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Three Rivers Health: Medication Storage Violations - NC

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

Often, it did not.

Inspectors visiting the facility on January 28, 2026 found kitchen conditions that staff scrambled to address the same afternoon. The dietary manager told inspectors on January 29 that she had not documented monthly training huddles before January 22, 2026, and that the cleaning log was supposed to be posted weekly starting in December 2025 but never was, because of holiday events. The log covering January 1 through January 11 could not be found at all.

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The evening cook, brought in early on January 29 to help clean, told inspectors that cooks were expected to clean up after themselves but that the deep cleaning checklist was inconsistently used. Some staff dated and signed their entries. Some did not. When the day shift missed cleaning tasks, he said, the evening shift was left to pick up the slack.

The deep fryer had been broken since January 4, running below proper temperature, and was not repaired until January 20 or 21. The dietary manager was not certain of the exact date. It was last cleaned on January 16, then used again on January 23 and January 27 before inspectors arrived.

The dietary manager acknowledged that rotating cleaning tasks each week had not worked because some staff simply did not do what they were assigned. The administrator, interviewed on January 30, said the cleaning schedules should be followed.

The inspection was completed January 30, 2026. CMS rated the harm level as minimal harm or potential for actual harm, with some residents affected.

The dietary manager said she planned to document huddles going forward.

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.

Inspectors visiting the facility on January 28, 2026 found kitchen conditions that staff scrambled to address the same afternoon.

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?
Inspectors visiting the facility on January 28, 2026 found kitchen conditions that staff scrambled to address the same afternoon.
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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