Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
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 Scotland Manor Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with hearing difficulties and cognitive impairment did not receive recommended ear wax removal after two audiology assessments documented excessive wax preventing hearing tests. Although the audiologist's recommendations were received by nursing management, there was no follow-up with the provider, and the physician was not notified, resulting in the resident not receiving the necessary treatment.
A resident with COPD who required supplemental oxygen did not have their oxygen supplies changed according to physician orders. Although records indicated the nasal cannula was changed as scheduled, observation showed the cannula in use was outdated. Staff interviews revealed that the assigned nurse signed off on the task before completing it, resulting in the physician's order not being followed.
A resident with COPD had physician orders for regular oxygen cannula changes, but a nurse documented that the tubing was changed on specific dates without actually performing the task. Observation showed the tubing in use was not changed as recorded, and staff interviews confirmed the documentation was inaccurate.
A resident with end-stage renal disease required dialysis three times a week, but the facility failed to complete necessary dialysis communication forms before the resident's appointments. The forms lacked critical information such as medications administered, access site details, and pain assessment. The Medication Aide responsible for filling out the forms was unaware of the required information, and the overseeing nurse did not complete the assessment portions. The Director of Nursing missed these incomplete forms during audits, and the Administrator confirmed the forms should have been completed.
A nurse aide failed to follow infection control policies by not performing hand hygiene after providing bathing and incontinence care to a resident. The aide did not change gloves or perform hand hygiene before moving from a contaminated to a clean task, as required by the facility's policies. This was confirmed through observations and interviews with the aide, the infection preventionist, and the administrator.
Failure to Implement Audiologist's Ear Wax Removal Recommendation
Penalty
Summary
The facility failed to follow up on an audiologist's recommendation for ear wax removal for a resident with hearing difficulties. The resident, who had a history of stroke and moderate cognitive impairment, was noted to have new verbal communication difficulties, including the need for commands to be repeated, not turning when spoken to, and difficulty understanding speech. Audiology assessments on two separate occasions documented that excessive, hardened ear wax in both ears prevented the completion of hearing tests and that the audiologist recommended contacting the resident's physician for a wax removal protocol. Despite these recommendations, a review of the resident's physician orders revealed that the audiologist's recommendations for ear wax removal were not implemented. Interviews with staff indicated that the audiology recommendations were received by nursing management, but there was no follow-up to ensure the provider was notified or that orders were obtained. The DON acknowledged receiving the recommendations but did not contact the provider until much later, and the social worker confirmed she only verified appointment completion without reviewing for nursing recommendations. Further interviews with the medical director and administrative staff confirmed that the physician was not made aware of the audiology recommendations and would have ordered the treatment if notified. The responsibility for reviewing and acting on the audiology recommendations was attributed to nursing management, but there was a lack of communication and follow-through, resulting in the resident not receiving the recommended ear wax removal treatment.
Failure to Follow Physician Orders for Oxygen Supply Changes
Penalty
Summary
The facility failed to follow physician orders regarding the timely changing of oxygen supplies for a resident with chronic obstructive pulmonary disease (COPD) who required supplemental oxygen. The resident's care plan included interventions to administer oxygen as ordered, and a physician order specified that the nasal cannula tubing and humidifier bottles were to be changed every seven days when oxygen was in use, specifically on the night shift every Wednesday. Documentation in the Medication Administration Record indicated that the oxygen nasal cannula was marked as changed on two occasions; however, direct observation revealed that the cannula in use was dated from a previous period, indicating it had not been changed as required. Interviews with nursing staff and the Director of Nursing confirmed that the responsibility for changing the oxygen supplies fell to the night nurse assigned to the resident. One nurse admitted to signing off on the task as completed before actually performing the change and acknowledged that it may have slipped his mind. The DON and Administrator both confirmed that the assigned nurse was responsible for ensuring the physician's order was carried out, but the order was not followed as documented and observed.
Inaccurate Documentation of Oxygen Cannula Changes
Penalty
Summary
The facility failed to ensure the accuracy of a medical record regarding the changing of oxygen nasal cannula tubing for a resident with chronic obstructive pulmonary disease (COPD). According to a physician's order, the resident's oxygen supplies were to be changed every seven days, with the date and initials recorded on the supplies. Review of the Medication Administration Record (MAR) indicated that the oxygen nasal cannula tubing was documented as changed on two specific dates by a nurse. However, during an observation, the tubing in use was labeled with a date that did not correspond to the documented change dates, suggesting the tubing had not been changed as recorded. Further investigation through staff interviews revealed that the nurse responsible for the documentation admitted to recording the tubing change on the MAR without actually performing the task on the specified dates. The nurse stated that the change was typically done at the end of the shift but acknowledged it may have been forgotten on those occasions. Both the Director of Nursing and the Administrator confirmed that documentation should not have indicated the tubing was changed if the task was not completed as ordered.
Failure to Complete Dialysis Communication Forms
Penalty
Summary
The facility failed to maintain ongoing communication with the dialysis treatment center for a resident with end-stage renal disease who required dialysis. The resident had an active physician order for dialysis three times a week, and the care plan included an intervention to communicate with the dialysis center using a dialysis communication form. However, a review of the dialysis communication forms revealed that 8 out of 17 forms were not completed by the facility staff prior to the resident's dialysis sessions. The missing information included medications administered prior to dialysis, details about the arteriovenous access site, signs or symptoms of infection, access site assessment, resident pain, and the time of transfer to the dialysis center. Interviews with facility staff and the Dialysis Charge Nurse indicated that the facility was responsible for completing the dialysis communication forms before the resident left for dialysis. Medication Aide #1, who was responsible for filling out the forms, was unaware of the required information and only recorded basic details such as vital signs and resident identification. The Director of Nursing acknowledged that the Medication Aide was not qualified to complete the assessment portion of the form and that Nurse #2, who was overseeing the Medication Aide, should have completed the necessary assessments. The Director of Nursing admitted to missing the incomplete forms during random audits, and the Administrator confirmed that the forms should have been completed prior to the resident's dialysis appointments.
Infection Control Deficiency Due to Improper Hand Hygiene
Penalty
Summary
The facility failed to implement its infection prevention program policies and procedures when a nurse aide did not perform hand hygiene after providing bathing and incontinence care to a resident. The facility's infection control policy required gloves to be worn during care activities such as bathing and perineal care to prevent cross-contamination. Additionally, the hand hygiene policy mandated that hand hygiene be performed before moving from a contaminated body site to a clean body site during resident care. During an observation, the nurse aide was seen performing hand hygiene and donning gloves before starting the care. However, after cleaning the resident's front side, including the perineal area, the aide did not remove the gloves or perform hand hygiene before assisting the resident to turn and continuing care on the backside. The aide then placed a clean brief and linens on the resident without changing gloves or performing hand hygiene. Interviews with the nurse aide, the infection preventionist, and the administrator confirmed that the aide did not follow the proper procedures for glove removal and hand hygiene during the care process.
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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) |
|---|---|---|---|---|
| Bryan Health And Rehab | 0.4 mi | ★★★★★ | 0 | 0 |
| Rich Square Nursing & Rehabilitation Center | 13.2 mi | ★★★★★ | 9 | 0 |
| Edgecombe Health Center By Harborview | 17.5 mi | ★★★★★ | 0 | 0 |
| Tarboro Health And Rehabilitation Llc | 17.6 mi | ★★★★★ | 0 | 0 |
| Northampton Nursing And Rehabilitation Center | 17.8 mi | ★★★★★ | 3 | 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 July 2026) and official state health department websites.