Nursing home report card · Jacksonville, NC

Carolina Rivers Nursing and Rehabilitation Center

1839 Onslow Drive Extension, Jacksonville, NC 28540

Quick summary

Above-average Medicare rating

Overall rating is 4 of 5 stars. That is a positive signal — still read the inspection notes, visit in person, and ask about staffing on nights and weekends.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?

Medicare file prepared: Aug 1, 2026
Our record last updated: Oct 15, 2026
Last routine health inspection: Dec 12, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating

4out of 5

Combines inspection, staffing, and care measures.

Above average

Health inspections

5out of 5

Based on problems found during health inspections.

Among the highest Medicare ratings

Nursing staff

1out of 5

Based on staffing levels and related measures.

Among the lowest Medicare ratings

Health and care results

2out of 5

Based on reported health and care results.

Below-average Medicare rating

What do the ratings and warnings mean?

Medicare ratings: One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems: Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning: Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time: Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems

Building, alarms, exits, and related safety citations

Reported fines

$4,271

Total fine amounts in the imported penalty records

Medicare file prepared

Aug 1, 2026

Medicare home ID: 345072

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

Could have caused harm · isolated case
Oct 1, 2024 · Inspection rule 0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Could have caused harm · isolated case
Aug 16, 2024 · Inspection rule 0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Could have caused harm · isolated case
Aug 16, 2024 · Inspection rule 0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)

0.40hours per resident per day

about 24 minutes per resident per day

All nursing staff

3.57hours per resident per day

about 3 hr 34 min per resident per day

Registered nurse time on weekends

0.16hours per resident per day

about 9 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

Overall CMS rating: 4 stars
Health inspection rating: 5 stars
Staffing rating: 1 stars
Registered nurse time per resident: 0.4 hours/day
Total nurse time per resident: 3.57 hours/day

See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; North Carolina averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

Could have caused harm6 citations
Low risk of harm1 citation

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints: 0
Routine: 7
Fire safety: 0
Other: 0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Limited Liability company.

We do not have individual owner names for this home.

Other homes in this group: All Principle Long Term Care nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

October 1, 20241 finding

Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

August 16, 20243 findings

Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0644 · code D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0758 · code D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is…
Resident Assessment and Care Planning problems
Low risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0641 · code B
Ensure each resident receives an accurate assessment.

May 15, 20233 findings

Freedom from Abuse, Neglect, and Exploitation problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0609 · code D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code E
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.
Pharmacy Service problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0759 · code D
Ensure medication error rates are not 5 percent or greater.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

Fine · Aug 16, 2024$4,271

Other homes in this chain

Principle Long Term Care · other locations in North Carolina

Questions about Carolina Rivers Nursing and Rehabilitation Center

What is Carolina Rivers Nursing and Rehabilitation Center's Medicare star rating?

As of August 1, 2026, Carolina Rivers Nursing and Rehabilitation Center in Jacksonville, North Carolina has an overall CMS rating of 4 out of 5 stars. Other CMS scores: health inspection 5 of 5, staffing 1 of 5, quality measures 2 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.

Has Carolina Rivers Nursing and Rehabilitation Center been fined?

As of August 1, 2026, the imported penalty records list $4,271 in reported fines for Carolina Rivers Nursing and Rehabilitation Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.

Does Carolina Rivers Nursing and Rehabilitation Center have a Medicare abuse warning?

No. The current CMS Care Compare extract does not show an abuse warning icon for Carolina Rivers Nursing and Rehabilitation Center in Jacksonville, North Carolina.

How does Carolina Rivers Nursing and Rehabilitation Center compare with other nursing homes in North Carolina?

Its overall CMS rating is 4 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the North Carolina report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

Not a law firm. We share CMS inspection data and connect interested families with a free case review.
What happens next. A case-review specialist may follow up using the contact details you provide.
Your choice. No obligation to hire anyone. Read the contact consent and Privacy Notice before submitting your request.

Free · no obligation

Request a free case review

Answer a few questions. If you send a request, a case-review specialist may contact you. We are not a law firm.

Who will receive my information?

Nursing Home Reporter and its intake services receive your answers. We may share them with case-review or law-firm referral partners. Sending a request does not guarantee a lawyer or create an attorney-client relationship. Read our Privacy Notice.

Step 1 of 5

What happened?

Tap the closest match to continue. You can add details later.