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Ayden Court Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

128 Snow Hill Road, Ayden, NC 2851382 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 33 Google reviews

5
4
3
2
1
Ayden Court Nursing and Rehabilitation Center Nursing Home in Ayden, NC — Street View
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3/ 10
moderate Risk

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

Source: Medicare data

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 details
Food8.0Staff5.0Clean7.0Activities8.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

234'16(1)'19(3)'21(2)'23(3)'25(13)'26(2)

Distribution · 35 analyzed

5
15
4
3
3
2
2
3
1
12

How They Respond to Reviews

0%response rate

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.

Long-term resident's family · 2025★★★★★

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.

Long-term resident's family · 2023☆☆☆☆

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.

Rehab patient's family · 2022★★★★★
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
3.24hrs
79%
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)
RN Turnover
22%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility65.9%
Worse than Avg
Here
65.9%
US
93.4%
NC
91.7%
Pitt
92.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility80.8%
Worse than Avg
Here
80.8%
US
95.5%
NC
94.1%
Pitt
96.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
15.5%
NC
14.1%
Pitt
10.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%
Pitt
2.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.9%
Worse than Avg
Here
26.9%
US
15.3%
NC
20.2%
Pitt
23.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
19.5%
NC
21.5%
Pitt
14.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility72.7%
Worse than Avg
Here
72.7%
US
81.8%
NC
80.1%
Pitt
85.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.4%
Mixed vs Avgs
Here
81.4%
US
79.8%
NC
78.1%
Pitt
84.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
NC
1.5%
Pitt
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Well above state avg (5.6)
9 complaint-triggered

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, 2026Complaint
1
0678Immediate jeopardy · IsolatedCorrected

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, 2025Complaint
6
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0584Potential for harm · IsolatedCorrected

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.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0761Potential for harm · IsolatedCorrected

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.

0842Minimal · PatternCorrected

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, 2025Routine
6
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0688Potential for harm · IsolatedCorrected

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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Nov 16, 2023Routine
9
0553Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0578Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0758Potential for harm · IsolatedCorrected

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.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Nov 16, 2023Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Aug 25, 2022Routine
16
0578Potential for harm · PatternCorrected

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.

0584Potential for harm · PatternCorrected

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.

0867Potential for harm · PatternCorrected

Administration Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0688Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0732Minimal · WidespreadCorrected

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

Owner / Operator

Ayden Court Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Principle Long Term Care

Chain Size

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

Hill, RobertAdp of the SnfHill, StephenAdp of the SnfKrishnaraj, RameshAdp of the SnfBoice, GaleOfficer / DirectorJohnson, DianneOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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