All states › North Carolina › Jacksonville › Carolina Rivers Nursing and Rehabilitation Center
1839 Onslow Drive Extension Jacksonville, NC 28540 · Onslow County
All 2 nursing homes in Jacksonville, NC (2 take Medicaid)
CMS certification number 345072 · See this home on Medicare Care Compare
Is Carolina Rivers Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Carolina Rivers Nursing and Rehabilitation Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.60 hours per resident per day at Carolina Rivers Nursing and Rehabilitation Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 11% below its all-week average. 63.3% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Carolina Rivers Nursing and Rehabilitation Center: Medicare and Medicaid
Carolina Rivers Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 12, 2025 and found 0 deficiencies. In total, inspectors issued 7 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 7 citations at Carolina Rivers Nursing and Rehabilitation Center across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 6 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were pharmacy service (2) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "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" (tag F0578, level E, May 15, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.
October 1, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 16, 2024 · 3 citations
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
BEnsure each resident receives an accurate assessment.
May 15, 2023 · 3 citations
EHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure medication error rates are not 5 percent or greater.
Questions to ask on a tour of Carolina Rivers Nursing and Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on May 15, 2023. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 63.3% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $4,271 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 16, 2024 | Fine | $4,271 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 2/5 | 2/5 |
| August 2026 | 4/5 | 5/5 | 1/5 | 2/5 |
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Location
Hospitals near Carolina Rivers Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.8 mi
Onslow Memorial Hospital JacksonvilleEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 7m for patients treated and sent home
- 3.6 mi
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5.2 mi
NMC Camp Lejeune Camp LejeuneEmergency roomMedian ER visit 3h 21m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Principle Long Term Care nursing homes in North Carolina
- Jacob's Creek Nursing and Rehabilitation Center · Madison · 5 stars
- Maple Grove Health and Rehabilitation Center · Greensboro · 5 stars
- Grantsbrook Nursing and Rehabilitation Center · Grantsboro · 5 stars
- Kerr Lake Nursing and Rehabilitation Center · Henderson · 4 stars
- Lake Park Nursing and Rehabilitation Center · Indian Trail · 4 stars
- Bethany Woods Nursing and Rehabilitation Center · Albemarle · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.