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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Scotland House is a 60-bed assisted living and memory care center at 27669 Highway 125, Scotland Neck, Halifax County, North Carolina. the facility offers assisted living, memory care, respite care, and secured living with 24-hour staffing. Amenities include housekeeping, transportation services, restaurant-style dining, library, entertainment room, and outdoor common area. CMS Overall Rating is 2 out of 5 stars.
Current occupancy is 54 residents from a 60-bed capacity (90 percent). The facility accepts Medicaid but not Medicare.
The regulatory record spans two years with deficiency patterns in medication administration, dietary management, supervision, cleanliness, and controlled substance recordkeeping. Over two years, Scotland House logged eight deficiencies, averaging 4 annually, 23 percent better than North Carolina’s 5.2-deficiency benchmark. An April 13, 2022, annual survey cited three deficiencies: failure to maintain accurate listing of residents with physician-ordered therapeutic diets, failure to serve therapeutic diets as ordered for one resident with mechanical soft diet order, and medication administration errors for two residents including blood pressure medication administered more frequently than prescribed and dementia medication not administered for 27 days. A November 15, 2024, annual and follow-up survey cited five deficiencies: failure to maintain cleanliness in special care unit resident room and shared bathroom with cigarette burn holes, stains, dirt, and smoke odor, failure to provide supervision for a resident with smoking behaviors resulting in burn holes in clothing and bathroom floor creating fire risk, failure to ensure health care coordination and follow-up for a resident including failure to coordinate orthopedic referral for broken arm and obtain x-ray for rib injury, failure to administer medications as ordered for two residents including missed Lorazepam doses for one resident and incorrect insulin dosing for another, and failure to maintain accurate controlled substance records with 30 unaccounted Tramadol doses.
Occupancy has remained high at 90 percent as of November 2024. No fines or license suspensions are recorded. Verify dietary menu accuracy and implementation, resident supervision procedures especially for residents with behavioral risks like smoking, controlled substance security and reconciliation protocols, facility cleanliness and maintenance standards, and fire safety procedures.
The facility’s 2-star CMS rating combined with recurring deficiencies across medication administration, dietary compliance, resident supervision, and controlled substance management indicate systemic operational challenges. The 2.5-year gap between the April 2022 and November 2024 inspections shows unresolved issues persisting. The November 2024 deficiencies spanning unsafe unsupervised smoking creating fire risk, missed and incorrect medication doses, unaccounted controlled substances, and failure to coordinate orthopedic care represent serious patient safety concerns.
Families should ask about corrective actions and current systems for medication administration and fire safety implemented following the November 2024 inspection.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 53rd out of 90 homes in North Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 28m per day |
Higher than the North Carolina average: 76.4%In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 8 | 46 | This facility has 83% fewer total deficiencies than a typical North Carolina nursing home (8 vs. NC avg 46).↓ 83% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 2 | 11.5 | This facility has 83% fewer deficiencies per year than a typical North Carolina nursing home (2 vs. NC avg 11.5).↓ 83% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1 | 2.2 | This facility has 55% fewer deficiencies per inspection than a typical North Carolina nursing home (1 vs. NC avg 2.2).↓ 55% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 21 | This facility has 62% fewer total inspections than a typical North Carolina nursing home (8 vs. NC avg 21).↓ 62% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 5 | 19 | This facility has 74% fewer inspections with deficiencies than a typical North Carolina nursing home (5 vs. NC avg 19).↓ 74% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 63% | 90% | This facility has 27 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (63% vs. NC avg 90%).↓ 27% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 15, 2024, identified deficiencies related to cleanliness, supervision, health care coordination, medication administration, and controlled substance recordkeeping. Earlier inspections also noted issues with medication administration and dietary management, indicating recurring challenges in these areas. Inspectors cited problems such as inadequate supervision of a resident with smoking behaviors, missed medication doses including controlled substances, and failure to maintain a clean environment. No complaint investigations or enforcement actions were listed in the available reports. The pattern suggests ongoing concerns with medication management and resident care coordination, with no clear improvement shown in the most recent inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNorth Carolina average 4
Last Health inspection on Sep 2024
North Carolina average 20.9
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
100% better than North Carolina averageNorth Carolina average: 1.3
100% better than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
41% worse than North Carolina average
13% better than North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,089 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 0 | 17 | 9,140 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,605 | 92 | 100% | 8.9 |
| Registered Nurse | 4 | 0 | 4 | 1,307 | 90 | 98% | 11 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,061 | 85 | 92% | 10.8 |
| Dietitian | 1 | 0 | 1 | 558 | 67 | 73% | 8.3 |
| Administrator | 2 | 0 | 2 | 518 | 66 | 72% | 7.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 477 | 60 | 65% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 453 | 60 | 65% | 7.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 357 | 66 | 72% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 330 | 44 | 48% | 7.5 |
| Qualified Social Worker | 0 | 1 | 1 | 127 | 36 | 39% | 3.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 65 | 19 | 21% | 3.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 63 | 24 | 26% | 2.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 56 | 7 | 8% | 8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
90% lower than North Carolina averageNorth Carolina average: $76K
15% fewer fines than North Carolina averageNorth Carolina average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than North Carolina averageNorth Carolina average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 24, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
29% better than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
7% better than North Carolina averageNorth Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
17.0%
In line with North Carolina averageNorth Carolina average: 17.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
In line with North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
53% better than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
11.5%
83% worse than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
2.3%
68% better than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
5.6%
28% worse than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
2.5%
81% better than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
45.5%
50% worse than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
23% worse than North Carolina averageNorth Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
11.5%
86% worse than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
17% better than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
2.6%
97% worse than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
15% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
29% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Scotland House based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #95 / 97Payroll — State benchmarkedThis home is ranked 95th out of 97 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 km from city center
Estimated distance in km from NC 27874's city center to Scotland House's address, calculated via Google Maps.
Add your location
Scotland House is located in Scotland Neck, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 119 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | A+ | 13 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
| Scotland House |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Scotland Neck | 60 | 90.0% | +18% | 3.83 | -10% | -4% | $7.4k | 10 | 3.3 | - | 54 | - | 30 | Accordius Health At Scotland Manor, LLC | $5.7M | $2.3M | 40% | 345375 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77 | 71.5% | -6% | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ | 12 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106 | 68.3% | -11% | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ | 25 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ | 50 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
Scotland House has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NC state health department records, Scotland House's license number is HAL-042-006.
Scotland House's occupancy is 90%.
Scotland House received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Scotland House has 60 beds.
Yes — there are 3 photos of Scotland House in the photo gallery on this page.
Scotland House is located at 27669 Highway 125 Scotland Neck, NC 27874.
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