Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Elizabeth City Health and Rehabilitation
Elizabeth City, NC · 170 certified beds · Last Life Safety survey April 5, 2024
CMS Certification Number 345036 · first certified February 1967
Ownership
Operated by SANSTONE HEALTH & REHABILITATION · For profit - Individual
- Ownership changed January 1, 2016 (change of ownership)to ELIZABETH CITY HEALTH AND REHABILITATION, LLC from CAROLINA ADVENTIST RETIREMENT SYSTEMS, INC.
Position within NC
3 citations — more than 6% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
Well past the typical window (May 2025 to July 2025), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was April 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 3 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 3 |
| Median facility in NC | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 18, 2021 | 0 |
| January 27, 2023 | 0 |
| April 5, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2024-04-05 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2024-04-05 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-04-05 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 5, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (June 10, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (June 10, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (June 10, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.