Ayden Court Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 33 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (8 vs median 4.0)
- High staff turnover (63%)
Above average in NC · Below recommended RN staffing · No penalties on record
What this means for your family
While recent reviews suggest improvements in clinical care and facility atmosphere, the facility suffers from significant, recurring reports of understaffing and neglect. When touring, we strongly recommend asking for specific staffing ratios on weekends and night shifts, and observing how quickly call buttons are answered in common areas.
Google Reviews
Google Reviews
33 reviews on Google“Ayden Court Nursing and Rehabilitation Center receives highly polarized reviews, with recent feedback highlighting a sharp divide between positive experiences of clinical care and severe allegations of neglect. While some families praise the facility for its cleanliness, friendly staff, and effective rehabilitation, others report critical failures including ignored call buttons, poor hygiene, and dangerous understaffing. Prospective families should be aware of the inconsistency in care quality and the recurring concerns regarding staff responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Professional and attentive rehabilitation therapy
- Welcoming and compassionate leadership
- Engaging activities and events
Concerns
- Chronic understaffing leading to ignored call buttons and delayed care (mentioned by 4 reviewers)
- Poor hygiene and neglect of basic personal care (e.g., residents left in soiled clothing) (mentioned by 3 reviewers)
- Disrespectful or unprofessional communication from nursing staff (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 35 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1It is wonderful to see how clean and well-maintained the facility looks; how does your team ensure this level of care is consistent throughout the day?
- 2We are so glad to hear such positive things about your leadership team; how do they support the nursing staff in maintaining high standards of communication with families?
- 3With the rehabilitation services being a noted strength here, how do you tailor therapy plans to meet each resident's specific recovery goals?
- 4How does the nursing team manage call buttons and response times to ensure no resident is left waiting for assistance?
- 5What specific protocols are in place for medication management to ensure accuracy and safety for every resident?
- 6What kind of engaging daily activities or special events do you have planned to keep the residents socially active?
Personalized based on this facility's data
Key Review Excerpts
“My sister was a resident here. She was admitted from the local hospital with a severe pressure area which healed very nicely. The staff nurses and cnas were very attentive to her needs and treated her with dignity.”
“Her call button is routinely ignored, and she's often left to sit in her own excrement for hours. Some of the staff are good people, but they are horribly understaffed.”
“The nurses walked the hall and made sure my mother was taken care and was very given to her needs. I feel she is recovering well from there care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
4
measures
1
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple reports triggering 8 deficiencies, with the most recent complaints in February 2025 involving medication errors, respiratory care, and protection of resident belongings. Recurring issues across all three surveys include resident rights violations, care planning problems, and medication management deficiencies. While the facility corrects most issues, the persistent pattern of similar problems and recent family complaints suggest ongoing quality concerns that warrant careful consideration during visits.
Apr 2, 2026Complaint1
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Feb 6, 2025Complaint6
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 6, 2025Routine6
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nov 16, 2023Routine9
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Pharmacy Service Deficiencies
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 16, 2023Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Aug 25, 2022Routine16
Resident Rights Deficiencies
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
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal Penalties
Fine
Apr 2, 2026
$25,495
Ownership & Operations
Who Operates This Facility
Ayden Court Nursing and Rehabilitation Center
for profit
Chain Affiliation
Principle Long Term Care
44 facilities nationwide
Chain avg rating: 3.1/5 · Rank 21 of 44
Ownership & Management
Owners
Boice, Gale
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
33 reviews from families & visitors
Official Website
Visit aydencourt.com
Medicare data downloads
Original nursing home datasets
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