River Trace Nursing and Rehabilitation Center in Washington, NC has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It had $32,991 in fines over the last 24 months and a recent federal penalty, with cited problems in staff competency, infection control, and accident prevention.
Last inspection: August 22, 2025Penalties, last 24 months: $32,991recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 67%
Registered nurse turnover: 72%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
16.1%10.6%Improving
Residents with a fall causing major injury
2.7%0.9%Improving
Residents with pressure ulcers (bedsores)
3.1%2.8%No change
Residents with a urinary tract infection
0.9%1.9%Worsening
Residents who lost too much weight
8%7.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26%23.9%Improving
Residents whose ability to walk got worse
15.3%24.2%Worsening
Long-stay residents on antianxiety or sleep medication
24.8%17.3%Improving
Short-stay residents newly given an antipsychotic
1.3%0%Improving
Residents with a long-term catheter
0.8%0%Improving
Residents with new or worsening incontinence
12.8%8.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—94.8%—
Long-stay residents given the pneumonia vaccine
100%67.9%Worsening
Short-stay residents given the seasonal flu vaccine
—70.8%—
Short-stay residents given the pneumonia vaccine
97.7%76.5%Worsening
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $17,345 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $15,646 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $32,991 in total fines.
Federal fine
Jul 18, 2025
$17,345
Federal fine
Jun 21, 2024
$15,646
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
Occupancy
113.3 residents on an average day (81% of 140 beds)
Resident voice
Resident council
Medicare history
Certified for 44 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.