Nursing Care Index

Ayden Court Nursing And Rehabilitation Center

Ayden, Pitt County, North Carolina · CCN 345490 · For-profit (LLC) · part of Principle Long Term Care (40 facilities, chain average 3 stars)

CMS rates Ayden Court Nursing And Rehabilitation Center 1 of 5 overall as of August 2026. 82 certified beds, 78 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 3 fines totalling $37,700 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay5 / 1 of 5

Staffing

Total nurse staffing2.98652 hours per resident per day
Registered nurses0.46993 hours per resident per day
Weekend total2.76355 hours per resident per day
Nursing staff turnover58.4% (registered nurses 46.2%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-12 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-06-09
2026-05-12 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-09
2026-05-12 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-09
2026-05-12 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-09
2026-05-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-09
2026-04-02
complaint survey
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · tag F0678
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2026-05-12
2025-02-06
complaint survey
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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-06
2025-02-06
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-05-01
2025-02-06 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-06
2025-02-06
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-06
2025-02-06 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-06
2025-02-06
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-06
2025-02-06
complaint survey
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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-06
2025-02-06
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has plan of correction
2025-03-06
2023-11-16 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · tag F0553
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-22
2023-11-16 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-22
2023-11-16 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-11-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-11-16
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-11-16 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-11-16
complaint survey
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-11-16 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22
2023-11-16 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has plan of correction
2023-12-22

Fines and payment denials

DatePenaltyAmount
2026-04-02Payment denial for 48 days from 2026-04-22
2026-04-02Fine$25,495
2026-04-02Fine$6,103
2026-04-02Fine$6,102

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Principle Long Term Care, Inc.
Organization
operational/managerial control2011-01-01
Boice, Gale
Individual
adp of the snf2018-03-05
Eason, Sarah
Individual
adp of the snf2025-07-03
Hill, Raymond
Individual
adp of the snf2011-01-01
Hill, Robert
Individual
adp of the snf2011-01-01
Hill, Stephen
Individual
adp of the snf2011-01-01
Krishnaraj, Ramesh
Individual
adp of the snf2025-02-17
Boice, Gale
Individual
corporate officer2018-03-05
Johnson, Dianne
Individual
corporate officer2011-01-01
Boice, Gale
Individual
individual is an owner, partner or trustee of any adp of the snf2025-11-24
Eason, Sarah
Individual
operational/managerial control1993-02-15

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pitt County.