Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Edgecombe Health Center By Harborview during CMS and state inspections, most recent first.
The facility failed to accurately code MDS assessments for four residents, leading to errors in documenting anticoagulant and antiplatelet use, as well as discharge status. Interviews with staff confirmed these discrepancies, with the MDS Coordinator acknowledging the mistakes and the Administrator emphasizing the need for accurate assessments.
A facility failed to document discussions about advance directives for a resident with stroke, hypertension, and thyroid disorder, leading to a deficiency. Staff interviews revealed confusion over responsibility for these discussions, with the Admission Director, Admission Nurse, and Social Worker each believing it was another's duty. The Administrator expected the Social Worker to handle and document these conversations, but this was not done.
A facility failed to provide a NOMNC to a resident's RP within the required time frame. The resident was scheduled for discharge, and the NOMNC indicated that Medicare coverage would end, potentially leaving the resident liable for costs. Despite multiple discussions about the discharge plan, the SW did not provide the form until the discharge day, citing missed opportunities as the RP had left the facility. The RP wanted to be informed of her rights earlier, and the Administrator acknowledged the oversight.
The facility failed to develop comprehensive care plans for three residents, omitting critical information about side rail use and anticoagulant medication. Two residents using side rails did not have this documented in their care plans, and staff were unaware of the requirement. Another resident on anticoagulant medication had no care plan addressing the associated bleeding risk, despite staff acknowledging the need for such documentation.
The facility failed to attempt alternative measures before installing side rails for two residents, leading to a deficiency. One resident with a seizure disorder and a history of stroke was observed with side rails raised without documented attempts to use alternatives. Similarly, another resident with a cerebral infarction diagnosis was found with side rails raised without prior attempts to use alternatives. Interviews with staff revealed a lack of awareness of the requirement to try alternatives before using side rails.
A resident on Levothyroxine for hypothyroidism did not receive a baseline thyroid function test as recommended by a consultant pharmacist. Despite orders from a nurse practitioner, the test was scheduled but not completed twice, with no documented reason for the omissions. The DON and NP acknowledged the oversight, but no negative outcome was reported for the resident.
Inaccurate MDS Coding for Medications and Discharge Status
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for four residents, leading to discrepancies in the documentation of anticoagulant use, antiplatelet use, and discharge status. Resident #109 was incorrectly coded as receiving anticoagulant medication, despite the medication administration record indicating otherwise. Resident #138's discharge was planned, but the MDS assessment inaccurately reflected it as unplanned. Resident #80 was taking aspirin, an antiplatelet medication, but the MDS assessment did not reflect this due to a misunderstanding about dosage requirements for coding. Resident #139 was discharged home, but the MDS assessment incorrectly stated the resident was discharged to a short-term general hospital. Interviews with the MDS Coordinator, Director of Nursing, and Administrator confirmed these coding errors. The MDS Coordinator acknowledged the mistakes in coding for each resident, and the Administrator emphasized that MDS assessments should accurately reflect the residents' statuses. These inaccuracies in the MDS assessments were identified through record reviews and staff interviews, highlighting a failure in the facility's assessment processes.
Failure to Document Advance Directive Discussions
Penalty
Summary
The facility failed to document discussions regarding advance directives for a resident, leading to a deficiency in honoring residents' rights. The facility's policy requires staff to determine if a resident has an advance directive upon admission and to document any discussions or offers to formulate one. However, for one resident, there was no documentation in the medical record indicating that the facility staff had spoken with the resident or their responsible party about advance directives. The resident was admitted with diagnoses including stroke, hypertension, and thyroid disorder, and was noted to have a full code status. Interviews with facility staff revealed a lack of clarity and communication regarding who was responsible for discussing advance directives with residents and their responsible parties. The Admission Director, Admission Nurse, and Social Worker each believed it was the responsibility of another staff member to have these discussions. The facility Administrator expected the Social Worker to follow up with families lacking advance directives and document these conversations, but this expectation was not met, resulting in the deficiency.
Failure to Provide Timely NOMNC to Resident's Responsible Party
Penalty
Summary
The facility failed to provide a Centers for Medicare and Medicaid (CMS) Form 10123-Notice of Medicare Non-Coverage (NOMNC) to a resident's Responsible Party (RP) within the required time frame. The resident, identified as Resident #129, was admitted to the facility and was scheduled for discharge. The NOMNC form indicated that Medicare coverage for the resident's skilled nursing and therapy services would end on 3/11/25, and the resident might have to pay for services received after that date. However, the form was not signed by the RP until 3/12/25, the day of the resident's discharge. Interviews with the Social Worker (SW) and the RP revealed that although there were multiple conversations regarding the resident's discharge plan, the SW did not provide the NOMNC form to the RP until the day of discharge. The SW reported that attempts to provide the form earlier were unsuccessful as the RP had already left the facility each time. The RP expressed a desire to have been informed of her rights regarding the discharge before the day it occurred. The facility's Administrator acknowledged that the SW should have ensured the NOMNC form was provided to the RP prior to the discharge day.
Deficiencies in Comprehensive Care Plans for Side Rails and Anticoagulant Use
Penalty
Summary
The facility failed to develop individualized, person-centered comprehensive care plans for three residents, leading to deficiencies in addressing the use of side rails and anticoagulant medication. Resident #82, who was admitted with a history of cerebral infarction, had an assessment indicating the use of bilateral one-quarter length side rails. However, the care plan did not reference the use of side rails, and both the MDS nurse and the Director of Nursing were unaware that side rails needed to be addressed in the care plan. Similarly, Resident #119, also admitted with a cerebral infarction, was using bilateral quarter length side rails, but the care plan did not include this information. Observations confirmed the use of side rails for both residents, yet the care plans remained incomplete. Resident #129, admitted with atrial flutter, was prescribed Eliquis, an anticoagulant medication. The resident's care plan did not address the risk of bleeding associated with the medication, despite the MDS indicating its use. The MDS Coordinator acknowledged the omission as an error, and the Director of Nursing confirmed that anticoagulants require additional safety monitoring, which should have been reflected in the care plan. These oversights highlight a lack of communication and awareness among staff regarding the necessity of including specific medical interventions and risks in comprehensive care plans.
Failure to Attempt Alternatives Before Using Side Rails
Penalty
Summary
The facility failed to attempt alternative measures before installing side rails for two residents, leading to a deficiency in compliance with regulatory requirements. Resident #82, who was admitted with a seizure disorder and a history of cerebral infarction, was observed with side rails in the raised position without any documented attempts to use alternatives. The side rail/entrapment risk evaluation for this resident did not include questions about trying alternatives, and the care plan lacked any reference to side rail usage. Interviews with the Unit Manager, Director of Nursing, and Administrator revealed a lack of awareness that attempting alternatives was a requirement. Similarly, Resident #119, admitted with a diagnosis of cerebral infarction, was also found with side rails raised without prior attempts to use alternatives. The resident's assessment and care plan did not address the use of side rails or alternatives. Interviews with facility staff, including the Unit Manager and Director of Nursing, confirmed that no alternative interventions were tried before implementing side rails, as they were unaware of this requirement. This oversight resulted in a deficiency due to the facility's failure to comply with the necessary assessment and consent procedures before using side rails.
Failure to Obtain Baseline Thyroid Function Test for Resident on Levothyroxine
Penalty
Summary
The facility failed to obtain a baseline thyroid function test for a resident who was prescribed Levothyroxine Sodium for hypothyroidism. The resident was admitted with a diagnosis of hypothyroidism and was ordered Levothyroxine Sodium. A consultant pharmacist recommended a baseline thyroid function test to be completed and repeated yearly. Despite the nurse practitioner writing an order for the lab test, the test results were not documented in the resident's medical record. The Director of Nursing acknowledged that the pharmacy recommendations were received and placed in the physician's box for response. The baseline thyroid function test was scheduled twice, but neither appointment was fulfilled, and the Director of Nursing was unaware of the reasons for these omissions. The Nurse Practitioner noted that the routine lab should have been completed within 1 to 2 weeks, but there was no negative outcome for the resident due to the missed labs. The Administrator confirmed that labs should be completed as ordered.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 65 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tarboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tarboro Health And Rehabilitation Llc | 0.1 mi | ★★★★★ | 0 | 0 |
| Rocky Mount Rehabilitation Center | 16.9 mi | ★★★★★ | 15 | 0 |
| The Carrolton Of Nash | 17 mi | ★★★★★ | 2 | 0 |
| Scotland Manor Health And Rehabilitation Center | 17.5 mi | ★★★★★ | 3 | 0 |
| Bryan Health And Rehab | 17.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Edgecombe Health Center By Harborview.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.