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Three Rivers Health: Catheter Care Violations - NC

Healthcare Facility
Three Rivers Health And Rehabilitation Center
Windsor, NC  ·  4/5 stars

Inspectors visited Three Rivers Health and Rehabilitation Center on January 28, 2026, and found the kitchen in a condition the dietary manager later acknowledged had not been properly addressed. She said she had not gone behind staff frequently enough to verify cleaning tasks were actually done. When she assigned something, she expected it to get completed. Sometimes she was the cook herself during a shift and could not see everything.

The cleaning log for January 1 through January 11 could not be found at all. The dietary manager said the log was supposed to be posted weekly starting in December 2025 but did not happen because of holiday events.

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The deep fryer had been broken from January 4 until sometime around January 20 or 21, running at the wrong temperature. It was last cleaned on January 16. Staff used it anyway on January 23, and again on January 27.

The evening cook, interviewed on January 29, said the cleaning checklist was only meant for deep cleaning, not routine cleanup. Some staff dated their entries on the log. Some did not. When the day shift missed something, the evening shift was expected to pick up the slack. He could not always finish cleaning during the first shift because there were two meals to prepare.

The dietary manager said training had been conducted monthly during staff huddles but had not been documented before January 22, 2026. She planned to start documenting going forward. The last training session, on January 22, covered hand hygiene, food contamination, and single-use gloves.

The administrator, interviewed on January 30, said the cleaning schedules should be followed.

The dietary manager said all the issues observed on January 28 were cleaned later that same day. The person who cleaned them was called in before his shift was supposed to start.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Three Rivers Health and Rehabilitation Center from 2026-01-30 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: August 5, 2026  ·  Our methodology

Quick Answer

Three Rivers Health and Rehabilitation Center in Windsor, NC was cited for violations during a health inspection on January 30, 2026.

She said she had not gone behind staff frequently enough to verify cleaning tasks were actually done.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Three Rivers Health and Rehabilitation Center?
She said she had not gone behind staff frequently enough to verify cleaning tasks were actually done.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Windsor, NC, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Three Rivers Health and Rehabilitation Center or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 345404.
Has this facility had violations before?
To check Three Rivers Health and Rehabilitation Center's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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