Nursing home · Top rated by CMS
Carolina Rivers Nursing and Rehabilitation Center
1839 Onslow Drive Extension, Jacksonville, NC 28540 · Map
For profit - Limited Liability company · Part of Principle Long Term Care (44 facilities) · 120 certified beds
Carolina Rivers Nursing and Rehabilitation Center is a Medicare-certified nursing home in Jacksonville, North Carolina. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.64 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Dec 12, 2025 cited 0 deficiencies.
- 1 fine totaling $4,271In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Carolina Rivers Nursing and Rehabilitation Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.64 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.53 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.21 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 66.4% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 0.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (December 2025)
- Every deficiency from the October 1, 2024 inspection was corrected by October 16, 2024
Penalties in CMS records: 1 fine totaling $4,271, 1 total penalty.
What inspectors found at Carolina Rivers Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 1, 2024 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Aug 16, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Aug 16, 2024 · Full report (PDF) - Minimal
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 16, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · May 15, 2023
Show all 7 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · May 15, 2023 - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 15, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1839 Onslow Drive Extension
Jacksonville, NC 28540 - CMS certification #
- 345072
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 101.2
- Provider type
- Medicare and Medicaid
- First certified
- 1971-02-01
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Urban
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Carolina Rivers Nursing and Rehabilitation Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2017, 23 violations cited
- Emergency In hurricane evacuation Zone E
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 1, 2017: complaint inspection, complete (health). Case closed Mar 5, 2019. 23 violations cited (16 serious, 7 other). Penalties: $24,800 proposed, $16,120 now. OSHA record. OSHA recorded the employer as 136542 - Principle Long Term Care, INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Propane and other liquefied petroleum gas (1910.110(f)(2)(ii)). Penalty $4,500 proposed, $2,925 now. To be fixed by May 7, 2018.
- Serious: Eye and face protection (1910.133(a)(1)). Penalty $7,000 proposed, $4,550 now. To be fixed by May 7, 2018.
- Serious: Medical services and first aid (including eyewash stations) (1910.151(c)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)(i)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(g)(1)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(h)(1)). Penalty $0 proposed, $0 now. To be fixed by May 23, 2018.
- Serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(f)(5)(i)). Penalty $0 proposed, $0 now. To be fixed by May 1, 2018.
- Serious: Lockout of equipment during maintenance (1910.147(c)(1)). Penalty $4,500 proposed, $2,925 now. To be fixed by Jun 14, 2018.
- Serious: Lockout of equipment during maintenance (1910.147(c)(4)(i)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Serious: Lockout of equipment during maintenance (1910.147(c)(7)(i)). Penalty $0 proposed, $0 now. To be fixed by May 23, 2018.
- Serious: Cited rule 1910.332(b)(1). Penalty $0 proposed, $0 now. To be fixed by May 23, 2018.
- Serious: Cited rule 1910.335(a)(1)(i). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iii)). Penalty $7,000 proposed, $4,550 now. To be fixed by May 7, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iv)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(ii)(b)). Penalty $0 proposed, $0 now. To be fixed by May 23, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(d)(3)(iv)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Other than serious: Injury and illness log forms (OSHA 300 and 301) (1904.29(b)(3)). Penalty $900 proposed, $585 now. To be fixed by May 7, 2018.
- Other than serious: Injury and illness log forms (OSHA 300 and 301) (1904.29(b)(6)). Penalty $900 proposed, $585 now. To be fixed by May 7, 2018.
- Other than serious: Keeping exit routes clear and marked (1910.37(b)(7)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Other than serious: Electrical equipment and installation (1910.303(f)(2)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(1)(i)(h)). Penalty $0 proposed, $0 now. To be fixed by May 1, 2018.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(1)(ii)(c)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(5)(i)). Penalty $0 proposed, $0 now. To be fixed by May 7, 2018.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Onslow Memorial Hospital, Jacksonville. 2.9 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Premier Nursing and Rehabilitation Center, Jacksonville. 2.6 miles away, straight line.
- Nearest home health agency office
- Lower Cape Fear Lifecare, Jacksonville. 2.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28540 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita New River Dialysis, Jacksonville, 1.7 miles away, straight line (CMS rating 3 of 5 stars)
Davita Sedc Jacksonville Dialysis Center, Jacksonville, 3.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 28540.
Continuum Home Care & Hospice, office in Jacksonville, 2.5 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Carteret Medical Group LLC, Cedar Point. 21.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zone E on the North Carolina Know Your Zone evacuation zones. (North Carolina Emergency Management, map updated Jun 5, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very high, inland flooding relatively moderate, coastal flooding relatively low, wildfire relatively low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Carolina Rivers Nursing and Rehabilitation Center a good nursing home?
CMS gives Carolina Rivers Nursing and Rehabilitation Center an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Carolina Rivers Nursing and Rehabilitation Center staffed?
Carolina Rivers Nursing and Rehabilitation Center reports 3.64 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Carolina Rivers Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Carolina Rivers Nursing and Rehabilitation Center have?
Carolina Rivers Nursing and Rehabilitation Center is certified for 120 beds.