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CMS Nursing Home Compare · March 2026

Chowan River Nursing and Rehabilitation Center

1341 Paradise Road, Edenton, NC 27932

Chowan River Nursing and Rehabilitation Center, a 130-bed for profit - limited liability company nursing facility in Edenton, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2524827481

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4 / 5
Above average · CMS overall · nat'l 3.0
3.48
Below average · nurse hrs/day · nat'l 3.89
10
Inspection findings
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
345164
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
130
Residents
68
In Hospital
No
County
Chowan
Last Inspection
Apr 2, 2025

Staffing Data

How the 3.48 total nursing hours per resident-day are staffed:

RN Hours
0.40 (nat'l avg: 0.68)
LPN Hours
0.97
CNA Hours
2.11
Total Nursing Hours
3.48 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
39.1%
RN Turnover
60.0%

What the CMS Record Reveals About Chowan River Nursing and Rehabilitation Center

Chowan River Nursing and Rehabilitation Center operates 130 certified beds in Edenton, NC with approximately 68 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 2★ · quality 4★).

The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.48 total nursing hours per resident day (national average 3.89), with RN coverage at 0.40 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Chowan River Nursing and Rehabilitation Center falls into a category where comparative context matters. Reported nursing turnover at this facility is 39.1%, within a range generally associated with stable care teams.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

E - Pattern - Minimal harm Apr 2, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Apr 2, 2025 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Apr 2, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 30, 2025

B - Pattern - No harm Apr 2, 2025 Tag: 0623

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

Category: Resident Rights Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Apr 2, 2025 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm May 30, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 14, 2024

D - Isolated - Minimal harm May 30, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2024

D - Isolated - Minimal harm Feb 22, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 22, 2022

D - Isolated - Minimal harm Dec 2, 2022 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Dec 22, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 78.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 3.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 78.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 84.0% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Chowan River Nursing and Rehabilitation Center?
Chowan River Nursing and Rehabilitation Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at Chowan River Nursing and Rehabilitation Center?
Chowan River Nursing and Rehabilitation Center reports 3.48 total nursing hours per resident day (national average: 3.89). RN hours are 0.40 per resident day (national average: 0.68). Nursing staff turnover is 39.1%.
How many beds does Chowan River Nursing and Rehabilitation Center have?
Chowan River Nursing and Rehabilitation Center has 130 certified beds with approximately 68 residents. The facility is located at 1341 Paradise Road, Edenton, NC 27932.
Does Chowan River Nursing and Rehabilitation Center have any deficiencies on record?
Yes, Chowan River Nursing and Rehabilitation Center has 10 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Chowan River Nursing and Rehabilitation Center received any fines or penalties?
No, Chowan River Nursing and Rehabilitation Center has no fines or penalties on record.
Who owns Chowan River Nursing and Rehabilitation Center?
Chowan River Nursing and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Chowan River Nursing and Rehabilitation Center last inspected?
The most recent health inspection for Chowan River Nursing and Rehabilitation Center was on Apr 2, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Chowan River Nursing and Rehabilitation Center?
Chowan River Nursing and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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