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Nursing homeFAID #8897

Carolina Rivers Nursing and Rehabilitation Center

1839 ONSLOW DRIVE EXTENSION, JACKSONVILLE, NC, 28540
(910) 455-3610
120 licensed beds
★★★★★4/5CMS Five-Star overall5/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of CAROLINA RIVERS NURSING AND REHABILITATION CENTER
Photo via Google · Carolina Rivers Nursing and Rehabilitation Center

Address

1839 Onslow Drive Extension
Jacksonville, NC 28540
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What we can show you for free.
Bed capacity
120
CMS facility ID
345072
Care type
Nursing home
County
Onslow
Facility name
Carolina Rivers Nursing and Rehabilitation Center
Street address
1839 ONSLOW DRIVE EXTENSION
City / state / ZIP
Jacksonville, NC 28540
Phone
(910) 455-3610

Carolina Rivers Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Jacksonville, North Carolina. It is licensed for 120 beds — above the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 15 senior care facilities in Jacksonville and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Carolina Rivers Nursing and Rehabilitation Center 15 times across 7 inspections in the last three years, and CMS has imposed $4,271 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Principle Long Term Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Boice, Gale
Officer — since 2018
Johnson, Dianne
Director — since 2011
Karstetter, Brian
Operational control — since 2018
Principle It Services, Inc.
Operational control — since 2011
Principle Long Term Care, Inc.
Operational control — since 2011

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1971-02-01
CMS overall rating
4 of 5 stars
Health deficiencies
0 at the last standard inspection
Federal fines
$4,271 total
Last standard inspection
2025-12-12
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$352 per day (≈ $10,700/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
58% Medicaid · 15% Medicare · 27% private/other
Occupancy
76% (fiscal year 2023)
Vs. state median
6% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2024-10-01Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-16
2024-08-16Health inspection3 citations
F-0641
B · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-04
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-01
F-0758
D · No harm found
Implement 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.
Corrected 2024-10-01
3 earlier / fire-safety inspections (11 citations)
2023-05-15Health inspection3 citations
F-0578
E · No harm found
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.
Corrected 2023-06-10
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-10
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-12
2024-08-16Fire-safety inspection6 citations
K-0222
D · No harm found
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.
Corrected 2025-01-05
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2025-01-05
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-01-05
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-05
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-05
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-05
2023-05-15Fire-safety inspection2 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-30
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-30

Federal penalties

2024-08-16Fine$4,271
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345072.
What people say on Google.
3.269 ratings on Google
★★★★★Will Murphy · 2026-05-26 · via Google

“I’ve been visiting this facility regularly for nearly two years, and the transformation over the last 4–5 months has been truly remarkable. While things were not always the best in the past, the new administration has completely turned things around and deserves a tremendous amount of credit for the positive changes that have been made. The staff has created a much more welcoming, caring, and upl…”

★★★★★June Bell-Bruns · 2026-06-04 · via Google

“A Special Shout-Out to Three Amazing Team Members at Carolina Rivers I would like to take a moment to recognize three exceptional women whose dedication, compassion, and professionalism make Carolina Rivers such a special place. Shaun truly loves others well. She brings a sweet, kind, and professional demeanor to everyone she encounters. As she walks the hallways, she is intentional about being …”

★★Alicia Batts · 2026-01-27 · via Google

“As many have said, there are some staff members who do care about the residents. I know they are doing what they can with the limited resources that they have. However, there are some things that are just not acceptable. My father was in here for 6 or so weeks. He rarely had success with the call bell or it took staff forever to respond. My sister and I visited one evening and my dad had an accide…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 15 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered