River Trace Nursing and Rehabilitation Center
Washington, North Carolina · CCN 345215
18 surveys since 2010. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 81
- Surveys
- 18
- Harm or worse
- 6
- Immediate jeopardy
- 5
Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 140
- Ownership
- For profit - Corporation
- Chain
- PRINCIPLE LONG TERM CARE
- County
- Beaufort · rural
- Medicare-certified since
- 1981
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 somewhat more weighted findings than its peer group.
Weighted by harm level, against 92 for-profit facilities with 128 or more beds in North Carolina.
Last survey on record
Aug 22, 2025
444 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 |
|---|---|---|
| Annual nurse turnover | 67.1% | 52.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $32,991 across 2 penalties
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 | J412.9% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2064.5% | E619.4% | F— |
| No harm, potential for minimal | A— | B— | C13.2% |
Most frequently cited here
In CMS’s current monthly file.
- F5542×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at River Trace Nursing and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF726Aug 22, 2025
Based on observations, record review, and staff and Medical Director interviews, the facility failed to ensure staff were trained and competent in following manufacturer's guidelines for cleaning and disinfecting a shared glucometer for 1 of 1 observed (Resident #34). On 8/20/25 Nurse #1 was observed obtaining Resident #34's blood glucose (sugar) level followed by the nurse cleaning the glucometer with an alcohol wipe that was not an Environmental Protection Agency (EPA)-registered disinfectant. Nurse #1 revealed she worked at the facility since March of 2025, had always used an alcohol wipe to clean the glucometer, had not been trained on how to disinfect the glucometer, and was unaware an EPA-registered disinfectant needed to be used. […]
- Immediate jeopardy, isolatedF880Aug 22, 2025
Based on observations, record review, staff and Medical Director interviews, the facility failed to implement their infection control policies and procedures when Nurse #1 did not follow the manufacturer's instructions for cleaning and disinfecting a shared blood glucose meter (glucometer) before and after resident usage for 1 of 1 resident observed whose blood glucose (sugar) level was checked (Resident #34). On 8/20/25 Nurse #1 was observed obtaining Resident #34's blood glucose level followed by the nurse cleaning the glucometer with an alcohol wipe that was not an Environmental Protection Agency (EPA)-registered disinfectant. […]
- Immediate jeopardy, isolatedF689Jul 18, 2025
Based on observations, record reviews, and resident, staff, and Medical Director (MD) interviews, the facility failed to provide care in a safe manner. On 6/30/25 Resident #2 rolled off her bed during incontinence care and landed on the floor. Resident #2 sustained a right forearm skin tear and complained of severe pain and was sent to the Emergency Department (ED) for evaluation. The Resident was diagnosed with a closed fracture (the broken bone does not penetrate the skin) at the distal end (just above the knee joint) of the left femur (thighbone) and closed fracture at the distal end of the right femur. In the ED, Resident #2 required intravenous (IV) fentanyl (an opioid drug used to treat severe pain) for pain. […]
- Immediate jeopardy, isolatedF684Jun 21, 2024
Based on record reviews and interviews with family, staff, Physician Assistant, and Physician the facility failed to monitor and assess a resident's neurological status (an assessment of motor and sensory response to determine if the nervous system is impaired) after an unwitnessed fall for a resident on an anticoagulant (Coumadin) and to recognize the seriousness of a change in condition and immediately seek emergent medical care. On [DATE] at approximately 9:30 AM Resident #1 was found in her room sitting on the floor and was unable to report what happened. At approximately 1:55 PM the resident was identified with lethargy, a change in mental status, and later developed unclear speech. The resident's family requested a transfer to the emergency room (ER) and 911 was called at 5:28 PM. […]
- No harm, potential for more than minimal, widespreadF880Dec 16, 2021
Based on observations, staff and resident interviews, and record review, the facility failed to have staff wear personal protective equipment (PPE) per Centers for Disease Control and Prevention (CDC) guidelines for counties with substantial or high transmission for 5 of 5 halls observed and failed to have staff wear PPE while in an enhanced barrier precaution room for 1 of 2 residents reviewed for transmission based precautions. (Resident #265) Findings included: The CDC COVID-19 community transmission rate for [NAME] County dated 12/12/21 revealed the county the facility was in was documented as high. […]
Read 21 findings in full →The most serious and the most recent: 21 of 81 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 22, 2025Standard and complaint11 findings · 2 harm
- Jul 18, 2025Complaint1 finding · 1 harm
- Jul 26, 2024Standard4 findings
- Jun 21, 2024Complaint1 finding · 1 harm
- Aug 4, 2023Complaint1 finding
- Apr 27, 2023Standard and complaint13 findings
- Dec 16, 2021Standard and complaint19 findings
- Nov 6, 2019Complaint1 finding
Show the 10 earlier surveys
- Aug 1, 2019Standard and complaint6 findings · 1 harm
- Jan 3, 2019Complaint1 finding
- Jun 1, 2018Standard and complaint6 findings
- Jun 8, 2017Standard and complaint3 findings
- May 26, 2016Complaint1 finding
- Dec 9, 2015Complaint1 finding · 1 harm
- Sep 24, 2015Standard4 findings
- Oct 9, 2014Standard and complaint5 findings
- Oct 18, 2012—1 finding
- Dec 2, 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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