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Nursing HomeMedicaid Top Rated

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.

1839 Onslow Drive Extension, Jacksonville, NC 28540120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 68 Google reviews

5
4
3
2
1
Carolina Rivers Nursing and Rehabilitation Center Nursing Home in Jacksonville, NC — Street View
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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 details
Food1.0Staff5.0Clean2.0ActivitiesN/AMeds2.0Memory1.0Comms3.0ValueN/A

Strengths

  • 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

234'17(1)'20(1)'22(5)'24(21)'26(8)

Distribution · 59 analyzed

5
27
4
6
3
1
2
4
1
21
10 reviews posted between Mar 11, 2024Mar 14, 2024 · 7 were 5-star

How They Respond to Reviews

0%response rate

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.

Rehab patient · 2024★★★★★

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.

Long-term resident · 2022☆☆☆☆

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.

Memory care family member · 2024☆☆☆☆
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
3.86hrs
94%
All nurses + aides combined
Staff Turnover
68%
Lower is better (< 30% = good)
RN Turnover
81%
Lower is better (< 30% = good)

Both 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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Similar to Avg

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
15.3%
NC
20.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
19.4%
NC
21.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
12.1%
NC
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
95.5%
NC
94.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
15.5%
NC
14.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.7%
Better than Avg
Here
17.7%
US
19.5%
NC
21.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility41.6%
Worse than Avg
Here
41.6%
US
81.8%
NC
80.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility41.0%
Worse than Avg
Here
41.0%
US
79.8%
NC
78.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Here
1.5%
US
1.6%
NC
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
1penalties
Well below state avg (5.6)
1 complaint-triggered
$4,271 in fines
Clean record — no deficiencies

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, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

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, 2024Routine
9
0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0758Potential for harm · IsolatedCorrected

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.

0222Potential for harm · IsolatedCorrected

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 15, 2023Routine
5
0578Potential for harm · PatternCorrected

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0521Potential for harm · IsolatedCorrected

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

Owner / Operator

Carolina Rivers Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Principle Long Term Care

Chain Size

44 facilities nationwide

Chain avg rating: 3.1/5 · Rank 5 of 44 (Best)

Ownership & Management

Key personnel

Johnson, DianneOfficer / DirectorBoice, GaleOfficer / DirectorPrinciple it Services, INC.ManagerPrinciple Long Term Care, INC.ManagerKarstetter, BrianManager
Source: Medicare provider data

Contact

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References & Resources

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