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THREE RIVERS HEALTH AND REHAB

📍 1403 CONNER DRIVE, windsor, NC 27983 📞 2527944441 🛏️ 60 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

33
Total Violations
5 years of data
$650
Total Fines
1 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2022 8 violations

Tag 0554 D Jun 3, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jul 1, 2022
Tag 0644 D Jun 3, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jul 1, 2022
Tag 0655 D Jun 3, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 1, 2022
Tag 0690 D Jun 3, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jul 1, 2022
Tag 0756 E Jun 3, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jul 1, 2022
Tag 0758 D Jun 3, 2022

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: Jul 1, 2022
Tag 0761 D Jun 3, 2022

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.

✓ Corrected: Jul 1, 2022
Tag 0812 E Jun 3, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 1, 2022

2021 2 violations

Tag 0641 D Jan 11, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 8, 2021
Tag 0686 D Jan 11, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 8, 2021

2019 5 violations

Tag 0550 D Dec 12, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jan 10, 2020
Tag 0641 E Dec 12, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 10, 2020
Tag 0655 E Dec 12, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jan 10, 2020
Tag 0758 D Dec 12, 2019

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: Jan 10, 2020
Tag 0761 D Dec 12, 2019

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.

✓ Corrected: Jan 10, 2020

2018 7 violations

Tag 0580 D Nov 16, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 14, 2018
Tag 0582 B Nov 16, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Dec 14, 2018
Tag 0623 B Nov 16, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Dec 14, 2018
Tag 0657 D Nov 16, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 14, 2018
Tag 0661 D Nov 16, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Dec 14, 2018
Tag 0745 D Nov 16, 2018

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Dec 14, 2018
Tag 0801 E Nov 16, 2018

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Dec 14, 2018

2017 11 violations

Tag 0550 D Dec 5, 2017

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jan 2, 2018
Tag 0584 D Dec 5, 2017

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jan 2, 2018
Tag 0600 D Dec 5, 2017

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 2, 2018
Tag 0622 D Dec 5, 2017

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jan 2, 2018
Tag 0641 D Dec 5, 2017

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 2, 2018
Tag 0686 D Dec 5, 2017

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 2, 2018
Tag 0791 D Dec 5, 2017

Provide or obtain dental services for each resident.

✓ Corrected: Jan 2, 2018
Tag 0279 D Jul 7, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 4, 2017
Tag 0309 D Jul 7, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Aug 4, 2017
Tag 0312 D Jul 7, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Aug 4, 2017
Tag 0353 D Jul 7, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Aug 4, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $650

$650
Fine
August 9, 2021
Average: $650 | Range: $650 - $650

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 3, 2022
0.00

Health

January 11, 2021
0.00

Health

December 12, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345404
345404
2527944441
Bertie

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual