Federal inspection record · CMS data as of October 1, 2026
Rich Square Health & Rehabilitation Center
300 North Main Street, Rich Square, NC · (252) 539-4161
- Special Focus Facility
- Certified beds
- 69
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 19, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Rich Square Health & Rehabilitation Center carries 225.25 inspection points. That is fewer than 2% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
-
K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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K
Ensure that residents are free from significant medication errors.
-
K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Everything else, by area of care
Resident Rights6D
- D
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- B
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- B
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident when there is a significant change in condition
Quality of Life and Care3D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Administration2F
- F
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.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nursing and Physician Services1E
- E
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.
Inspection history
2025-07-02
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-06-06
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-02-23
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 46 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 63% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$190,684 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-11-21 | Fine | $190,684 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better | 93.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 96.4% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.5 pts better | 4.3% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 6.2% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.5 pts better | 8.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts better | 12.7% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.9 pts better | 4.7% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts better | 6.5% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.9% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts better | 18.7% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 7.9% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts worse | 72.0% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 16.6% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.8 pts worse | 72.3% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.2 pts worse | 35.4% | 22.2% | 23.4% |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3D
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress1F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke1F
- F
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Northampton Nursing and Rehabilitation Center
Jackson, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 13 min
- Fines
- $25,495
-
Bryan Health and Rehab
Scotland Neck, NC
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h
- Fines
- $0
-
Scotland Manor Health and Rehabilitation Center
Scotland Neck, NC · August Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 23 min
- Fines
- $7,361