Carolina Rivers Nursing and Rehabilitation Center

Name: Carolina Rivers Nursing and Rehabilitation Center
Address: 1839 Onslow Drive Extension, Jacksonville, NC, 28540, US
Telephone: 9104553610

1839 Onslow Drive Extension, Jacksonville, NC 28540 · Onslow County · 120 certified beds · avg 103 residents/day · certified since Feb 1, 1971

Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)

5/5

Health inspection rating (on-site)

Serious findings on record

$4,271

Fines, last 3 years

3.68

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (7)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Oct 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 16, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Aug 16, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 16, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 15, 2023	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 15, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
May 15, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	4	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $4,271.

Date	Type	Amount / length
Aug 16, 2024	Fine	$4,271

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.68	4.01	3.95	top 50% in North Carolina; bottom 45% in the U.S.
Registered Nurse hours	0.41	0.64	0.69	bottom 29% in North Carolina; bottom 24% in the U.S.
Weekend total nurse staffing	3.42	3.56	3.50	top 39% in North Carolina; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.16	0.41	0.48	bottom 10% in North Carolina; bottom 6% in the U.S.
Total nursing staff turnover (%)	65.5	49.0	45.8	bottom 14% in North Carolina; bottom 9% in the U.S.
RN turnover (%)	88.2	45.7	42.9	bottom 2% in North Carolina; bottom 2% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.57, RN 0.40, weekend 3.32. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Boice, Gale	Individual	Corporate Officer	NOT APPLICABLE	03/05/2018
Johnson, Dianne	Individual	Corporate Director	NOT APPLICABLE	01/01/2011
Karstetter, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	05/15/2018
Principle It Services, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Principle Long Term Care, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Premier Nursing and Rehabilitation Center	2.6 mi	Jacksonville, NC	★★★☆☆	3/5

Compare this facility with the 1 closest →

All facilities in Jacksonville →

Facility data as of CMS processing date 2026-08-01. CCN 345072.

The Care File

Visit checklist — Carolina Rivers Nursing and Rehabilitation Center

1839 Onslow Drive Extension, Jacksonville, NC 28540 · 9104553610

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $4,271

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345072 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)