Scotland Manor Health and Rehabilitation Center

920 Jr High School Road · Scotland Neck, NC · 27874 · 2528265146

62 certified beds For profit - Corporation Chain: August Healthcare

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Cleaner inspection record than most facilities nationally.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 82
Serious harm & abuse 20% 100
Staffing 20% 55
Federal penalties 15% 66
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.173.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.93≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)2 · $7,361

Inspection citations (11 in the current record)

  • Potential for harm · D November 20, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected December 11, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 11, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

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

    Corrected December 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 11, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected October 2, 2024 · Quality of Life and Care

  • Potential for harm · D September 11, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 2, 2024 · Infection Control

  • Potential for harm · D May 25, 2023

    Assess the resident when there is a significant change in condition

    Corrected June 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 25, 2023

    Ensure each resident receives an accurate assessment.

    Corrected June 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 25, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 25, 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 June 9, 2023 · Pharmacy Service

  • Potential for harm · E May 25, 2023

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

    Corrected June 9, 2023 · Nutrition and Dietary

  • Potential for harm · E May 25, 2023

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

    Corrected June 6, 2023 · Administration

Federal penalties

DateTypeAmount / length
October 24, 2024Fine$3,680
October 24, 2024Fine$3,681

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 345375 · certified since June 12, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.