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Nursing HomeMedicaid Investigative

Elizabeth City Health and Rehabilitation

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

1075 Us Highway 17 South, Elizabeth City, NC 27909170 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 45 Google reviews

5
4
3
2
1
Elizabeth City Health and Rehabilitation Nursing Home in Elizabeth City, NC — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)

Below average in NC · Critically understaffed (RN) · Above average staffing · Low staff turnover (stable workforce) · Worst in SANSTONE HEALTH & REHABILITATION chain · $77,760 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility has a highly regarded rehabilitation therapy team that has helped many patients return to independent living. However, families must be prepared to be highly involved; multiple reviewers noted significant issues with nursing responsiveness and medical monitoring, so we recommend daily visits and active advocacy for your loved one's care.

Google Reviews

Google Reviews

45 reviews on Google
Elizabeth City Health and Rehabilitation receives highly polarized feedback, with many families praising the rehabilitation therapy team and facility cleanliness, while others report severe concerns regarding nursing responsiveness and medical oversight. While some residents and families describe a compassionate environment, multiple reviewers have documented distressing experiences involving delayed medication, poor communication, and inadequate medical monitoring during critical health events.

Quality Themes

Tap a score for details
Food6.0Staff4.0Clean8.0Activities7.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Clean and well-maintained facility
  • Friendly and supportive administrative staff
  • Strong rehabilitation outcomes for short-term patients

Concerns

  • Slow or non-existent response to call bells and patient needs (mentioned by 6 reviewers)
  • Inconsistent or delayed medication administration (mentioned by 4 reviewers)
  • Poor communication from nursing and medical staff regarding patient status (mentioned by 5 reviewers)
  • Inadequate medical monitoring of acute health changes (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(4)'22(2)'24(11)'26(4)

Distribution · 46 analyzed

5
25
4
2
3
2
2
1
1
16

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your facility has a strong reputation for physical and occupational therapy; how do you ensure that same level of attention and support is provided for daily nursing care needs?
  • 2When a resident needs assistance, what is your standard protocol for responding to call bells, and how do you monitor response times to ensure residents aren't waiting too long?
  • 3I see that you actively engage with families through your online review responses; how do you maintain that same level of open communication regarding a resident's daily health status and care plan updates?
  • 4Given the importance of timely medication management, what specific systems or double-check procedures do you have in place to ensure medications are administered accurately and on schedule?
  • 5How does your nursing team coordinate with the medical staff to ensure that any subtle changes in a resident’s health are identified and addressed quickly?
  • 6Beyond the rehabilitation programs, what kind of social activities or daily engagement opportunities do you offer to help residents feel connected and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The physical and occupational therapist rehabilitated to a level of functioning that allows her to live independently, I can not say enough good things about them.

Long-term resident's family · 2024★★★★

When it was time for discharge they sat down with us and explained everything in detail as to what to expect when she got home and how to prepare the house for her when she got there.

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

My mom recently suffered a stroke the beginning of this month she was in the hospital for About a week and then she was sent over to Elizabeth City Health And rehabilitation. The staff is phenomenal.

Long-term resident's family · 2025★★★★★
Source: 45 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
31%
Registered nurses for medical care
Total Nursing
3.97hrs
97%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
47%
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

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility13.9%
Worse than Avg
Here
13.9%
US
4.9%
NC
5.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NC
91.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.5%
NC
14.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.9%
Mixed vs Avgs
Here
5.9%
US
12.1%
NC
5.4%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NC
94.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.9%
Worse than Avg
Here
20.9%
US
15.3%
NC
20.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
79.8%
NC
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.5%
Better than Avg
Here
91.5%
US
81.8%
NC
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
NC
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
2penalties
Well below state avg (5.6)
7 complaint-triggered
$77,760 in fines

Families filed multiple complaints triggering federal investigations, raising serious concerns about abuse prevention, nursing staff competency, and resident care quality. The facility shows recurring problems with resident rights, care planning assessments, and quality assurance systems that persist across surveys from 2023 to 2024. While the facility reports correcting violations, the pattern of repeated deficiencies in core care areas suggests ongoing challenges with consistent quality care.

Jun 19, 2025Routine
1
0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Apr 5, 2024Routine
6
0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0867Minimal · PatternCorrected

Administration Deficiencies

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

Nov 22, 2023Complaint
5
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0726Immediate jeopardy · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0842Potential for harm · IsolatedCorrected

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.

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.

Oct 28, 2023Complaint
2
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Jan 27, 2023Routine
11
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0570Minimal · WidespreadCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0623Minimal · WidespreadCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Federal Penalties

Fine

Oct 28, 2023

$77,760

Payment Denial

Oct 28, 2023

14-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Elizabeth City Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Sanstone Health & Rehabilitation

Chain Size

18 facilities nationwide

Chain avg rating: 4.1/5 · Rank 17 of 17 (Worst)

Ownership & Management

Owners

Sprenger, Christopher

Owner

100%

Key personnel

Elizabeth City Healthcare Properties, LLC5% or Greater Mortgage InterestWaring, TinaW-2 Managing Employee
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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