THREE RIVERS HEALTH & REHAB CENTER
36 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2023-09-13 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2021-07-29 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
2.86
state median 3.10
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.28
registered nurses only
Contract (agency) staff
16%
share of all nursing hours
Days with zero RN hours reported
5
with residents present
Nursing staff turnover
42%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $8,492 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-09-13 | Fine | $8,492 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-03-01 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-01 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-01 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-01 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-03-01 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-01 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-01 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2023-09-13 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-13 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-13 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-13 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-13 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2021-07-29 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-29 | F0574 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-29 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-29 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-29 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2021-07-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-29 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-29 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2021-07-29 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-29 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-29 | F0732 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2021-07-29 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-07-29 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-07-29 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-07-29 | F0840 | Administration Deficiencies | D | not recorded |
| 2018-11-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2018-11-01 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2018-11-01 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2018-11-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2018-11-01 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2018-11-01 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2018-11-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |