River Trace Nursing and Rehabilitation Center
250 Lovers Lane · Washington, NC · 27889 · 2529751636
140 certified beds For profit - Corporation Chain: Principle Long Term Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $32,991 |
Inspection citations (31 in the current record)
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Immediate jeopardy · J August 22, 2025
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.
Corrected September 26, 2025 · Nursing and Physician Services
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Immediate jeopardy · J August 22, 2025
Provide and implement an infection prevention and control program.
Corrected September 26, 2025 · Infection Control
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Potential for harm · D August 22, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · D August 22, 2025
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.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · D August 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 19, 2024 · Pharmacy Service
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Potential for harm · E August 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · D August 22, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · E August 22, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected September 26, 2025 · Administration
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Immediate jeopardy · J July 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E July 26, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 26, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 12, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024
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.
Corrected August 12, 2024 · Pharmacy Service
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Potential for harm · E July 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 12, 2024 · Nutrition and Dietary
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Immediate jeopardy · J June 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2024 · Quality of Life and Care
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Potential for harm · D August 4, 2023 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected August 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 27, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 25, 2023 · Resident Rights
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Potential for harm · D April 27, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 25, 2023 · Resident Rights
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Potential for harm · D April 27, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 25, 2023 · Resident Rights
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Potential for harm · D April 27, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 27, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 27, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 27, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 25, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 18, 2025 | Fine | $17,345 |
| June 21, 2024 | Fine | $15,646 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345215 · certified since October 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.