The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2023 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
Nursing home report
Carolina Rivers Nursing and Rehabilitation Center
Jacksonville, NC · Medicare-certified · 120 beds
Needs attention
For-profitChain member
5 of 5 overall
Carolina Rivers Nursing and Rehabilitation Center has an overall 5-star rating and a 5-star health inspection rating, but lower 2-star staffing and 2-star quality measures ratings. Reported nurse staffing is 3.86 hours per resident per day versus the 4.1-hour federal benchmark, and it had $4,271 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8639 hrs/resident/day
Quality measures
Last inspection: December 12, 2025Penalties, last 24 months: $4,271recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8639.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 1.10
- Nurse aides
- 2.33
- Weekend nursing
- 3.49
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 81%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.2%Improving
Residents with a fall causing major injury
3.6%Worsening
Residents with pressure ulcers (bedsores)
6%Worsening
Residents with a urinary tract infection
1.5%Steady
Residents who lost too much weight
5.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.4%Steady
Residents whose ability to walk got worse
28.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
17.7%Worsening
Short-stay residents newly given an antipsychotic
1.5%Improving
Residents with a long-term catheter
2.5%Improving
Residents with new or worsening incontinence
8.2%Improving
Residents with depressive symptoms
3.9%Steady
Long-stay residents given the seasonal flu vaccine
98.9%Steady
Long-stay residents given the pneumonia vaccine
92.1%Worsening
Short-stay residents given the seasonal flu vaccine
41%Steady
Short-stay residents given the pneumonia vaccine
41.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited August 2024 — isolated incident, potential for harm.
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F-Tag 644 — 42 CFR §483.20 — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $4,271 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,271 in total fines.
- $4,271
Federal fine
Aug 16, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
- Occupancy
- 100.2 residents on an average day (84% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.