Three Rivers Health and Rehabilitation Center
Grade B — 82/100 composite score
CMS Star Ratings
Certified Beds
60
Ownership
For profit - Corporation
Total Fines
None
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
LIBERTY HEALTHCARE PROPERTIES OF BERTIE COUNTY LLC
LIBERTY LONG TERM CARE LLC
LIBERTY REAL PROPERTIES
THREE RIVERS HEALTH AND REHABILITATION CENTER, LLC
MCNEILL, JOHN
MCNEILL, RONALD
JOHN A MCNEILL JR 2012 IRRV TR
LIBERTY HEALTHCARE GROUP LLC
RONALD B AND CYNTHIA J MCNEILL 2013 IRRV TR
MCNEILL, JOHN
MCNEILL, RONALD
LIBERTY HEALTHCARE MANAGEMENT INC
BORK, MATTHEW
BROWN, PENNY
MILLER, ROBERT
SEVERA, JEFFREY
WILSON, JEFFREY
MCNEILL, JOHN
MCNEILL, RONALD
MILLER, ROBERT
CALCUTT, JOESEPH V
Penalties & Fines
No penalties or fines on record.
Health Inspection Deficiencies (11)
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for Three Rivers Health and Rehabilitation Center?
Three Rivers Health and Rehabilitation Center in Windsor, North Carolina has a CareGrader grade of B (Good), with a composite score of 82.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for Three Rivers Health and Rehabilitation Center?
Three Rivers Health and Rehabilitation Center has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does Three Rivers Health and Rehabilitation Center have?
Three Rivers Health and Rehabilitation Center has 11 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
How many beds does Three Rivers Health and Rehabilitation Center have?
Three Rivers Health and Rehabilitation Center has 60 certified beds with approximately 50 current residents (83% occupancy). The facility is located at 1403 Conner Drive, Windsor, North Carolina 27983. It is a for profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.