Rich Square Nursing & Rehabilitation Center – Rich Square, NC

CMS Verified | 2026-03-01

Rich Square Nursing & Rehabilitation Center

300 North Main Street, Rich Square, NC 27869
(252) 539-4161
69 beds
All Rich Square facilities
1.0*
Overall
1.0*
Health Inspection
2.0*
Quality Care
2.0*
Staffing
57.92
Score /100
#12629
National Rank

#12629
of 14703 facilities
National
14.1% position
#330
of 418 in NC
State Rank
#2
of 2 in Northampton
County Rank
#1
of 1 in Rich Square
City Rank
#1
of 1 in ZIP 27869
ZIP Rank






About Rich Square Nursing & Rehabilitation CenterRich Square Nursing & Rehabilitation Center is located at 300 North Main Street, Rich Square, NC, reachable at (252) 539-4161. This For profit – Limited Liability company facility operates 69.0 certified beds and serves an average of 53 residents per day. It is part of the Maximus Healthcare Group network (11 facilities nationwide). Medicare and Medicaid services have been provided since 1991-02-19. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Rich Square Nursing & Rehabilitation Center

Address

300 North Main Street, Rich Square, NC 27869

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 69 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: MAXIMUS HEALTHCARE GROUP

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 5 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
57.92
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12629 of 14703 nationally – #330 of 418 in North Carolina

Who Is This Facility Best For?

Rich Square Nursing & Rehabilitation Center may be considered for families with limited options in Rich Square, NC, but its lower CMS ratings suggest careful due diligence is warranted. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightRich Square Nursing & Rehabilitation Center currently provides 3 hours 33 minutes of total nurse staffing per resident per day, including 19 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 48 min/day (2022) to 19 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is high at 56.1%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 33 minutes
Nurse Aide Hours2 hours 19 minutes
Licensed Practical Nurse (LPN) Hours55 minutes
Registered Nurse (RN) Hours19 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours
Weekend Registered Nurse (RN) Hours11 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $190,684. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $190684.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 225.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,629
of 14,703
National
Bottom 14%
#330
of 418
NC State
Bottom 21% in NC
#2
of 2
️ Northampton County
#2 of 2
#1
of 1
️ Rich Square
Best in city
#1
of 1
ZIP 27869
Best in ZIP

Nationally, Rich Square Nursing & Rehabilitation Center ranks 12629th out of 14,703 facilities (composite score: 57.9/100), placing it in the bottom 25% nationwide. Within NC, it ranks 330th out of 418 nursing homes. For 2026 staffing: total nurse hours rank #8,554 nationally and RN hours rank #12,381 nationally (#346 in NC).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 3.42 #8,533 / 14,703 #195 / 418 Below average
2023 3.73 #5,948 / 14,703 #133 / 418 Above average
2024 3.01 #12,422 / 14,703 #361 / 418 ⚠️ Bottom 25%
2025 3.07 #12,537 / 14,703 #365 / 418 ⚠️ Bottom 25%
2026 3.55 #8,554 / 14,703 #203 / 418 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 0.79 #3,889 / 14,703 #70 / 418 Above average
2023 0.57 #6,813 / 14,703 #153 / 418 Above average
2024 0.38 #10,792 / 14,703 #290 / 418 Below average
2025 0.34 #11,957 / 14,703 #349 / 418 ⚠️ Bottom 25%
2026 0.32 #12,381 / 14,703 #346 / 418 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Rich Square Nursing & Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-02-19. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (252) 539-4161 or your local Medicaid office to verify current eligibility.

Rich Square Nursing & Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.9/100, placing it #12629 of 14703 facilities nationally and #330 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Rich Square Nursing & Rehabilitation Center receives a reported average of 3 hours 33 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 19 minutes; Licensed Practical Nurse (LPN) — 55 minutes; Nurse Aide — 2 hours 19 minutes. On weekends, total nurse staffing is 3 hours per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 56.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $190,684. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $190,684, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 225.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Rich Square Nursing & Rehabilitation Center ranks 12629th out of 14,703 facilities (composite score: 57.9/100), placing it in the bottom 25% nationwide. Within NC, it ranks 330th out of 418 nursing homes. For 2026 staffing: total nurse hours rank #8,554 nationally and RN hours rank #12,381 nationally (#346 in NC). Our composite quality score of 57.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Rich Square, visit: https://nursinghomesnearme.org/north_carolina/rich-square/

Contact and Location

ADR
Address

300 North Main Street, Rich Square, NC 27869
Get directions on Google Maps

TEL
LLC
Legal Name

RICH SQUARE OPERATIONS LLC

Facility Details

Number of Certified Beds 69
Average Residents / Day 53 (77% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Northampton County, NC
City Rich Square, NC
ZIP Code 27869
Approved Since February 19, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 345356
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org