Home›North Carolina›Onslow County›Carolina Rivers Nursing and Rehabilitation Center
C
Below Standard

Carolina Rivers Nursing and Rehabilitation Center

1839 Onslow Drive Extension · Jacksonville, NC 28540

9104553610 · For profit - Limited Liability company

120 beds101.2 residents210 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Carolina Rivers Nursing and Rehabilitation Center receives an overall staffing grade of C (Below Standard). With 3.6376 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5277 HPRD, below the recommended 0.75. It is 0.26 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.75% compared to weekdays. The facility relies heavily on temporary agency staff (22.01% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5277 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.01% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6376hrs/resident/day▼ 0.26
CMS benchmark: 3.48
RN HPRD
0.5277hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
13.75%
3.7847 weekday → 3.2642 weekend
Agency Staff
22.01%
17.94% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5849hrs/resident/day
Direct care aides
LPN HPRD
0.8977hrs/resident/day
Licensed practical nurses
Consistency
0.3754std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Onslow County Average+0.07 HPRD
3.57
03.64 HPRD
vs. North Carolina State Average-0.13 HPRD
3.77
03.64 HPRD
vs. National Average-0.26 HPRD
3.90
03.64 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Carolina Rivers Nursing and Rehabilitation Center ★
Jacksonville · This facility
—
C
3.63760.5277★★★★★
Premier Nursing and Rehabilitation Center
Jacksonville
2.6 mi
C
3.49650.5472★★★☆☆
The Laurels of Pender
Burgaw
31.3 mi
B
3.88380.611★★★★★
Riverpoint Crest Nursing and Rehabilitation Center
New Bern
31.5 mi
C
3.38260.496★★★☆☆
Kenansville Rehabilitation and Healthcare Center
Kenansville
32.8 mi
D
3.22520.3095★★★★☆
Harmony Hall Nursing and Rehabilitation Center
Kinston
36.1 mi
C
3.36930.6589★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$4,271
Fines Assessed
Oct 1, 2024Health
1 deficiency cited
▼
Aug 16, 2024Health
3 deficiencies cited
▼
May 15, 2023Health
3 deficiencies cited
▼

Penalty History

Aug 16, 2024Fine
$4,271
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.