Rich Square Nursing & Rehabilitation Center
300 North Main Street · Rich Square, NC · 27869 · 2525394161
69 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
Red flags
7 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.10 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
1.33 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 1.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.10 | 0.55–0.75 |
| Weekend hours / resident-day | 1.06 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $190,684 |
Inspection citations (27 in the current record)
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Potential for harm · D July 2, 2025
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.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D July 2, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D July 2, 2025
Ensure each resident receives an accurate assessment.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 2, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 2, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 2, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 2, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · F July 2, 2025
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.
Corrected July 21, 2025 · Administration
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Potential for harm · D July 2, 2025
Provide and implement an infection prevention and control program.
Corrected July 21, 2025 · Infection Control
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No harm found · B July 2, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D June 6, 2024
Assess the resident when there is a significant change in condition
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 1, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 1, 2024 · Infection Control
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Potential for harm · D June 6, 2024
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.
Corrected July 1, 2024 · Infection Control
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No harm found · B June 6, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 1, 2024 · Resident Rights
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No harm found · B June 6, 2024
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.
Corrected July 1, 2024 · Resident Rights
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Immediate jeopardy · J December 28, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 26, 2024 · Resident Rights
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Immediate jeopardy · K December 28, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 26, 2024 · Quality of Life and Care
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Immediate jeopardy · K December 28, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2024 · Quality of Life and Care
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Immediate jeopardy · K December 28, 2023 · found via complaint
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.
Corrected January 26, 2024 · Nursing and Physician Services
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Immediate jeopardy · K December 28, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 26, 2024 · Pharmacy Service
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Immediate jeopardy · K December 28, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 26, 2024 · Pharmacy Service
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Immediate jeopardy · K December 28, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 26, 2024 · Administration
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Potential for harm · E December 28, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 26, 2024 · Administration
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Potential for harm · E November 21, 2023 · found via complaint
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.
Corrected December 28, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 21, 2023 | Fine | $190,684 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345356 · certified since February 19, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.