Three Rivers Health & Rehab Center
2960 Chelsea Road · West Point, VA · 23181 · 7578434323
60 certified beds For profit - Limited Liability company
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
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
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $8,492 |
Inspection citations (36 in the current record)
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Potential for harm · D March 1, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 1, 2024 · Resident Rights
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Potential for harm · D March 1, 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 April 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 1, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 1, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 1, 2024 · Quality of Life and Care
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Potential for harm · E March 1, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 1, 2024 · Nursing and Physician Services
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Potential for harm · D March 1, 2024
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.
Corrected April 1, 2024 · Pharmacy Service
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Potential for harm · D March 1, 2024
Ensure that residents are free from significant medication errors.
Corrected April 1, 2024 · Pharmacy Service
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Potential for harm · E March 1, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 1, 2024 · Infection Control
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Actual harm · G September 13, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 24, 2023 · Pharmacy Service
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Potential for harm · D September 13, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 24, 2023 · Resident Rights
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Potential for harm · D September 13, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 15, 2023 · Resident Rights
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Potential for harm · D September 13, 2023 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 24, 2023 · Quality of Life and Care
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Actual harm · G July 29, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 1, 2021 · Quality of Life and Care
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Potential for harm · D July 29, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 1, 2021 · Resident Rights
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Potential for harm · D July 29, 2021
The resident has the right to receive notices in a format and a language he or she understands.
Corrected September 1, 2021 · Resident Rights
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Potential for harm · D July 29, 2021
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 1, 2021 · Resident Rights
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Potential for harm · D July 29, 2021
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 1, 2021 · Resident Rights
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Potential for harm · E July 29, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 1, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 29, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 29, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 1, 2021 · Quality of Life and Care
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Potential for harm · D July 29, 2021
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected September 1, 2021 · Quality of Life and Care
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Potential for harm · D July 29, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 1, 2021 · Quality of Life and Care
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Potential for harm · D July 29, 2021
Post nurse staffing information every day.
Corrected September 1, 2021 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 13, 2023 | Fine | $8,492 |
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 495303 · certified since September 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.