Hertford Rehabilitation and Healthcare Center — nursing home in Hertford, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 78 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 67.5 CMS, MDS-derived
CMS Certification Number: 345262
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 24, 1987
Ownership type: For profit - Limited Liability company
Operator (legal business name): Hertford Opco LLC
CMS chain: Simcha Hyman & Naftali Zanziper 79 facilities
Phone: (252) 426-5391
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 30, 2026

Citations

44

20 health · 24 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D29	E4	F5
Minimal	A·	B3	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345262
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 78
First approved: Jul 24, 1987
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 30, 2026	Health	Health Standard	1	Minimal	—	Open →
Jun 5, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 5, 2025	Health	Health Complaint, Health Standard	8	Potential harm	2	Open →
May 16, 2024	Fire safety	Fire Safety Standard	14	Potential harm	—	Open →
May 16, 2024	Health	Health Complaint, Health Standard	11	Potential harm	3	Open →
Jan 31, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D29	E4	F5
Minimal	A·	B3	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2026	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	No revisit needed Aug 13, 2026
Jun 5, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 11, 2025
Jun 5, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 11, 2025
Jun 5, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2025
Jun 5, 2025	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2025
Jun 5, 2025	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jul 1, 2025
Jun 5, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 1, 2025
Jun 5, 2025	F-0838	Conduct 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. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Jul 1, 2025
Jun 5, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 1, 2025	Complaint
Jun 5, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Plan of correction, not yet verified Jul 1, 2025
Jun 5, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Plan of correction, not yet verified Jul 1, 2025
May 16, 2024	K-0111	Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 5, 2024
May 16, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 9, 2024
May 16, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2024	Complaint
May 16, 2024	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2024
May 16, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2024
May 16, 2024	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jun 9, 2024
May 16, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 9, 2024
May 16, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jun 9, 2024
May 16, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 9, 2024
May 16, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Plan of correction, not yet verified Jun 9, 2024
May 16, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Jun 9, 2024
May 16, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Plan of correction, not yet verified Jun 9, 2024
Jan 31, 2023	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Jan 31, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Jan 31, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Jan 31, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2023
Jan 31, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Jan 31, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2023
Jan 31, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2023
Jan 31, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.09

State avg 3.87US avg 3.90

Registered nurse (RN)0.41

State avg 0.62US avg 0.69

Licensed practical nurse0.81

State avg 0.88US avg 0.86

Nurse aide1.87

State avg 2.37US avg 2.35

Weekend total nurse2.61

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.87 (case-mix index 1.50).

Staff turnover

Total nursing staff turnover65.8%

State avg 48.7%US avg 45.3%

Registered nurse turnover77.8%

State avg 45.7%US avg 42.5%

Administrators who left3

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 30, 2026
Cycle 1 health score: 0
Total weighted score: 14

Operating entity

Hertford Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Simcha Hyman & Naftali Zanziper

79 facilities in 6 states. CMS chain ID 580.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

4

Organizations

1

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nc East Holding LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 1, 2022
Tzvi Alter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	80%	Jul 1, 2022

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nc East Holding LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 1, 2022
Tzvi Alter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	80%	Jul 1, 2022
Tzvi Alter	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2022
Kirk Rogers	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jul 1, 2022

Same chain in North Carolina

All 78 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Accordius Health at Rose Manor LLC 4230 North Roxboro Street, Durham, NC 27704 CCN 345081	111	Aug 27, 2026	501 IJ1 harm5 open	$17k
Belmont Health & Rehabilitation 416 N Highland Street, Gastonia, NC 28052 CCN 345162	118	Aug 31, 2026	362 open	—
Plaza Health & Rehab 2616 East 5th Street, Charlotte, NC 28204 CCN 345201	120	Apr 29, 2026	605 IJ1 harm	$47k
Eden Rehabilitation and Healthcare Center 226 N Oakland Avenue, Eden, NC 27288 CCN 345241	112	Apr 13, 2026	231 IJ1 open	$17k
Redwood Health & Rehab 5939 Reddman Road, Charlotte, NC 28212 CCN 345243	116	Jun 23, 2026	292 open	$15k
Lotus Village Center for Nursing and Rehabilitatio 179 Combs Street, Sparta, NC 28675 CCN 345261	90	May 15, 2026	695 IJ2 harm	$330k
Yanceyville Rehabilitation and Healthcare Center 1086 Main Street North, Yanceyville, NC 27379 CCN 345265	157	May 29, 2026	423 open	—
Clayton Rehabilitation and Healthcare Center 204 Dairy Road, Clayton, NC 27520 CCN 345317	90	Feb 13, 2026	511 IJ1 harm	$166k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1300 Don Juan Road, Hertford, NC 27944
ZIP: 27944
County: Perquimans County FIPS 37143
State: North Carolina
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345262	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345262	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345262

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction