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Nursing homeFAID #9208

Ayden Court Nursing and Rehabilitation Center

128 SNOW HILL ROAD, AYDEN, NC, 28513
(252) 746-8223
82 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
82
CMS facility ID
345490
Care type
Nursing home
County
Pitt
Facility name
Ayden Court Nursing and Rehabilitation Center
Street address
128 SNOW HILL ROAD
City / state / ZIP
Ayden, NC 28513
Phone
(252) 746-8223

About this facility — Ayden Court Nursing and Rehabilitation Center

Ayden Court Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Ayden, North Carolina. It is licensed for 82 beds — below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 4 senior care facilities in Ayden and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Ayden Court Nursing and Rehabilitation Center 31 times across 9 inspections in the last three years, and CMS has imposed $37,700 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Principle Long Term Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Boice, Gale
Officer · Owner of a disclosable party · Additional disclosable party — since 2018
Eason, Sarah
Operational control · Additional disclosable party — since 1993
Hill, Raymond
Additional disclosable party — since 2011
Hill, Robert
Additional disclosable party — since 2011
Hill, Stephen
Additional disclosable party — since 2011
Johnson, Dianne
Officer — since 2011
Krishnaraj, Ramesh
Additional disclosable party — since 2025
Principle Long Term Care, Inc.
Operational control — since 2011

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1999-02-05
CMS overall rating
1 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$37,700 total
Last standard inspection
2026-05-12
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$327 per day (≈ $9,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 16% Medicare · 19% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
12% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
82
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-12Health inspection5 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-06-09
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-06-09
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-06-09
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-09
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2026-06-09
2026-04-02Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a 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 2026-05-12
5 earlier / fire-safety inspections (25 citations)
2025-02-06Health inspectionComplaint-triggered8 citations
F-0584
D · No harm foundFrom a 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 2025-03-06
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-05-01
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-03-06
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-06
F-0688
D · No harm found
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 2025-03-06
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-06
F-0761
D · No harm foundFrom a 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 2025-03-06
F-0842
B · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-06
2023-11-16Health inspectionComplaint-triggered9 citations
F-0553
E · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-12-22
F-0578
D · No harm found
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 2023-12-22
F-0641
B · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-12-22
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-22
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-22
F-0758
D · No harm found
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 2023-12-22
F-0759
D · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-22
F-0761
E · No harm found
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 2023-12-22
F-0867
D · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-12-22
2025-02-06Fire-safety inspection4 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-03-25
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-25
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-25
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-25
2023-11-16Fire-safety inspection2 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-18
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-01-18
2022-08-25Fire-safety inspection2 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-17
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-10-17

Federal penalties

2026-04-02Fine$6,102
2026-04-02Fine$6,103
2026-04-02Fine$25,495
2026-04-02Medicare payment denial — 48 days
Total fines$37,700
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345490.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered