Rich Square Nursing & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 50 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (10 vs median 4.0)
- High staff turnover (56%)
Bottom 25% in NC · Critically understaffed (RN) · Worst in MAXIMUS HEALTHCARE GROUP chain · $190,684 in fines
What this means for your family
While the facility is frequently praised for its cleanliness and recreational programs, the reports of severe neglect and understaffing are deeply concerning. We strongly recommend that families conduct unannounced visits, particularly during night shifts, and inquire about the facility's recent state survey results before making a decision.
Google Reviews
Google Reviews
50 reviews analyzed“Rich Square Nursing & Rehabilitation Center receives polarized feedback, with many visitors praising the facility's cleanliness and friendly front-desk staff. However, serious allegations regarding patient neglect, including reports of dehydration and poor hygiene, suggest significant inconsistencies in the quality of care provided.”
Quality Themes
Tap a score for detailsStrengths
- Clean and odor-free environment
- Welcoming and helpful administrative/front-desk staff
- Professional and friendly nursing staff during daytime hours
- Engaging recreational activities
Concerns
- Serious neglect and hygiene issues (mentioned by 2 reviewers)
- Understaffing, particularly during night shifts (mentioned by 2 reviewers)
- Loss of personal property and clothing (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent focus on medication management, could you walk me through the specific steps your team takes to ensure residents receive the correct dosages and treatments on time?
- 2I noticed that staffing levels are a primary focus for your leadership; how do you ensure consistent, high-quality care for residents during the evening and overnight shifts?
- 3What specific protocols do you have in place to track and secure residents' personal belongings and clothing to prevent them from being misplaced?
- 4I see that you have a very active recreational calendar; could you share how you tailor these activities to keep residents engaged throughout the week?
- 5With the facility currently working to improve its health inspection outcomes, what specific quality assurance measures have you implemented to ensure the highest standards of hygiene and resident safety?
- 6How does your nursing team communicate with families regarding changes in a resident's health status or any urgent medical needs that arise?
Personalized based on this facility's data
Key Review Excerpts
“The Recreational Director has my vote. She is so creative. I know the residents get a kick out of her and all her creative way of making them fun!!!”
“This place is understaffed. Residents are neglected and left lying in stool and urine. Please don't come at night. 99% of the staff are sleep.”
“My father in law lived there and was not cared for as he should have been. He had a stroke and had to be placed there. He had a g tube so he depended on the nursing staff to feed him. On his death certificate it stated he died of dehydration.”
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
10
measures
5
measures
2
measures
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints that triggered 9 deficiencies in late 2023, highlighting serious concerns about medication management, nursing staffing, and safety supervision that required correction. The facility shows recurring issues across resident assessment, infection control, and building systems across multiple surveys, though all deficiencies have been reportedly corrected by the provider with documented correction dates or plans.
Jul 2, 2025Routine11
Administration Deficiencies
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.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
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.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Jun 6, 2024Routine9
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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, 2023Complaint8
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nov 21, 2023Complaint1
Nursing and Physician Services Deficiencies
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.
Feb 23, 2023Routine4
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jan 11, 2022Routine2
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
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
Nov 21, 2023
$190,684
Ownership & Operations
Who Operates This Facility
Rich Square Nursing & Rehabilitation Center
for profit
Chain Affiliation
Maximus Healthcare Group
11 facilities nationwide
Chain avg rating: 3.3/5 · Rank 10 of 11 (Worst)
Ownership & Management
Owners
Lbs Capital Holdings LLC
Owner · Organization
Rsh 1 LLC
Owner · Organization
Rsh 2 LLC
Owner · Organization
Bornstein, Yisroel
Owner
Hirsch, Nisson
Owner
Weitman, Yaakov
Owner
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
50 reviews from families & visitors
Official Website
Visit healthtiquegroup.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Rich Square Villa
< 1 miAssisted Living · Square, NC
Rich Square Manor
< 1 miAssisted Living · Square, NC
Pine Forest Rest Home
6.4 miAssisted Living · Woodland, NC
Quality Family Care
11.2 miAdult Family Home · Kelford, NC
Scotland Manor Health and Rehabilitation Center
13.2 miNursing Home · Scotland Neck, NC