Home / North Carolina / Jacksonville
Carolina Rivers Nursing and Rehabilitation Center
1839 Onslow Drive Extension, Jacksonville, NC 28540 · Onslow County · (910) 455-3610
120 certified beds, about 103 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345072 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 12, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 7 health citations since May 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $4,271 in the last three years; the largest was $4,271, and the latest is dated August 16, 2024.
Nurses and nurse aides worked 3.57 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
65.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
December 12, 2025Standard inspection · 0 citations
October 1, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews, the facility failed to prevent a resident from rolling off the bed during care which resulted in an abrasion of the posterior scalp and left ankle soft tissue swelling from a fall for 1 of 3 sampled residents reviewed for supervision to prevent accidents (Resident #1).
August 16, 2024Standard inspection · 3 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to refer a resident with newly evident diagnoses of serious mental illnesses for Pre-admission Screening and Annual Resident Review (PASRR) Level II screen for 1 of 4 sampled residents reviewed for PASRR (Resident #33).
- 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 limited.
Inspectors wroteBased on record review, and staff interviews, the facility failed to ensure a Physicians order for an as needed (PRN) psychotropic medication, Ativan, was time limited in time duration for 1 of 5 resident reviewed for unnecessary medications (Resident #34).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, observation, and staff interview the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of level 2 Pre-admission Screening and Resident Review (PASRR) for 2 out of 20 residents (Residents #9 and Resident #13) reviewed for accuracy in assessments.
May 15, 2023Standard inspection · 3 citations
- 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.
Inspectors wroteBased on records reviews and staff interviews, the facility failed to have Advance Directives (AD) in the residents' records for 7 of 7 sampled residents. (Resident #49, Resident #95, Resident #21, Resident #47, Resident #58, Resident #84, Resident #6).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, and record reviews, the facility failed to submit an initial allegation report and an investigation report to the state survey Agency for 1 of 3 sampled residents (Resident #148) reviewed for abuse.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 28 opportunities which gave the facility a medication error rate of 7.14%. This affected 2 of 4 residents observed during medication administration (Resident #31 and Resident #35).
Fire safety inspections
8 fire safety citations on file: 6 on August 16, 2024, 2 on May 15, 2023.
Every fire safety citation8 citations
- F Install proper backup exit lighting.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D 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.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 16, 2024 | Fine | $4,271 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.57 | 3.85 | 3.86 |
| Registered nurses | 0.40 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.42 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 65.5% | 49.0% | 45.8% |
| Registered nurse turnover | 88.2% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.67 on weekdays and 3.32 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.57 | 0.40 | 3.67 | 3.32 | 17.1% | 3 of 90 | 103 |
| Oct to Dec 2025 | 3.86 | 0.44 | 4.01 | 3.49 | 23.3% | 2 of 92 | 100 |
| Jul to Sep 2025 | 3.64 | 0.53 | 3.79 | 3.26 | 22.0% | 0 of 92 | 101 |
| Apr to Jun 2025 | 3.45 | 0.50 | 3.65 | 2.96 | 14.1% | 1 of 91 | 97 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.0 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.7 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: MAPLE LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Johnson, Dianne | Corporate director | Individual | 01/01/2011 | |
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Principle It Services, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Karstetter, Brian | Operational/managerial control | Individual | 05/15/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 16, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 16, 2024: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on October 1, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 15, 2023: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.32 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Premier Nursing and Rehabilitation Center Jacksonville, 2.6 mi · 3 of 5 stars · 31 citations
- Brook Stone Living Center Pollocksville, 20.2 mi · 3 of 5 stars · 18 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Carolina Rivers Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Carolina Rivers Nursing and Rehabilitation Center 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Carolina Rivers Nursing and Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 12, 2025. The North Carolina average is 4.7.
- Has Carolina Rivers Nursing and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $4,271 in the last three years.
- Does Carolina Rivers Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Carolina Rivers Nursing and Rehabilitation Center?
- CMS lists 5 owners and managers, and links the home to Principle Long Term Care. Legal business name: MAPLE LTC GROUP, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.