Ayden Court Nursing and Rehabilitation Center
128 Snow Hill Road · Ayden, NC · 28513 · 2527468223
82 certified beds For profit - Limited Liability company Chain: Principle Long Term Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $25,495 |
Inspection citations (32 in the current record)
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Immediate jeopardy · J April 2, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 12, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Ensure each resident receives an accurate assessment.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
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.
Corrected March 6, 2025 · Resident Rights
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Potential for harm · D February 6, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
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.
Corrected March 6, 2025 · Pharmacy Service
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No harm found · B February 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 16, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected December 22, 2023 · Resident Rights
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Potential for harm · D November 16, 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.
Corrected December 22, 2023 · Resident Rights
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Potential for harm · D November 16, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 16, 2023
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.
Corrected December 22, 2023 · Pharmacy Service
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Potential for harm · E November 16, 2023
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.
Corrected December 22, 2023 · Pharmacy Service
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Potential for harm · D November 16, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 22, 2023 · Administration
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Potential for harm · D November 16, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 22, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected December 22, 2023 · Pharmacy Service
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No harm found · B November 16, 2023
Ensure each resident receives an accurate assessment.
Corrected December 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 25, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 13, 2022 · Resident Rights
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Potential for harm · D August 25, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 13, 2022 · Resident Rights
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Potential for harm · D August 25, 2022
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 13, 2022 · Resident Rights
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Potential for harm · E August 25, 2022
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.
Corrected October 13, 2022 · Resident Rights
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Potential for harm · E August 25, 2022
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.
Corrected October 13, 2022 · Resident Rights
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Potential for harm · D August 25, 2022
Ensure each resident receives an accurate assessment.
Corrected November 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 25, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 13, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 2, 2026 | Fine | $25,495 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345490 · certified since February 5, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.