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Medicare-certifiedSkilled Nursing

Rich Square Nursing & Rehabilitation Center

Rich Square, North CarolinaMedicare inspection record
(252) 539-4161

About Rich Square Nursing & Rehabilitation Center

Rich Square Nursing & Rehabilitation Center provides compassionate skilled nursing and rehabilitation care to seniors in Rich Square, North Carolina. Our team focuses on healing and recovery, helping residents regain independence through personalized treatment plans and attentive daily support.

Community at a glance

Capacity

69 residents

Location

Rich Square, NC

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

300 North Main Street, Rich Square, North Carolina 27869

(252) 539-4161

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Rich Square Nursing & Rehabilitation Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on July 2, 2025, state inspectors cited 10 health deficiencies (the North Carolina average is 4.7).

Nurses and nurse aides spend 3 hours 10 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.

Medicare fined Rich Square Nursing & Rehabilitation Center once in the last three years, $190,684 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 10 minutesBelow the North Carolina average
Registered nurse time per resident, per day24 minutesBelow the North Carolina average
Nursing staff who left in the past year52%Above the North Carolina average

2 administrators have left the home in the past year.

Inspections

25 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 2, 2025 · Standard inspection · 10 citations

  • 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 21, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 21, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 21, 2025
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 21, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 21, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 21, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 21, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 21, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 21, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Minimal harm or risk, a pattern (level B)Resident RightsCorrected Jul 21, 2025

June 6, 2024 · Standard inspection · 6 citations

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 1, 2024
  • Assess the resident when there is a significant change in condition

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 1, 2024
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 1, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 1, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Minimal harm or risk, a pattern (level B)Resident RightsPlan to fix it accepted
  • 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.

    Minimal harm or risk, a pattern (level B)Resident RightsPlan to fix it accepted
December 28, 2023 · Complaint investigation · 8 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Immediate danger to residents, a pattern (level K)Pharmacy ServiceFrom a complaintCorrected Jan 26, 2024
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a pattern (level K)Pharmacy ServiceFrom a complaintCorrected Jan 26, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Jan 26, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Jan 26, 2024
  • 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.

    Immediate danger to residents, a pattern (level K)Nursing and Physician ServicesFrom a complaintCorrected Jan 26, 2024
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Immediate danger to residents, a pattern (level K)AdministrationFrom a complaintCorrected Jan 26, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Jan 26, 2024
  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jan 26, 2024
November 21, 2023 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Dec 28, 2023

Fines and payment denials

1 fine totaling $190,684 in the last three years.

  • November 21, 2023Fine: $190,684

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Legal Business Name Not Available
Medicare-certified beds
69
Average residents per day
66
Accepts
Medicare and Medicaid
First certified
February 19, 1991
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
345356

Location

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300 North Main StreetRich Square, NC 27869

5 other communities within 10 miles

Senior living near Rich Square

Questions about Rich Square Nursing & Rehabilitation Center

How did Rich Square Nursing & Rehabilitation Center do on its last inspection?+

State inspectors visited on July 2, 2025 and cited 10 health deficiencies. The North Carolina average is 4.7.

How much nursing care does each resident get at Rich Square Nursing & Rehabilitation Center?+

Nurses and aides spend 3 hours 10 minutes with each resident per day, including 24 minutes from registered nurses. 52% of nursing staff left over the past year.

Has Rich Square Nursing & Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Rich Square Nursing & Rehabilitation Center once in the last three years, totaling $190,684.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Rich Square Skilled Nursing in North Carolina Skilled Nursing guide Information last updated October 2026