East Carolina Health and Rehabilitation Center

2575 W 5th Street · Greenville, NC · 27834 · 2528309100

130 certified beds For profit - Corporation

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Federal penalties on record: $9,620 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Total nurse staffing below 3.0 hours per resident-day

2.58 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 88
Staffing 20% 40
Federal penalties 15% 15
Trend 10% 76
Context 5% 100

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: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.583.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day2.14≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)2 · $61,585

Inspection citations (41 in the current record)

  • Potential for harm · D March 25, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected April 21, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 25, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F March 25, 2026

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected April 21, 2026 · Nursing and Physician Services

  • Potential for harm · D March 25, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 21, 2026 · Pharmacy Service

  • Potential for harm · D March 25, 2026

    Ensure that residents are free from significant medication errors.

    Corrected April 21, 2026 · Pharmacy Service

  • Potential for harm · D March 25, 2026

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected April 21, 2026 · Environmental

  • No harm found · C March 25, 2026

    Post nurse staffing information every day.

    Corrected April 21, 2026 · Nursing and Physician Services

  • Actual harm · G September 11, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 10, 2025 · Quality of Life and Care

  • Potential for harm · E September 11, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 10, 2025 · Resident Rights

  • Potential for harm · E September 11, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected October 10, 2025 · Quality of Life and Care

  • Potential for harm · D December 19, 2024

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected January 16, 2025 · Resident Rights

  • Potential for harm · D December 19, 2024

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 19, 2024

    Ensure each resident receives an accurate assessment.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 19, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 19, 2024

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected January 16, 2025 · Quality of Life and Care

  • Potential for harm · D December 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 16, 2025 · Infection Control

  • Potential for harm · D December 19, 2024

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected January 16, 2025 · Infection Control

  • Potential for harm · D September 18, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 18, 2024 · Resident Assessment and Care Planning

  • Actual harm · G April 5, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · D April 5, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 5, 2024 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · E April 5, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 10, 2024 · Pharmacy Service

  • Potential for harm · E April 5, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 5, 2024 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected May 10, 2024 · Administration

  • Potential for harm · E April 5, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected May 3, 2024 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 11, 2025Fine$9,620
September 11, 2025Payment Denial7 days
February 27, 2024Fine$51,965
February 27, 2024Payment Denial14 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345377 · certified since June 25, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.