River Trace Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 32 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 (1/5 stars)
- Above-median deficiencies (12 vs median 4.0)
- High staff turnover (63%)
- High RN turnover (53%)
Bottom 25% in NC · Worst in PRINCIPLE LONG TERM CARE chain · $32,991 in fines
What this means for your family
While recent reports suggest some administrative improvements and remodeling, the facility has a history of serious safety and communication lapses. Families should prioritize frequent, unannounced visits and ensure they have direct contact information for unit managers, as phone communication with the facility is frequently reported as unreliable.
Google Reviews
Google Reviews
32 reviews analyzed“River Trace Nursing and Rehabilitation Center receives highly polarized feedback, with recent reviews highlighting significant concerns regarding patient safety, facility maintenance, and administrative communication. While some families report positive experiences with staff attentiveness and recent remodeling efforts, others cite critical failures including delayed emergency medical response, poor hygiene, and lost personal belongings.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive individual staff members
- Recent facility remodeling efforts
- Active administration team in recent months
Concerns
- Poor communication and difficulty reaching staff (mentioned by 3 reviewers)
- Inadequate medical oversight and delayed emergency response (mentioned by 3 reviewers)
- Facility hygiene issues (pests, cleanliness) (mentioned by 2 reviewers)
- Neglect or loss of personal property (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1I noticed the facility has undergone recent remodeling; how have these physical updates impacted the daily environment and comfort for residents?
- 2Given that communication is a top priority for our family, what is the best way to ensure we receive timely updates regarding our loved one’s care and status?
- 3Could you walk us through the current protocols for medical oversight and how the team coordinates emergency responses when urgent needs arise?
- 4With the recent focus from your administration team, what specific steps are being taken to ensure consistent standards of cleanliness and hygiene throughout the facility?
- 5We understand that personal property is important; what systems are in place to help residents keep track of their belongings and ensure they remain secure?
- 6What does a typical day look like in terms of social engagement and activities to ensure residents feel active and connected within the community?
Personalized based on this facility's data
Key Review Excerpts
“River Trace waited 13 hours before calling EMS to carry my Dad to the ER. They NEVER called me to tell me that he was being sent to the ER.”
“I’ve recently been back and it’s a different feel and more welcoming. They are currently in the process of remodeling the place yet it still feel more welcoming then before.”
“The staff has consistently demonstrated genuine concern for my mother-in-law and has been eager to problem solve when addressing issues such as my mother-in-law’s nutritional needs and lack of appetite.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
5
measures
5
measures
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
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
River Trace has concerning patterns of recurring deficiencies across multiple inspections, including eight complaint-triggered issues where families filed reports about problems. The facility repeatedly struggles with care planning, resident rights, medication management, and infection control, with many issues appearing across multiple surveys rather than being fully resolved. While most deficiencies show correction dates, the pattern of recurring problems in core care areas suggests ongoing operational challenges that families should carefully consider.
Aug 22, 2025Routine8
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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 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.
Aug 22, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Jul 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 26, 2024Routine14
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Jun 21, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 4, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Federal Penalties
Fine
Jul 18, 2025
$17,345
Fine
Jun 21, 2024
$15,646
Ownership & Operations
Who Operates This Facility
River Trace Nursing and Rehabilitation Center
for profit
Chain Affiliation
Principle Long Term Care
44 facilities nationwide
Chain avg rating: 3.1/5 · Rank 43 of 44 (Worst)
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
32 reviews from families & visitors
Official Website
Visit rivertracecare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.