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Rich Square Health & Rehabilitation Center

All states › North Carolina › Rich Square › Rich Square Health & Rehabilitation Center

300 North Main Street Rich Square, NC 27869 · Northampton County

(252) 539-4161

SFF candidate Accepts Medicare Accepts Medicaid 69 certified beds For profit

CMS certification number 345356 · See this home on Medicare Care Compare

Special Focus Facility candidate CMS lists this nursing home as a candidate for its Special Focus Facility program, which means it qualifies to be selected for the program based on its inspection record. Shown as of October 2026. About the program (CMS).

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Rich Square Health & 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 Rich Square Health & Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 27 citations in the last three years. CMS imposed 1 penalty, including $190,684 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on. CMS lists it as a Special Focus Facility candidate.

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.

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Staffing

Nursing staff spend about 3.77 hours per resident per day at Rich Square Health & Rehabilitation Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 3.27 hours, 13% below its all-week average. 51.6% of nursing staff left within a year (North Carolina median 48.5%).

Nursing care per resident per day 3.77 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.42 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.27 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 51.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 62.5% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds69
Residents per day 66 About 95% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1991
Legal business nameLegal Business Name Not Available

Paying for care at Rich Square Health & Rehabilitation Center: Medicare and Medicaid

Rich Square Health & 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 July 2, 2025 and found 10 deficiencies. In total, inspectors issued 27 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 27 citations at Rich Square Health & Rehabilitation Center across 5 inspection dates, 9 of them from complaint investigations. 7 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 28, 2023 (complaint inspection). The most common areas cited were resident rights (7) and quality of life and care (5). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level K, December 28, 2023).

July 2, 2025 · 10 citations

FConduct 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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Jul 21, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jul 21, 2025)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jul 21, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 21, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 21, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 21, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jul 21, 2025)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jul 21, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 21, 2025)

BProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Jul 21, 2025)

June 6, 2024 · 6 citations

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jul 1, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 1, 2024)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jul 1, 2024)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Jul 1, 2024)

BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has plan of correction (Jul 1, 2024)

BNotify 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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has plan of correction (Jul 1, 2024)

December 28, 2023 · 8 citations, includes immediate jeopardy · includes complaint inspection

KProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

KEnsure 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 jeopardy · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

KProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

KEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

KAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Immediate jeopardy · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Jan 26, 2024)

November 21, 2023 · 1 citation · includes complaint inspection

EHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Complaint inspection · Deficient, Provider has date of correction (Dec 28, 2023)

February 23, 2023 · 2 citations

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 17, 2023)

BHonor 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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has plan of correction (Mar 17, 2023)

Questions to ask on a tour of Rich Square Health & Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on December 28, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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 $190,684 in fines.

DateTypeAmount or length
Nov 21, 2023 Fine $190,684

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 2/5
August 2026 1/5 1/5 1/5 2/5
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Location

Hospitals near Rich Square Health & 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.

  • 15.9 mi
    Roanoke Chowan Hospital Ahoskie
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 20m for patients treated and sent home
  • 23.0 mi
    ECU Health North Hospital Roanoke Rapids
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 32m 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

Northampton Nursing and Rehabilitation Center Jackson · 9.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 80 beds · Medicaid
Bryan Health and Rehab Scotland Neck · 12.8 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 60 beds · Medicaid
Scotland Manor Health and Rehabilitation Center Scotland Neck · 13.2 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 62 beds · Medicaid
Ahoskie Health and Rehabilitation Center Ahoskie · 16.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 151 beds · Medicaid
Liberty Commons Nursing and Rehabilitation Center Weldon · 20.5 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 50 beds · Medicaid

More nursing homes near Rich Square Health & Rehabilitation Center ›   All nursing homes in Rich Square ›

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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.

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https://www.nursinghomesineachstate.com/north-carolina/rich-square/rich-square-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.