Three Rivers Health And Rehabilitation Center
Inspection Findings
F-Tag F0690
Federal health inspectors cited Three Rivers Health and Rehabilitation Center in Windsor, NC for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2026-01-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Three Rivers Health and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-02-20.
F-Tag F0761
Federal health inspectors cited Three Rivers Health and Rehabilitation Center in Windsor, NC for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-01-30.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Three Rivers Health and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-02-20.
F-Tag F0812
Federal health inspectors cited Three Rivers Health and Rehabilitation Center in Windsor, NC for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-01-30.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Three Rivers Health and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-02-20.
Three Rivers Health and Rehabilitation Center in Windsor, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Windsor, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Three Rivers Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.