Three Rivers Health And Rehabilitation Center
Three Rivers Health And Rehabilitation Center is a 4-star rated nursing home in Windsor, NC with 60 beds. CMS sub-ratings: health inspections 4/5, staffing 2/5, quality measures 4/5.
The facility has 33 health violations on record. Federal fines total $650 across 1 enforcement action. Most recent inspection: June 3, 2022.
Staff turnover rate: 61.9% — significantly above the national average.
Data synthesized from CMS.gov and North Carolina public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Our Coverage of Three Rivers Health And Rehabilitation Center
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
2021 1 penalties totaling $650
Fine
Health Violations by Year
2022 8 violations
Allow residents to self-administer drugs if determined clinically appropriate.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2021 2 violations
Ensure each resident receives an accurate assessment.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2019 5 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
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.
2018 7 violations
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
2017 11 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Ensure each resident receives an accurate assessment.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide or obtain dental services for each resident.
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide necessary care and services to maintain or improve the highest well being of each resident .
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Frequently Asked Questions About Three Rivers Health And Rehabilitation Center
- What violations has Three Rivers Health And Rehabilitation Center received?
- Three Rivers Health And Rehabilitation Center has 33 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Three Rivers Health And Rehabilitation Center?
- Three Rivers Health And Rehabilitation Center has a 4-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
- When was Three Rivers Health And Rehabilitation Center last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Three Rivers Health And Rehabilitation Center safe?
- Safety at Three Rivers Health And Rehabilitation Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Three Rivers Health And Rehabilitation Center?
- Phone: (252) 794-4441. Address: 1403 Conner Drive, Windsor, NC. For visiting hours and admission information, call the facility directly.
- What services does Three Rivers Health And Rehabilitation Center offer?
- Three Rivers Health And Rehabilitation Center is a skilled nursing facility with 60 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Windsor, NC?
- Compare Three Rivers Health And Rehabilitation Center with other nursing homes in Windsor, NC on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Windsor, NC
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Three Rivers Health And Rehabilitation Center (this facility) | ★★★★☆ | 33 | 60 |
| Windsor Rehabilitation And Healthcare Center | ★☆☆☆☆ | 50 | 82 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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