Rich Square Health & Rehabilitation Center
A nursing home in Rich Square, North Carolina 27869
300 North Main Street, Rich Square, North Carolina 27869. (252) 539-4161.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 10 health citations at the latest inspection cycle North Carolina average: 4.6
- 3.77 nurse hours per resident per day North Carolina average: 3.87
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
10 health citations at the latest inspection cycle
The North Carolina average is 4.6.
Last standard inspection Jul 2, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Dec 28, 2023
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
24 citations in 3 months of the last 36. Last cited Jul 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 25 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 9 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 2, 2025: standard inspection10 citations
-
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.
-
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
-
Ensure each resident receives an accurate assessment.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Provide enough food/fluids to maintain a resident’s health.
-
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.
-
Provide and implement an infection prevention and control program.
-
Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Jun 6, 2024: standard inspection6 citations
-
Assess the resident when there is a significant change in condition
-
Provide safe and appropriate respiratory care for a resident when needed.
-
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
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.
-
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
-
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Dec 28, 2023: complaint inspection8 citations
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Ensure that residents are free from significant medication errors.
-
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nov 21, 2023: complaint inspection1 citation
-
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 19, 1991.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 69 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $190,684 in all.
- No Medicare payment denials in the last three years.
- 9 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 21, 2023 | Fine | $190,684 |
Who does the caring?
3.77 nurse hours per resident per day
The North Carolina average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | North Carolina average |
|---|---|---|
| Nurse hours per resident per day | 3.77 | 3.87 |
| Of which registered nurses | 0.42 | 0.62 |
| At weekends | 3.27 | 3.40 |
| Nursing staff turnover | 51.6% | 48.7% |
| Registered nurse turnover | 62.5% | 45.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- LBS Capital Holdings LLC owns 20% directly since Apr 3, 2022; Rsh 2 LLC owns 17.5% directly since May 1, 2017; Rsh 1 LLC owns 17.5% directly since May 1, 2017.
- Maximus Healthcare Group runs it.
- 11 owners or officers are people: Nisson Hirsch (corporate officer, 33%); Yisroel Bornstein (corporate officer, 33%); Nisson Hirsch (owns 5% or more directly, 20%); Yisroel Bornstein (owns 5% or more directly, 20%); Yaakov Weitman (owns 5% or more directly, 5%); Danisha Lyles (runs it (operational or managerial control)); Danisha Lyles (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Nisson Hirsch (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel Bornstein (additional disclosable party (controls, leases property to, or provides services to the home)); Yaakov Weitman (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| LBS Capital Holdings LLC | Owns 5% or more directly | 20% | Apr 3, 2022 |
| Rsh 2 LLC | Owns 5% or more directly | 17.5% | May 1, 2017 |
| Rsh 1 LLC | Owns 5% or more directly | 17.5% | May 1, 2017 |
| Rsh 2 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2017 | |
| Maximus Healthcare Group | Runs it (operational or managerial control) | Sep 28, 2016 | |
| Maximus Healthcare Group | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 16, 2025 | |
| Rsh 1 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2017 | |
| LBS Capital Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 3, 2022 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2017 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (North Carolina average 3.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 31.1 miles, this one had the 2nd most health citations at the latest inspection cycle (10; the middle value was 4).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Rich Square Health & Rehabilitation Center This nursing home | 10 | |
| Northampton Nursing and Rehabilitation Center | 9.5 | 5 |
| Bryan Health and Rehab | 12.8 | 2 |
| Scotland Manor Health and Rehabilitation Center | 13.2 | 3 |
| Ahoskie Health and Rehabilitation Center | 16.5 | 9 |
| Liberty Commons Nursing and Rehabilitation Center | 20.5 | 1 |
| Signature Healthcare of Roanoke Rapids | 24.0 | 10 |
| Windsor Rehabilitation and Healthcare Center | 27.9 | 14 |
| Three Rivers Health and Rehabilitation Center | 28.0 | 3 |
| Edgecombe Health Center By Harborview | 30.5 | 7 |
| Tarboro Health and Rehabilitation LLC | 30.5 | 0 |
| Gates Health and Rehabilitation Center | 31.1 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.