Nursing home
Ayden Court Nursing and Rehabilitation Center
128 Snow Hill Road, Ayden, NC 28513 · Map
For profit - Limited Liability company · Part of Principle Long Term Care (44 facilities) · 82 certified beds
Ayden Court Nursing and Rehabilitation Center is a Medicare-certified nursing home in Ayden, North Carolina. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.48 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Feb 6, 2025 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Ayden Court Nursing and Rehabilitation Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.48 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.69 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.27 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 63.2% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Ayden Court Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Pharmacy Service Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Feb 6, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Minimal
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 6, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Nov 16, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 128 Snow Hill Road
Ayden, NC 28513 - CMS certification #
- 345490
- Ownership
- For profit - Limited Liability company
- Certified beds
- 82
- Avg residents/day
- 75.3
- Provider type
- Medicare and Medicaid
- First certified
- 1999-02-05
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Urban
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Ayden Court Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Ayden Court Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Long-term, round-the-clock nursing care for patients with chronic illnesses
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ecu Health Medical Center, Greenville. 9.8 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Macgregor Downs Health Center by Harborview, Greenville. 10.1 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Greenville. 9.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28513 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Fresenius Kidney Care Captains Cove, Winterville, 3.9 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Dialysis Services East Carolina University, Greenville, 9.3 miles away, straight line (CMS rating 2 of 5 stars)
Fmc - Greenville Dialysis Center, Greenville, 10.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 28513.
Amedisys Hospice, office in Greenville, 9.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Continuum Home Care & Hospice Of Lenior County, office in Kinston, 15.3 miles away, straight line - Nearest geriatric medicine practice
- Carteret Medical Group LLC, Newport. 56.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Ayden Court Nursing and Rehabilitation Center a good nursing home?
CMS gives Ayden Court Nursing and Rehabilitation Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Ayden Court Nursing and Rehabilitation Center staffed?
Ayden Court Nursing and Rehabilitation Center reports 3.48 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Ayden Court Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Ayden Court Nursing and Rehabilitation Center have?
Ayden Court Nursing and Rehabilitation Center is certified for 82 beds.