Rich Square Health & Rehabilitation Center
Rich Square, North Carolina · CCN 345356
21 surveys since 2010, 15 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 93
- Surveys
- 21
- Harm or worse
- 15
- Immediate jeopardy
- 12
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 69
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Northampton · rural
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 94 for-profit facilities of 66–99 beds in North Carolina.
Last survey on record
Jul 2, 2025
495 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.17 | 3.42 |
| Registered-nurse hours per resident day | 0.41 | — |
| Annual nurse turnover | 52.1% | 51.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $190,684 across 1 penalty
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J13.7% | K622.2% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1348.1% | E27.4% | F13.7% |
| No harm, potential for minimal | A— | B414.8% | C— |
In the surveyor’s words
From the most serious findings on record at Rich Square Health & Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, patternF684Dec 28, 2023
Based on record review and interviews with staff, Emergency Medical Services (EMS) personnel, pharmacist, and physician, the facility failed to identify the seriousness of seizure activity on 12/4/23 and the need for medical intervention for a resident with a history of seizures who had not been provided with his anti-seizure medication (Vimpat) since 11/25/23. Resident #3 had four incidents of seizure activity between 12/4/23 and 12/5/23. Following the fourth seizure (12/5/23) the physician ordered Ativan (an antianxiety medication commonly used as a rescue medication for seizures) via intramuscular (IM) injection and the facility staff were unable to access the emergency Ativan medication supply to treat the resident in the facility. […]
- Immediate jeopardy, patternF689Dec 28, 2023
Based on observation, record review, interviews with residents, staff, dialysis center nurse, and Emergency Medical Services staff, the facility failed to provide safe transportation in the facility's transportation van and to ensure wheelchairs were utilized during transportation in accordance with manufacturer's instructions for 2 of 4 residents reviewed for accidents (Resident #1 and Resident #2). On 11/1/23 Transportation Assistant #1 utilized a geriatric chair (a padded chair with a wheeled base) to transport Resident #1 and during transportation the resident slid out of the chair onto the floor of the van. Resident #1 was not injured. […]
- Immediate jeopardy, patternF726Dec 28, 2023
Based on observation, record reviews and interviews with residents, staff, dialysis center nurse, and Emergency Medical Services staff, the facility failed to ensure Transportation Assistant #1, who was also a facility Nurse Aide, was trained by staff who was aware of the facility's transportation van's manufacturer's instructions for safe securement when Nurse Aide #1 provided her with training. Nurse Aide #1 was not aware that transporting a resident in a geriatric chair (a padded chair with a wheeled based) was not in accordance with the transportation van's manufacturer's instructions. […]
- Immediate jeopardy, patternF755Dec 28, 2023
Based on record review and interviews with staff, pharmacist, and physician, the facility failed to obtain an anti-seizure medication for a resident with a history of seizures resulting in 22 missed doses of the medication and to have staff capable of accessing the emergency medication supply to treat a medical emergency. Resident #3 was ordered Vimpat two times a day for seizures and from 11/25/23 through 12/5/23 the resident did not receive the medication as it was not obtained from the pharmacy. Resident #3 had four incidents of seizure activity between 12/4/23 and 12/5/23. […]
- Immediate jeopardy, patternF760Dec 28, 2023
Based on record review and interviews with staff, Emergency Medical Services (EMS) personnel, pharmacist, and physician interviews, the facility failed to administer an anticonvulsant medication to a resident for a period of 10 and half consecutive days and doses (11/25/23 through 12/5/23). Resident #3 had four incidents of seizure activity between 12/4/23 and 12/5/23. EMS was contacted on 12/5/23 and the resident was transported to the emergency room (ER) where Vimpat was administered. The resident had no further seizure activity after receiving Vimpat in the ER and was discharged back to the facility the same day. Upon return to the facility the resident was not administered one dose of the anticonvulsant on 12/6/23 for a total of 22 missed doses. […]
Read 31 findings in full →The most serious and the most recent: 31 of 93 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 2, 2025Standard10 findings
- Jun 6, 2024Standard6 findings
- Dec 28, 2023Complaint8 findings · 7 harm
- Nov 21, 2023Complaint1 finding
- Feb 23, 2023Standard2 findings
- Jan 11, 2022Standard and complaint5 findings · 2 harm
- Jun 10, 2021Complaint1 finding
- Nov 27, 2019Complaint1 finding
Show the 13 earlier surveys
- Aug 9, 2019Standard4 findings
- Feb 20, 2019Complaint1 finding · 1 harm
- Sep 28, 2018Standard and complaint7 findings · 3 harm
- Mar 27, 2018Complaint1 finding
- Oct 12, 2017Standard7 findings
- Oct 11, 2017Standard and complaint7 findings
- Dec 10, 2015Standard4 findings
- Feb 12, 2015Standard5 findings
- Dec 31, 2014Complaint4 findings
- Jan 24, 2014Standard5 findings
- Dec 20, 2012—5 findings
- Nov 3, 2011—7 findings · 2 harm
- Nov 5, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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