Rich Square Health & Rehabilitation Center
300 North Main Street, Rich Square, NC 27869
Rich Square Health & Rehabilitation Center is a nursing home in Rich Square, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJuly 2, 2025 (1 year ago)
- Health citations since February 23, 202327 (North Carolina average 18)
- Fines in the past three years1, $190,684 in total
- CMS flagsSpecial Focus Facility candidate
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CMS flags
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of October 8, 2026
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Name
CMS lists a new name for this home. It was Rich Square Nursing & Rehabilitation Center.
Name
CMS lists a new legal business name for this home.
Ownership
CMS no longer lists a chain for this home.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Ownership
CMS lists this home under a new chain.
Staffing
Total nurse staffing reported to CMS went from 3.6 to 1.3 hours per resident per day.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new name for this home. It was RICH SQUARE NURSING & REHAB.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on July 2, 2025
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CMS lists it as corrected on July 21, 2025.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on July 21, 2025.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on July 21, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 21, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 21, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on July 21, 2025.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on July 21, 2025.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on July 21, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 21, 2025.
Citation F0628. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on July 21, 2025.
Fire safety inspection on July 2, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation E0001. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
CMS lists it as corrected on July 30, 2025.
CMS update of June 25, 2025
Health citation
CMS removed citation F0623 from the health inspection on June 6, 2024.
Health citation
CMS removed citation F0625 from the health inspection on June 6, 2024.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on June 6, 2024
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on July 1, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 1, 2024.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on July 1, 2024.
Citation F0887. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS lists it as corrected on July 1, 2024.
Citation F0623. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on July 1, 2024.
Citation F0625. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS lists it as corrected on July 1, 2024.
Fire safety inspection on June 6, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on October 5, 2024.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on October 5, 2024.
CMS has cited this home for K0521 2 times since 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 5, 2024.
CMS update of May 29, 2024
Fine
CMS changed the fine from November 21, 2023 from $293,360 to $190,684.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of March 28, 2024
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on December 28, 2023
8 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
32 of 419 North Carolina homes (8%) got a citation at the immediate jeopardy level in 2023.
Show the 8 citations
Citation F0684. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 26, 2024.
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 26, 2024.
Citation F0726. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS lists it as corrected on January 26, 2024.
Citation F0755. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 26, 2024.
Citation F0760. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on January 26, 2024.
Citation F0835. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on January 26, 2024.
Citation F0580. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 26, 2024.
Citation F0867. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on January 26, 2024.
Health inspection on November 21, 2023
1 citationCMS lists this as a complaint inspection.
CMS fine of $190,684 on November 21, 2023.
Show the 1 citation
Citation F0727. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS lists it as corrected on December 28, 2023.
Health inspection on February 23, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS lists it as corrected on March 17, 2023.
Citation F0584. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on March 17, 2023.
Fire safety inspection on February 23, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 21, 2023.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on April 21, 2023.
Fire safety inspection on January 11, 2022
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on February 2, 2022.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 2, 2022.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (252) 539-4161
- Last standard health inspection
- July 2, 2025 (1 year ago)
- Certified beds
- 69
- Residents per day, on average
- 65.5
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Legal Business Name Not Available
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the North Carolina average (27 vs 18).
Questions
When was Rich Square Health & Rehabilitation Center last inspected?
CMS lists July 2, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Rich Square Health & Rehabilitation Center have?
CMS lists 27 health citations since February 23, 2023. CMS also calls these deficiencies.
Has Rich Square Health & Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $190,684 in total.
What is the CMS star rating of Rich Square Health & Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is Rich Square Health & Rehabilitation Center a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.