NursingHomeGrade

Chowan River Nursing and Rehabilitation Center

1341 Paradise Road, Edenton, NC 27932

Operator

PRINCIPLE LONG TERM CARE · 38 facilities

Provider number (CCN)
345164
Certification
Medicare and Medicaid
Ownership
For profit - Corporation
Certified beds
130
Phone
(252) 482-7481
CMS data as of
September 1, 2026
C
●
stable

Staffing 0% · Deficiencies 0% over tracking period

What the records show

CMS rates Chowan River Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 of 5 for health inspections, 3 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 13 health deficiencies across the last three survey cycles, most recently surveyed in 2026, 4 still recorded as uncorrected. CMS lists no fines or payment denials for this facility in the covered period.

Facility Assessment 4 federal violations at this facility remain unresolved. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.

Reviews, Ratings and Official Records

This page reviews Chowan River Nursing and Rehabilitation Center using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.

Ratings and Grade Breakdown

RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
 0.45 — Below the repealed 0.55 hr benchmark

The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
Total 13
Outstanding 4
Actual harm or worse (G–L) 0
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
Overall: ★★★☆☆ (3/5)
Health inspection: ★★★☆☆ (3/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★☆☆ (3/5)
NursingHomeGrade Score
 56/100

Loaded into NursingHomeGrade on October 19, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

This facility0.45 hrs
NC median0.51 hrs
National average0.69 hrs

Registered nurse turnover: 44.4% · Total nursing staff turnover: 33.3%

Staffing figures are the values CMS published in its file processed September 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Source records: CMS Care Compare profile for provider 345164 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

13 deficiencies found. 9 corrected. None involved actual harm. — 4 still outstanding

Most recent inspection (July 30, 2026)

D Potential harm — isolated F0925 Status: Outstanding — Plan Filed

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies — Deficient, Provider has plan of correction, corrected August 27, 2026

E Potential harm — pattern F0761 Status: Outstanding — Plan Filed

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 — Deficient, Provider has plan of correction, corrected August 27, 2026

D Potential harm — isolated F0690 Status: Outstanding — Plan Filed

Provide 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 Deficiencies — Deficient, Provider has plan of correction, corrected August 27, 2026

C No harm — widespread F0838 Status: Corrected

Conduct 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 and weekends) and emergencies.

Administration Deficiencies — No revisit needed, corrected August 27, 2026

B No harm — pattern F0628 Status: Corrected

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies — No revisit needed, corrected August 27, 2026

Inspection cycle 2 (April 2, 2025)

B No harm — pattern F0623 Status: Outstanding — Plan Filed

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

Resident Rights Deficiencies — Deficient, Provider has plan of correction, corrected April 30, 2025

E Potential harm — pattern F0698 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 30, 2025

D Potential harm — isolated F0694 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 30, 2025

D Potential harm — isolated F0656 Status: Corrected

Develop 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 Deficiencies — Deficient, Provider has date of correction, corrected April 30, 2025

D Potential harm — isolated F0554 Status: Corrected

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

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected April 30, 2025

Inspection cycle 3 (May 30, 2024)

D Potential harm — isolated F0684 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 14, 2024

D Potential harm — isolated F0842 Status: Corrected

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 — Deficient, Provider has date of correction, corrected March 11, 2024

D Potential harm — isolated F0580 Status: Corrected

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

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected June 14, 2024

Fines and Enforcement Actions

CMS lists no fines and no payment denials for Chowan River Nursing and Rehabilitation Center in the enforcement records covering the last three years, as published in the file processed September 1, 2026.

Ownership and Contact Information

Facility name
Chowan River Nursing and Rehabilitation Center
Legal business name
TAR RIVER LTC GROUP, LLC
Address
1341 Paradise Road, Edenton, NC 27932
Phone
(252) 482-7481
Provider number (CCN)
345164
Ownership type
For profit - Corporation
Operator
PRINCIPLE LONG TERM CARE · 38 facilities
Medicare/Medicaid certified since
May 1, 1977
Official record
CMS Care Compare profile ↗
Details verified against CMS data dated
September 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

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Sources and Methodology

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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