Rich Square Health & Rehabilitation Center
300 North Main Street, Rich Square, NC 27869 · (252) 539-4161
For profit - Limited Liability company · 69 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Rich Square Health & Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 10 citations (the North Carolina average is 4.7). It was fined 1 time in the last three years, $190,684 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 2, 2025 found 10 citations. What an inspection citation means
- 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.July 2, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.July 2, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.July 2, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.July 2, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 2, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 2, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 2, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.July 2, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 2, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.July 2, 2025 · F0628 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 28, 2023 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 28, 2023 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 28, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- 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.December 28, 2023 · F0726 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 28, 2023 · F0755 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that residents are free from significant medication errors.December 28, 2023 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 28, 2023 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.December 28, 2023 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 21, 2023 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $190,684November 21, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.17 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.41 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.85 | 0.89 | 0.86 |
| Nurse aides | 1.91 | 2.34 | 2.32 |
| Total nursing staff turnover | 52.1% | 49% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 69 |
| Average residents per day | 66.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Northampton Nursing and Rehabilitation Center Jackson · ★★★★★ 4 out of 5 stars
- PruittHealth-Farmville Farmville · ★★★★★ 3 out of 5 stars
- Cypress Glen Retirement Community Greenville · ★★★★★ 5 out of 5 stars
- Macgregor Downs Health Center by Harborview Greenville · ★★★★★ 2 out of 5 stars
- Greenville Health and Rehabilitation Center Greenville · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Rich Square Health & Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.