nursing home in Rich Square, NC
Rich Square Health & Rehabilitation Center
300 North Main Street, Rich Square, NC 27869 · (252) 539-4161
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★2
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Rich Square Health & Rehabilitation Center at a glance
Rich Square Health & Rehabilitation Center is a 69-bed for-profit nursing home in Rich Square, North Carolina (Northampton County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (July 2, 2025) found 10 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $190,684.
Nursing staff turnover is 52.1% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 69
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- February 19, 1991
- Resident/family council
- Resident
- County
- Northampton County
- CMS Certification Number
- 345356
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.17 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.41 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.91 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.69 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.1% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 225.3 | 49.2 | 80.6 | Worse |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $190,684 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 69 | 105 | 107 | |
| Average residents per day | 66 | 87 | 86 | |
| Occupancy | 95.9% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.8% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14.2% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 2.3% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.5% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 7.3% | 15.6% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9.4% | 18.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.4% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.2% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.8% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 21% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 81.6% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.5% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.8% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 84.8% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 66.8% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 7 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2025 Fire safety | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0001 | F Potential harm, widespread | Corrected July 30, 2025 |
| July 2, 2025 Standard | 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 · Tag F0838 | F Potential harm, widespread | Corrected July 21, 2025 |
| July 2, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | 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 · Tag F0578 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | 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 · Tag F0657 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 2, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | B No harm, pattern | Corrected July 21, 2025 |
| June 6, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected October 5, 2024 |
| June 6, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected October 5, 2024 |
| June 6, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected October 5, 2024 |
| June 6, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 6, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 6, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 6, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 6, 2024 Standard | 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 · Tag F0623 | B No harm, pattern | Corrected July 1, 2024 |
| June 6, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | B No harm, pattern | Corrected July 1, 2024 |
| December 28, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | K Immediate jeopardy, pattern | Corrected January 26, 2024 |
| December 28, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected January 26, 2024 |
| December 28, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected January 26, 2024 |
| December 28, 2023 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | K Immediate jeopardy, pattern | Corrected January 26, 2024 |
| December 28, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | K Immediate jeopardy, pattern | Corrected January 26, 2024 |
| December 28, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | K Immediate jeopardy, pattern | Corrected January 26, 2024 |
| December 28, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected January 26, 2024 |
| December 28, 2023 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected January 26, 2024 |
| November 21, 2023 Complaint | 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 · Tag F0727 | E Potential harm, pattern | Corrected December 28, 2023 |
| February 23, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected April 21, 2023 |
| February 23, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected April 21, 2023 |
| February 23, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 17, 2023 |
| February 23, 2023 Standard | 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 Rights Deficiencies · Tag F0584 | B No harm, pattern | Corrected March 17, 2023 |
| January 11, 2022 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected February 2, 2022 |
| January 11, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 2, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $190,684 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 21, 2023 | Fine | $190,684 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Rich Square Health & Rehabilitation Center
Northampton Nursing and Rehabilitation Center
Hwy 305 North, Jackson, NC 27845 · 9.5 mi
For-profit · 80 beds · Part of Principle Long Term Care
★★★★★4Above averageBryan Health and Rehab
921 Junior High School Road, Scotland Neck, NC 27874 · 12.8 mi
Non-profit · 60 beds
- CMS high performer
★★★★★5Much above averageScotland Manor Health and Rehabilitation Center
920 Jr High School Road, Scotland Neck, NC 27874 · 13.2 mi
For-profit · 62 beds · Part of August Healthcare
★★★★★4Above averageAhoskie Health and Rehabilitation Center
604 Stokes Street East, Ahoskie, NC 27910 · 16.5 mi
For-profit · 151 beds · Part of August Healthcare
★★★★★3AverageLiberty Commons Nursing and Rehabilitation Center
101 Caroline Avenue, Weldon, NC 27890 · 20.5 mi
For-profit · 50 beds · Part of Liberty Senior Living
★★★★★4Above averageSignature Healthcare of Roanoke Rapids
305 East Fourteenth Street, Roanoke Rapids, NC 27870 · 24 mi
For-profit · 108 beds · Part of Signature Healthcare
★★★★★2Below average
Frequently asked questions
What is Rich Square Health & Rehabilitation Center's rating?
Rich Square Health & Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Rich Square Health & Rehabilitation Center receive?
Its most recent standard health inspection found 10 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Rich Square Health & Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Rich Square Health & Rehabilitation Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Rich Square Health & Rehabilitation Center and how do I contact it?
Rich Square Health & Rehabilitation Center is at 300 North Main Street, Rich Square, NC 27869. Phone: (252) 539-4161.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.