F

Rich Square Nursing & Rehabilitation Center

300 North Main Street, Rich Square, NC 27869
Score: 12 / 100

With a score of 12/100, Rich Square Nursing & Rehabilitation Center ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Rich Square Nursing & Rehabilitation Center is near the national average, with 3.55 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 27 deficiencies at Rich Square Nursing & Rehabilitation Center, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.55 3.8 Average
Registered Nurses (RN) 0.32 0.7 Below Average
Licensed Practical Nurses (LPN) 0.92 0.7 Above Average
Certified Nursing Assistants (CNA) 2.32 2.4 Average
Weekend Total Nursing 3.00 3.8 Below Average
Weekend RN Hours 0.18 0.7 Below Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
Jul 1, 2025
Most Recent Inspection
⚪ 4 Minor 🟠 16 Moderate 🔴 7 Serious
View recent deficiencies (5 shown)
  • Tag 0838 Severity F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Jul 1, 2025 · Administration Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Jul 1, 2025 · Resident Rights Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Jul 1, 2025 · Resident Rights Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Jul 1, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jul 1, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 10.1% 4.5% Worse
Falls with major injury 0.5% 3.0% Better
On antipsychotic medication 19.9% 14.5% Worse
Urinary tract infections 2.6% 2.5% Average
ADL decline (daily activities) 9.0% 14.0% Better
Excessive weight loss 7.7% 7.5% Average
New/worsened incontinence 17.6% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $190,684

How This Grade Was Calculated

This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
69
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 1, 2025
Deficiencies (Cycle 1)
10