CCN 345356 · Northampton County, North Carolina
Rich Square Health & Rehabilitation Center
300 North Main Street, Rich Square, NC 27869
Rich Square Health & Rehabilitation Center is a 69-bed for-profit nursing home in Rich Square, North Carolina, first certified for Medicare or Medicaid in 1991. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 66.2 residents a day, about 96% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $7.4 million in December 2014 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 69
- Average residents per day
- 66.2 (95.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Legal Business Name Not Available
- Certified since
- Feb 19, 1991
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Carolina median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.17 | 3.53 | 3.68 |
| RN hours per resident per day | 0.41 | 0.51 | 0.58 |
| Weekend nurse hours per resident per day | 2.69 | ||
| Nursing staff turnover | 52.1% | 48.6% | 44.9% |
| Occupancy (residents / beds) | 95.9% | 87.4% | 85.7% |
| Fines reported by CMS | 1 totaling $190,684 | ||
| Health deficiencies, latest standard survey | 10 (Jul 2, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Rich Square Health & Rehabilitation Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 1, 2017 | Rich Square Operations LLC | Rv Nursing Home, LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 11, 2014 | 223(f) refinance or purchaseHUD project name: Rich Square, 69 beds. Lender at endorsement: Oppenheimer Mf Hsg & Hcare | $7,392,000 | Ended Jan 8, 2026Prepayment | 05322175 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.