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Health Inspection

Three Rivers Care

November 18, 2025 · Centralia, WA · 1305 Alexander St
Citations 8
CMS Rating 5/5
Beds 83
Provider ID 505536
Healthcare Facility
Three Rivers Care
Centralia, WA  ·  View full profile →
Inspection Summary

THREE RIVERS CARE in CENTRALIA, WA — inspection on November 18, 2025.

Found 8 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0605
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-11-18.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-11-18.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-11-18.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-11-18.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

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Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-11-18.

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-18.

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 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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-11-18.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

Federal health inspectors cited THREE RIVERS CARE in CENTRALIA, WA for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-11-18.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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 8 deficiencies cited during this inspection of THREE RIVERS CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-10.

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 CENTRALIA, WA, (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 CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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