Nursing home
Rich Square Nursing & Rehabilitation Center
300 North Main Street, Rich Square, NC 27869 · Map
For profit - Limited Liability company · Part of Maximus Healthcare Group (11 facilities) · 69 certified beds
Rich Square Nursing & Rehabilitation Center is a Medicare-certified nursing home in Rich Square, North Carolina. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.55 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jul 2, 2025 cited 10 deficiencies.
- 1 fine totaling $190,684In 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 Rich Square Nursing & 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) | 3.55 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.32 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 56.1% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 10.0 | 5.6 | 9.5 | above 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.
- Every deficiency from the July 2, 2025 inspection was corrected by July 21, 2025
Penalties in CMS records: 1 fine totaling $190,684, 1 total penalty.
What inspectors found at Rich Square Nursing & 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
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.
Administration Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 2, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jul 2, 2025 · 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 · Jul 2, 2025 · Full report (PDF) - Minimal
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
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.
Infection Control Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Jun 6, 2024 · Full report (PDF)
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
- 300 North Main Street
Rich Square, NC 27869 - CMS certification #
- 345356
- Ownership
- For profit - Limited Liability company
- Certified beds
- 69
- Avg residents/day
- 53.3
- Provider type
- Medicare and Medicaid
- First certified
- 1991-02-19
- Chain
- Maximus Healthcare Group (11 facilities)
- Setting
- Rural
Part of Maximus Healthcare Group
Maximus Healthcare Group operates 11 nursing facilities across the United States. View all Maximus Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rich Square Nursing & Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Vidant Roanoke Chowan Hospital, Ahoskie. 16.0 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Northampton Nursing and Rehabilitation Center, Jackson. 9.5 miles away, straight line.
- Nearest home health agency office
- Northampton Co. Hha, Jackson. 12.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Futrell Pharmacy. 11.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27869 as rural (rural area).
- Dialysis within 15 miles
- Fresenius Medical Care East Northampton County, Conway, 11.4 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Halifax County Dialysis Center, Scotland Neck, 13.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 27869.
Vidant Home Health And Hospice, office in Ahoskie, 16.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Liberty Home Care Vi, LLC, office in Roanoke Rapids, 23.1 miles away, straight line
Community Home Care & Hospice, office in Roanoke Rapids, 23.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Legacy Care Aco LLC, Chesapeake. 63.8 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.
- 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: very low. By hazard: hurricane relatively moderate, inland flooding very low, wildfire relatively low, tornado relatively moderate, heat wave relatively low, 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 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| 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 |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Rich Square Nursing & Rehabilitation Center a good nursing home?
CMS gives Rich Square Nursing & Rehabilitation Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rich Square Nursing & Rehabilitation Center staffed?
Rich Square Nursing & Rehabilitation Center reports 3.55 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Rich Square Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Rich Square Nursing & Rehabilitation Center have?
Rich Square Nursing & Rehabilitation Center is certified for 69 beds.