Public Record
Three Rivers Health and Rehabilitation Center
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 60
- Avg. residents per day
- 53.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 14
- Inspections on file
- 5
- Last inspection
- 2026-01-30
*CMS
*CMS
*CMS
Citations
14 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.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 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.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0919Generalpotential for harm
Meet requirements for the use of electrical equipment.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
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 14 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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