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Public Record

Three Rivers Health and Rehabilitation Center

Nursing HomeWindsor, NCCMS 345404
6 citations on record

Operated by Liberty Senior Living

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
60

*CMS

Avg. residents per day
53.1

*CMS

Inspection record

On record from CMS

Health citations
6

*CMS

Fire safety findings
8

*CMS

Inspections on file
5

*CMS

Last inspection
2026-01-30

*CMS

Citations

6 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0761Generalpotential for harm

    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.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0757Generalpotential for harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • 0761Generalpotential for harm

    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.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

Ownership

Liberty Senior Living

37nursing homes nationwide, in CMS records

All 37 are in North Carolina.

Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.

See the full ownership footprint

FAQ

Questions and answers

What is Three Rivers Health and Rehabilitation Center?
Three Rivers Health and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Windsor, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345404.
What is the CMS rating for Three Rivers Health and Rehabilitation Center?
Three Rivers Health and Rehabilitation Center has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Three Rivers Health and Rehabilitation Center have?
Three Rivers Health and Rehabilitation Center is certified for 60 beds. It serves an average of 53.1 residents per day.
How many citations does Three Rivers Health and Rehabilitation Center have?
Three Rivers Health and Rehabilitation Center has 6 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Three Rivers Health and Rehabilitation Center last inspected?
Three Rivers Health and Rehabilitation Center was last inspected on January 30, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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