Nursing HomeInspections

Chowan River Nursing and Rehabilitation Center

Nursing home in Edenton, NC

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
1341 Paradise Road, Edenton, NC 27932
Phone
(252) 482-7481
Listed under
For-profit, No fines or payment denials in 3 years
Medicare CCN
345164
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
130
Average residents per day
50
Ownership
For-profit, corporation
Legal business name
Tar River LTC Group, LLC
Chain
Principle Long Term Care (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1977
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345164. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 30, 2026. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 22, 2024 to Jul 30, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 30, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
B
Potential for minimal harm, pattern
Jul 30, 2026Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights…
Administration
C
Potential for minimal harm, widespread
Jul 30, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Apr 2, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights
B
Potential for minimal harm, pattern
Apr 2, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 2, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Apr 2, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 2, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
May 30, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 30, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.04 hours
Registered nurse (RN) time per resident per day
0.73 hours
Nurse aide time per resident per day
2.32 hours
Total nurse staffing on weekends
3.45 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
36%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.