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Nursing home report

Rich Square Nursing & Rehabilitation Center

Registered name: Rich Square Health & Rehabilitation Center

Rich Square, NC · Medicare-certified · 69 beds

Needs attention
Special Focus candidateFor-profit
Data as of September 1, 2026
1 of 5 overall

Rich Square Nursing & Rehabilitation Center is rated 1 out of 5 stars overall, with 1-star health inspection and staffing ratings and 2-star quality measures. It is a special focus candidate/facility, had no fines in the last 24 months, and reported nurse staffing of 3.17 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.1666 hrs/resident/day

Quality measures

Last inspection: July 2, 2025Penalties, last 24 months: $0special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1666.

Staffing detail

Registered nurses
0.41
Licensed practical nurses
0.85
Nurse aides
1.91
Weekend nursing
2.69

Hours per resident per day.

Total staff turnover: 52%
Registered nurse turnover: 63%

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

18.6%13.3%Improving

Residents with a fall causing major injury

0%1.9%Worsening

Residents with pressure ulcers (bedsores)

9.1%6.8%Improving

Residents with a urinary tract infection

2%2%No change

Residents who lost too much weight

10.6%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.3%2.3%Improving

Residents whose ability to walk got worse

—9.4%—

Long-stay residents on antianxiety or sleep medication

10.6%8.2%Improving

Short-stay residents newly given an antipsychotic

0%3%Worsening

Residents with a long-term catheter

2.2%1.1%Improving

Residents with new or worsening incontinence

23.3%28.7%Worsening

Residents with depressive symptoms

0%12.5%Worsening

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

—81.6%—

Long-stay residents given the pneumonia vaccine

98%86.8%Worsening

Short-stay residents given the seasonal flu vaccine

—84.8%—

Short-stay residents given the pneumonia vaccine

78.1%75.8%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: K

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: K

The nursing home failed to ensure residents were free from significant medication errors. Cited December 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $190,684 in total fines.

  • Federal fine

    Nov 21, 2023

    $190,684

Operator & ownership

Recent ownership change · May 1, 2017

Now operated by Rich Square Nursing and Rehabilitation Center, previously Rich Square Health Care Center.

Ownership
For profit - Limited Liability company
Occupancy
66.2 residents on an average day (96% of 69 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.