Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bryan Health And Rehab during CMS and state inspections, most recent first.
Call Bell Left Out of Reach for a Dependent Resident: A resident with severe cognitive impairment and ADL dependence was observed with the call bell button clipped to the cord and hanging from the wall outlet, out of reach while she was sleeping. The NA and nurse both stated they were focused on another difficult care situation and did not notice the call bell was inaccessible, and the DON and Administrator stated call bells were expected to be placed within residents' reach.
Nonfunctioning Resident Call Light: A resident with depression, dementia, and facial weakness was observed to have a call bell that did not activate the hallway light when pressed, despite a handheld bell being present in the room. Staff were unaware the call system was not working until it was reported, and leadership stated the facility performs monthly call bell checks and expected the light to function.
Two residents did not have their care plans updated to reflect significant changes in their conditions: one experienced notable weight loss without corresponding care plan revisions, and another developed a pressure ulcer that was not addressed in the care plan. Staff interviews confirmed that these omissions were oversights, despite awareness of the residents' needs.
A resident with macular degeneration and documented vision impairment was not evaluated for treatment or services to maintain her vision, despite expressing difficulty seeing and being unable to engage in preferred activities. Staff were aware of her poor vision and made some accommodations, but no referral for a vision assessment was made, and the resident was not offered in-house vision services as indicated in her care plan.
Call Bell Left Out of Reach for Dependent Resident
Penalty
Summary
The facility failed to ensure a dependent resident could access a call bell that was out of reach. Resident #16 was admitted to the facility and the quarterly MDS assessment showed she was severely cognitively impaired and needed assistance with activities of daily living. During observations on 6/15/2026, the resident was seen sleeping while the call bell button was clipped to the call cord and hanging from the wall outlet, away from her reach. The resident stated she did not know who moved the call bell button and said she could not reach it where it was placed. A nurse aide stated she did not know who clipped the call bell button to the cord and said she had been focused on another resident who was resisting care and did not notice the call bell was out of reach. The nurse aide then placed the call bell on the bed so the resident could reach it. The nurse stated she was not aware the call bell was out of reach and had been focused on getting the resident up after the resident was difficult in the morning and soiled. The DON stated she was not sure why the call bell was out of reach and expected it to be placed where the resident could reach it, and the Administrator stated nursing staff were expected to keep call bells within residents' reach.
Nonfunctioning Resident Call Light
Penalty
Summary
The facility failed to ensure the resident call light system was functioning properly for 1 of 21 residents observed for the resident call system. Resident #16 was admitted with diagnoses including depression, dementia, and facial weakness, and the quarterly MDS indicated she was severely cognitively impaired and needed assistance with activities of daily living. During observation, when Resident #16’s call light was pressed, the outside hallway light did not illuminate, although a handheld bell was present in the room. Resident #16 stated she sometimes used the call bell and was not aware it was not working, and when she used it during the interview, the call light still did not come on. Nursing staff were not aware the call bell was not functioning until it was brought to their attention. A NA stated she would report a non-working call bell to maintenance, and a nurse stated she learned of the issue only after the NA alerted her, after which the bell was replaced. The ESD stated he performs monthly checks on call bells and was surprised Resident #16’s bell was not working, while the DON and Administrator both stated the facility conducts monthly call bell checks and expected the light to be working.
Failure to Revise Care Plans for Weight Loss and Pressure Ulcer
Penalty
Summary
The facility failed to update and revise care plans for two residents in accordance with their changing clinical conditions. For one resident with a history of stroke, diabetes, and dysphagia, the care plan was not updated to address significant weight loss identified during a quarterly Minimum Data Set (MDS) assessment. Although the resident was receiving a therapeutic diet and had interventions in place for diabetes management and resistance to care, the care plan did not reflect the newly identified weight loss. Staff interviews confirmed that the care plan should have been updated when the weight loss was triggered, but this was missed due to competing assessment demands. In a separate case, another resident with dementia and lower extremity contractures developed an unstageable pressure ulcer on the right foot, as documented in the Wound Management Report and observed during a facility visit. Despite the presence of the pressure ulcer and its documentation in the resident's records, there was no corresponding care plan in place to address this condition. Staff interviews revealed that the responsible nurse was aware of the pressure ulcer but failed to update the care plan, and both the DON and Administrator confirmed that the care plan should have been created for the management of the pressure ulcer.
Failure to Ensure Vision Services for Resident with Visual Impairment
Penalty
Summary
A deficiency was identified when a resident with a known diagnosis of macular degeneration and documented visual impairment was not evaluated for treatment or services to maintain her vision. The resident expressed concerns about her ability to navigate her environment due to her eyesight deficits, and it was noted in her care plan that an ophthalmologist or optometrist consult should be arranged as indicated. Despite these documented needs and the resident's own reports of difficulty seeing and inability to read, there was no evidence that a vision evaluation or referral had been made during her stay. Multiple staff interviews revealed that while the resident's poor vision was known, and accommodations were made to help her locate personal items, no one had initiated a referral for a vision assessment. The social worker stated that residents are typically signed up for in-house vision services when notified by nursing or upon resident request, but the resident was not on the list to be seen. Nursing staff acknowledged the resident's complaints about her glasses not working but did not pursue further evaluation, and the nurse practitioner indicated she would have expected a vision evaluation if the resident was having difficulty seeing. The resident herself reported that she could not remember the last time she was seen by an eye doctor and expressed interest in obtaining new glasses to improve her vision. Despite her ongoing vision difficulties and the impact on her ability to engage in preferred activities such as reading, no recent vision services or evaluations were provided. The lack of action to address her visual impairment, despite clear indications and care plan interventions, led to the identified deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Scotland Neck
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Scotland Manor Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 3 | 0 |
| Rich Square Health & Rehabilitation Center | 12.8 mi | ★★★★★ | 0 | 0 |
| Northampton Nursing And Rehabilitation Center | 17.5 mi | ★★★★★ | 6 | 0 |
| Edgecombe Health Center By Harborview | 17.8 mi | ★★★★★ | 7 | 4 |
| Tarboro Health And Rehabilitation Llc | 17.9 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.