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Chowan River Nursing and Rehabilitation Center

All states › North Carolina › Edenton › Chowan River Nursing and Rehabilitation Center

1341 Paradise Road Edenton, NC 27932 · Chowan County

(252) 482-7481

Accepts Medicare Accepts Medicaid 130 certified beds For profit

CMS certification number 345164 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Chowan River Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Chowan River Nursing and Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0. Inspectors issued 13 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 4.04 hours per resident per day at Chowan River Nursing and Rehabilitation Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.73 of those hours are from registered nurses. On weekends it falls to 3.45 hours, 15% below its all-week average. 41.8% of nursing staff left within a year (North Carolina median 48.5%). 2 administrators left in the past year.

Nursing care per resident per day 4.04 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.73 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.45 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 41.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 36.4% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds130
Residents per day 50 About 38% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMay 1977
Part of a chainPrinciple Long Term Care
Legal business nameTAR RIVER LTC GROUP, LLC

Paying for care at Chowan River Nursing and Rehabilitation Center: Medicare and Medicaid

Chowan River Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 30, 2026 and found 3 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 13 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 13 citations at Chowan River Nursing and Rehabilitation Center across 4 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 3 were minimal (A–C). The most common areas cited were quality of life and care (4) and resident rights (4). The most serious was cited under the CMS rule to "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" (tag F0761, level E, July 30, 2026).

July 30, 2026 · 5 citations · includes complaint inspection

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 27, 2026)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Aug 27, 2026)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Complaint inspection · Deficient, Provider has date of correction (Aug 27, 2026)

CConduct 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.

Potential for minimal harm · Administration Deficiencies · Tag F0838 · No revisit needed (Aug 27, 2026)

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

Potential for minimal harm · Resident Rights Deficiencies · Tag F0628 · No revisit needed (Aug 27, 2026)

April 2, 2025 · 5 citations

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Apr 30, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Apr 30, 2025)

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

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has plan of correction (Apr 30, 2025)

May 30, 2024 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jun 14, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 14, 2024)

February 22, 2024 · 1 citation

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Mar 11, 2024)

Questions to ask on a tour of Chowan River Nursing and Rehabilitation Center

  1. Several administrators left in the past year. What has changed for residents since then?
  2. The home averages about 38% of its beds filled. Are any units closed?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 4/5 3/5
August 2026 4/5 4/5 3/5 4/5
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Location

Hospitals near Chowan River Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.9 mi
    Chowan Hospital Edenton
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 44m for patients treated and sent home
  • 16.6 mi
    Washington County Hosp INC Plymouth
    Emergency room
  • 19.4 mi
    Bertie Memorial Hospital Windsor
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 46m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hertford Rehabilitation and Healthcare Center Hertford · 10.4 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 78 beds · Medicaid
The Carrolton of Plymouth Plymouth · 17.2 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 114 beds · Medicaid
Three Rivers Health and Rehabilitation Center Windsor · 19.5 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 60 beds · Medicaid
Windsor Rehabilitation and Healthcare Center Windsor · 19.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 82 beds · Medicaid
Gates Health and Rehabilitation Center Gatesville · 22.9 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 70 beds · Medicaid

More nursing homes near Chowan River Nursing and Rehabilitation Center ›   All nursing homes in Edenton ›

Compare Chowan River Nursing and Rehabilitation Center with the 3 closest homes side by side ›

Other Principle Long Term Care nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/edenton/chowan-river-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.