Carolina Rivers Nursing and Rehabilitation Center
Strong Medicare quality ratings; families often praise effective physical and occupational therapy teams. Still worth an in-person visit.
based on 68 Google reviews

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What this means for your family
While the rehabilitation therapy team is frequently praised for helping patients regain mobility, the facility has a recurring pattern of severe neglect, particularly regarding hygiene and response times. If you choose this facility, we strongly advise unannounced visits at various times of the day and night to ensure your loved one is being checked on regularly and that their basic needs are being met.
Google Reviews
Google Reviews
68 reviews on Google“Carolina Rivers Nursing and Rehabilitation Center receives highly polarized feedback, with many families praising the physical and occupational therapy teams for successful recovery outcomes. However, there are consistent and serious reports of neglect, particularly regarding slow response times to call lights, poor hygiene, and inadequate staffing during night shifts. Potential families should be aware that while some staff members are described as compassionate, the facility struggles with cleanliness, food quality, and consistent communication.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy teams
- Some highly dedicated and compassionate nursing staff
- Helpful social work and administrative assistance
- Strong recovery outcomes for short-term rehab patients
Concerns
- Slow or non-existent response to call lights (mentioned by 7 reviewers)
- Poor facility hygiene and persistent odors (mentioned by 6 reviewers)
- Inadequate staffing and neglect during night shifts (mentioned by 5 reviewers)
- Poor food quality and lack of nutritional value (mentioned by 5 reviewers)
- Lack of communication or unprofessional staff attitudes (mentioned by 5 reviewers)
- Presence of pests (roaches) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Since your therapy teams are so highly regarded, how do you customize rehabilitation plans to ensure residents reach their specific recovery goals?
- 2What specific steps is the facility taking to improve response times for call lights and ensure residents feel heard throughout the day?
- 3How would you describe the current cleaning protocols and how do you ensure a fresh, pleasant environment in the resident rooms?
- 4Could you tell me more about the dining experience, specifically how the menu is planned to ensure meals are both nutritious and flavorful?
- 5What is the process for communicating important medical updates or changes in care between the nursing staff and family members?
- 6How do you manage medication administration during the night shifts to ensure consistent care and safety for all residents?
Personalized based on this facility's data
Key Review Excerpts
“The nurses have been so nice, caring and fantastic. Along with the cnas and physical therapists. All of these wonderful people are the reason I was able to walk again when I was told that I may not.”
“My roommate is left to lie in body waste for over 12hrs with no one to check on her or dry her. As I person of sound mind I’ve been told when I could not get out of bed to pee in a depend and wait for staff to change me.”
“I showed up later than planned to visit him and long story - he was lost. He was found wondering out in the parking lot and we have absolutely no idea how long he’d been out there.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
2
measures
1
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a pattern of building safety and maintenance issues, with recurring problems in fire safety systems, electrical systems, and facility infrastructure across multiple surveys. One family filed a complaint about accident hazards and inadequate supervision. While most deficiencies have been corrected, the facility also had issues with medication management and resident assessments that families should discuss during visits.
Oct 1, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 16, 2024Routine9
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
May 15, 2023Routine5
Resident Rights Deficiencies
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 Deficiencies
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Aug 16, 2024
$4,271
Ownership & Operations
Who Operates This Facility
Carolina Rivers Nursing and Rehabilitation Center
for profit
Chain Affiliation
Principle Long Term Care
44 facilities nationwide
Chain avg rating: 3.1/5 · Rank 5 of 44 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
68 reviews from families & visitors
Official Website
Visit carolinariverscare.com
Medicare data downloads
Original nursing home datasets
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