 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.42 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 43.2% | 49.0% | 45.8% |
| Registered nurse turnover | 33.3% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 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 3.41 on weekdays and 3.01 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.30 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 | 3.30 | 0.40 | 3.41 | 3.01 | 0.2% | 2 of 90 | 52 |
| Oct to Dec 2025 | 3.17 | 0.35 | 3.26 | 2.93 | 0.0% | 2 of 92 | 53 |
| Jul to Sep 2025 | 3.47 | 0.42 | 3.55 | 3.26 | 3.0% | 0 of 92 | 50 |
| Apr to Jun 2025 | 3.72 | 0.51 | 3.82 | 3.47 | 6.9% | 0 of 91 | 47 |
| 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 | 19.7 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 1.7 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.1 | 14.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: SCOTLAND NECK NC OPCO LLC. CMS links this home to August Healthcare, a group of 6 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cohen, Itamar | Indirect ownership interest | Individual | 01/01/2025 | |
| Cross River Bank | 5% or greater mortgage interest | Organization | 01/01/2025 | |
| Locust Point Private Credit Fund III LP | 5% or greater mortgage interest | Organization | 01/01/2025 | |
| Augustnc Holdco LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Batchelor, Michelle | Operational/managerial control | Individual | 01/01/2025 | |
| Cohen, Itamar | Operational/managerial control | Individual | 01/01/2025 | |
| Emanuel, Shandal | Operational/managerial control | Individual | 01/01/2025 | |
| Hyman, Simcha | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/13/2025 | |
| Schonfeld, Akiva | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/13/2025 | |
| Zanziper, Natalie | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/13/2025 | |
| Accordius Health at Scotland Manor Propco LLC | Adp of the SNF | Organization | 01/01/2025 | |
| August Nc5 Propco Holdco LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Hc Family Trust | Adp of the SNF | Organization | 01/01/2025 | |
| Nc SNF Propco Holdings LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Zanziper Family Trust | Adp of the SNF | Organization | 01/01/2025 | |
| Batchelor, Michelle | Adp of the SNF | Individual | 02/24/2025 | |
| Emanuel, Shandal | Adp of the SNF | Individual | 04/29/2025 | |
| Zanziper, Naftali | Adp of the SNF | Individual | 01/01/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 20, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- 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 November 20, 2025: "Assist a resident in gaining access to vision and hearing services."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Provide and implement an infection prevention and control program."
- 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 May 25, 2023: "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 3.01 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Bryan Health and Rehab Scotland Neck, 0.4 mi · 5 of 5 stars · 4 citations
- Rich Square Health & Rehabilitation Center Rich Square, 13.2 mi · 1 of 5 stars · 27 citations
- Edgecombe Health Center by Harborview Tarboro, 17.5 mi · 1 of 5 stars · 19 citations
- Tarboro Health and Rehabilitation LLC Tarboro, 17.6 mi · 5 of 5 stars · 10 citations
- Northampton Nursing and Rehabilitation Center Jackson, 17.8 mi · 4 of 5 stars · 9 citations
- Liberty Commons Nursing and Rehabilitation Center Weldon, 22.4 mi · 4 of 5 stars · 5 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 Scotland Manor Health and Rehabilitation Center's Medicare star rating?
- CMS rates Scotland Manor Health and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Scotland Manor Health and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on November 20, 2025. The North Carolina average is 4.7.
- Has Scotland Manor Health and Rehabilitation Center been fined?
- Yes. CMS lists 2 fines totaling $7,361 in the last three years.
- Does Scotland Manor 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 Scotland Manor Health and Rehabilitation Center?
- CMS lists 18 owners and managers, and links the home to August Healthcare. Legal business name: SCOTLAND NECK NC 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.