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Nursing homeFAID #9108

Rich Square Health & Rehabilitation Center

300 NORTH MAIN STREET, RICH SQUARE, NC, 27869
(252) 539-4161
69 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

300 North Main Street
Rich Square, NC 27869
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Public record summary

What we can show you for free.
Bed capacity
69
CMS facility ID
345356
Care type
Nursing home
County
Northampton
Facility name
Rich Square Health & Rehabilitation Center
Street address
300 NORTH MAIN STREET
City / state / ZIP
Rich Square, NC 27869
Phone
(252) 539-4161

About this facility — Rich Square Health & Rehabilitation Center

Rich Square Health & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Rich Square, North Carolina. It is licensed for 69 beds — below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 4 senior care facilities in Rich Square 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 Rich Square Health & Rehabilitation Center 35 times across 8 inspections in the last three years, and CMS has imposed $190,684 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.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Regulatory standing

Licensed / certified since
1991-02-19
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
$190,684 total
Last standard inspection
2025-07-02
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$443 per day (≈ $13,470/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 15% Medicare · 14% private/other
Occupancy
78% (fiscal year 2023)
Vs. state median
19% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
69
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-07-02Health inspection10 citations
F-0578
D · 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 2025-07-21
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-07-21
F-0628
B · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-21
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-07-21
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-21
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-21
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-21
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-21
F-0838
F · No harm found
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.
Corrected 2025-07-21
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-21
2024-06-06Health inspection6 citations
F-0623
B · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-01
F-0625
B · No harm found
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.
Corrected 2024-07-01
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-07-01
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-01
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-01
F-0887
D · No harm found
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.
Corrected 2024-07-01
7 earlier / fire-safety inspections (19 citations)
2023-12-28Health inspectionComplaint-triggered8 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-26
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-26
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-26
F-0726
K · Immediate jeopardyFrom a complaint
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.
Corrected 2024-01-26
F-0755
K · Immediate jeopardyFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-26
F-0760
K · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-01-26
F-0835
K · Immediate jeopardyFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-01-26
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-01-26
2023-11-21Health inspectionComplaint-triggered1 citation
F-0727
E · No harm foundFrom a complaint
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.
Corrected 2023-12-28
2023-02-23Health inspection2 citations
F-0584
B · No harm found
Honor 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.
Corrected 2023-03-17
F-0688
D · No harm found
Provide 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.
Corrected 2023-03-17
2025-07-02Fire-safety inspection1 citation
E-0001
F · No harm found
Establish an Emergency Preparedness Program (EP).
Corrected 2025-07-30
2024-06-06Fire-safety inspection3 citations
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-05
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-05
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-05
2023-02-23Fire-safety inspection2 citations
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-21
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-21
2022-01-11Fire-safety inspection2 citations
K-0222
F · 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 2022-02-02
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-02

Federal penalties

2023-11-21Fine$190,684
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 345356.

Inside your report

What unlocks when you order.

Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 35 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
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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