Elizabeth City Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 45 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 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
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 detailsStrengths
- 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
Distribution · 46 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
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
9
measures
5
measures
3
measures
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
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 vaccinated for the flu
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Apr 5, 2024Routine6
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nov 22, 2023Complaint5
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Oct 28, 2023Complaint2
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jan 27, 2023Routine11
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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
Elizabeth City Health and Rehabilitation
for profit
Chain Affiliation
Sanstone Health & Rehabilitation
18 facilities nationwide
Chain avg rating: 4.1/5 · Rank 17 of 17 (Worst)
Ownership & Management
Owners
Sprenger, Christopher
Owner
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
45 reviews from families & visitors
Official Website
Visit sanstonehealth.com
Medicare data downloads
Original nursing home datasets
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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.
Laurel Park Rehabilitation and Healthcare Center
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Heritage Care of Elizabeth City
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Brookdale Elizabeth City
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Waterbrooke of Elizabeth City
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Lily's Blessings Family Care Home
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