Grantsbrook Nursing and Rehabilitation Center — nursing home in Grantsboro, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 96 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: 69.9 CMS, MDS-derived
CMS Certification Number: 345292
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 13, 1988
Ownership type: For profit - Corporation
Operator (legal business name): River Neuse Group, LLC
CMS chain: Principle Long Term Care 37 facilities
Phone: (252) 745-5005
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 2, 2026

Citations

16

10 health · 6 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E1	F1
Minimal	A·	B·	C·

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: 345292
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 96
First approved: Oct 13, 1988
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 2, 2026	Health	Health Complaint, Health Standard	1	Potential harm	—	Open →
May 12, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 12, 2025	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Apr 4, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 4, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Mar 22, 2023	Fire safety	Fire Safety Standard	2	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	D14	E1	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 2, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 27, 2026	Complaint
May 12, 2025	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 Jun 25, 2025
May 12, 2025	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 21, 2025
May 12, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 16, 2025
May 12, 2025	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 16, 2025	Complaint
May 12, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 16, 2025
Apr 4, 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 Jun 10, 2024
Apr 4, 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 Jun 10, 2024
Apr 4, 2024	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 16, 2024
Apr 4, 2024	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 16, 2024
Apr 4, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 16, 2024
Apr 4, 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 Apr 16, 2024	Complaint
Apr 4, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 16, 2024
Apr 4, 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	D · Potential harm Isolated	Corrected Apr 16, 2024
Mar 22, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 21, 2023
Mar 22, 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 Jul 21, 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 staffing3.25

State avg 3.87US avg 3.90

Registered nurse (RN)0.66

State avg 0.62US avg 0.69

Licensed practical nurse0.53

State avg 0.88US avg 0.86

Nurse aide2.07

State avg 2.37US avg 2.35

Weekend total nurse2.67

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.47 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover41.8%

State avg 48.7%US avg 45.3%

Registered nurse turnover36.4%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 2, 2026
Cycle 1 health score: 4
Total weighted score: 7

Operating entity

River Neuse Group, LLC

CMS legal business name of the certified provider. Operates 6 facilities.

VerifiedLinked by exact legal name

CMS chain

Principle Long Term Care

37 facilities in 2 states. CMS chain ID 423.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

12

Organizations

1

Individuals

10

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
Gale Boice	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Nov 19, 2025
Brian Karstetter	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 15, 2018
Suman Lamsal	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Principle Long Term Care, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2011
James Burrell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 6, 2024
Brian Karstetter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 15, 2018
Gale Boice	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 5, 2018
Dianne Johnson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2011
Principle Long Term Care, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 10, 2025
James Burrell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 16, 2025
Raymond Hill	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2011
Suman Lamsal	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 16, 2025

Other facilities operated by River Neuse Group, LLC

All 5 →

Facility	Beds	Last inspection	Citations (window)	Fines
Riverpoint Crest Nursing and Rehabilitation Center 2600 Old Cherry Point Road, New Bern, NC 28563 CCN 345211	105	Sep 18, 2025	22	—
Greendale Forest Nursing and Rehabilitation Center 1304 SE Second Street, Snow Hill, NC 28580 CCN 345366	115	Jun 18, 2026	262 harm5 open	$18k
Cherry Point Bay Nursing and Rehabilitation Center 110 Mccotter Boulevard, Havelock, NC 28532 CCN 345487	70	Jul 2, 2025	224 IJ1 open	$167k
Ayden Court Nursing and Rehabilitation Center 128 Snow Hill Road, Ayden, NC 28513 CCN 345490	82	May 12, 2026	301 IJ3 open	$25k
Croatan Ridge Nursing and Rehabilitation Center 210 Foxhall Road, Newport, NC 28570 CCN 345491	64	May 21, 2026	214 open	—

Same chain in North Carolina

All 36 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Jacob's Creek Nursing and Rehabilitation Center 1721 Bald Hill Loop, Madison, NC 27025 CCN 345050	170	Dec 18, 2025	181 IJ	$17k
Carolina Rivers Nursing and Rehabilitation Center 1839 Onslow Drive Extension, Jacksonville, NC 28540 CCN 345072	120	Dec 12, 2025	151 open	$4,271
Willow Creek Nursing and Rehabilitation Center 2401 Wayne Memorial Drive, Goldsboro, NC 27534 CCN 345113	200	Jun 11, 2026	252 harm	$16k
Northchase Nursing and Rehabilitation Center 3015 Enterprise Drive, Wilmington, NC 28405 CCN 345119	140	Jun 23, 2025	361 harm	$7,901
Greenhaven Health and Rehabilitation Center 801 Greenhaven Drive, Greensboro, NC 27406 CCN 345132Abuse icon	120	Sep 4, 2025	402 IJ3 harm1 open	$123k
University Place Nursing and Rehabilitation Center 9200 Glenwater Drive, Charlotte, NC 28262 CCN 345142	207	Jul 24, 2025	492 harm1 open	$276k
Pine Ridge Health and Rehabilitation Center 706 Pineywood Road, Thomasville, NC 27360 CCN 345144	140	Aug 6, 2026	316 open	—
Bethany Woods Nursing and Rehabilitation Center 33426 Old Salisbury Road, Albemarle, NC 28002 CCN 345146	180	Apr 2, 2026	313 open	—

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: 290 Keel Road, Grantsboro, NC 28529
ZIP: 28529
County: Pamlico County FIPS 37137
State: North Carolina
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Riverpoint Crest Nursing and Rehabilitation Center 2600 Old Cherry Point Road, New Bern, NC 28563 CCN 345211	19.6 km	105		Sep 18, 2025	22	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345292	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345292	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 345292

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