Ayden Court Nursing and Rehabilitation Center in Ayden, NC has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 3-star quality measures. It reported 2.99 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and it had $37,700 in fines in the last 24 months with a recent federal penalty.
Last inspection: May 12, 2026Penalties, last 24 months: $37,700recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9865.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
0.71
Nurse aides
1.81
Weekend nursing
2.76
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
1.8%3.4%Worsening
Residents with a fall causing major injury
3.1%1.4%Improving
Residents with pressure ulcers (bedsores)
2.2%5.5%Worsening
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
1.7%3.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.4%14.3%Worsening
Residents whose ability to walk got worse
—20.1%—
Long-stay residents on antianxiety or sleep medication
8.3%11.1%Worsening
Short-stay residents newly given an antipsychotic
0%2.3%Worsening
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
11.7%9.6%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—80.8%—
Long-stay residents given the pneumonia vaccine
67.2%55.7%Worsening
Short-stay residents given the seasonal flu vaccine
—81.4%—
Short-stay residents given the pneumonia vaccine
84.3%52.5%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to let the resident help develop and carry out their own care plan. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 553 — 42 CFR §483.10 — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $6,103 was recorded.
PENALTY
A federal fine of $6,102 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $25,495 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $37,700 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Apr 2, 2026
48 days
Federal fine
Apr 2, 2026
$25,495
Federal fine
Apr 2, 2026
$6,103
Federal fine
Apr 2, 2026
$6,102
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of PRINCIPLE LONG TERM CARE · 44 homes · 3 stars avg
Occupancy
78.4 residents on an average day (96% of 82 beds)
Resident voice
Resident council
Medicare history
Certified for 27 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.