Rich Square Health & Rehabilitation Center: Staffing, Turnover, and Inspection Record
Rich Square Health & Rehabilitation Center is a 69-bed for-profit nursing home in Rich Square, North Carolina. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 18% below the North Carolina average of 2.34, and 52.1% nursing staff turnover (North Carolina average 49.0%).
Rich Square Health & Rehabilitation Center
300 North Main StreetRich Square, NC 27869
Northampton County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Rich Square Health & Rehabilitation Center, nurse aides logged 1.91 hours per resident per day, 18% below the North Carolina average. With about 66 residents a day, that works out to roughly 126 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.34 | 2.32 |
| Licensed practical nurses | 0.85 | 0.89 | 0.86 |
| Registered nurses | 0.41 | 0.61 | 0.69 |
| All nursing staff | 3.17 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.69 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.1% of nursing staff at Rich Square Health & Rehabilitation Center left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 62.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 2, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $190,684 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 21, 2023 | Fine | $190,684 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Rich Square Health & Rehabilitation Center holds 1 of 5 overall; the North Carolina average is 2.9.
About Rich Square Health & Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Feb 19, 1991
- Councils: resident council
- Area: rural
Nursing homes near Rich Square Health & Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Northampton Nursing and Rehabilitation Center Jackson | 9.5 | 80 | 1.91 | 3.24 | 59.1% | 4 | None |
| Bryan Health and Rehab Scotland Neck | 12.8 | 60 | 2.49 | 3.95 | 23.4% | 5 | None |
| Scotland Manor Health and Rehabilitation Center Scotland Neck | 13.2 | 62 | 2.19 | 3.30 | 43.2% | 4 | $7,361 |
| Ahoskie Health and Rehabilitation Center Ahoskie | 16.5 | 151 | 2.90 | 3.97 | 49.5% | 3 | None |
| Liberty Commons Nursing and Rehabilitation Center Weldon | 20.5 | 50 | 1.71 | 3.07 | 46.7% | 4 | None |
| Signature Healthcare of Roanoke Rapids Roanoke Rapids | 24.0 | 108 | 2.19 | 3.25 | 66.7% | 2 | $9,110 |
| Windsor Rehabilitation and Healthcare Center Windsor · abuse citation | 27.9 | 82 | 1.81 | 3.10 | 79.3% | 1 | $249,991 |
| Three Rivers Health and Rehabilitation Center Windsor | 28.0 | 60 | 1.96 | 3.56 | 48.9% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.