The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
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
Data as of July 1, 2026
4 of 5 overall
Carolina Rivers Nursing and Rehabilitation Center in Jacksonville, NC has a 4 out of 5 star overall rating, with a 5-star health inspection score but very low staffing at 1 star and nurse staffing of 3.57 hours per resident per day versus the 4.1-hour federal benchmark. It also had $4,271 in fines in the last 24 months, a recent federal penalty, and recent inspection citations related to resident rights, accident hazards, and assessment/referral processes.
Facility ratings
Health inspections
Staffing
3.5702 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 3.5702.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.95
- Nurse aides
- 2.22
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 88%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.9%9.4%Improving
Residents with a fall causing major injury
1.2%6.9%Worsening
Residents with pressure ulcers (bedsores)
3.6%2.5%Improving
Residents with a urinary tract infection
3.7%3.7%No change
Residents who lost too much weight
6.8%1.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%17.9%Worsening
Residents whose ability to walk got worse
17.3%26.1%Worsening
Long-stay residents on antianxiety or sleep medication
18.9%16.9%Improving
Short-stay residents newly given an antipsychotic
2.2%2.2%No change
Residents with a long-term catheter
3.9%0.8%Improving
Residents with new or worsening incontinence
5.8%4.2%Improving
Residents with depressive symptoms
1.3%1.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
95.1%89.7%Worsening
Short-stay residents given the seasonal flu vaccine
—41%—
Short-stay residents given the pneumonia vaccine
30.3%48.5%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.
View the original federal record
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 stars avg
- Occupancy
- 103.4 residents on an average day (86% 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.