THREE RIVERS HEALTH & REHAB CENTER
THREE RIVERS HEALTH & REHAB CENTER is a 60-bed nursing home in WEST POINT, Virginia. CMS has certified it for Medicare and Medicaid since 1995-09-01. It averages 57.9 residents a day.
What harm was found in the violations cited at THREE RIVERS HEALTH & REHAB CENTER?
CMS lists 36 health-inspection deficiencies for THREE RIVERS HEALTH & REHAB CENTER since 2018-11-01, 14 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2024-03-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-03-01 | F0727, F0883 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2024-03-01 | F0580, F0657, F0658, F0677, F0758, F0760 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 that residents are free from significant medication errors. | D |
| 2023-09-13 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2023-09-13 | F0552, F0580, F0655, F0658, F0677 | Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2021-07-29 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2021-07-29 | F0607, F0812 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-07-29 | F0550, F0574, F0580, F0582, F0656, F0677, F0688, F0695, F0732, F0755, F0760, F0840 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / The resident has the right to receive notices in a format and a language he or she understands. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D |
| 2018-11-01 | F0550, F0582, F0622, F0689, F0690, F0695, F0755 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
Why was THREE RIVERS HEALTH & REHAB CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2023-09-13 | Fine | $8,492 |
How is THREE RIVERS HEALTH & REHAB CENTER staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.14569 | 3.75779 |
| Total nursing staff turnover (%) | 42.0 | 48.1 |
| Average number of residents per day | 57.9 | 99.5 |
Who owns THREE RIVERS HEALTH & REHAB CENTER?
THREE RIVERS HEALTH & REHAB CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name THREE RIVERS SNF OPERATIONS LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | VA 3 OPCO HOLDCO LLC | since 03/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BSD EOM IRREVOCABLE TRUST, HLHK IRREVOCABLE TRUST, SOUTH EAST VIRGINIA HOLD CO LLC, VOGUE NHC LLC | since 03/01/2023 |
| W-2 MANAGING EMPLOYEE | MONTFORDD, NICOLA | since 03/01/2023 |
| CORPORATE OFFICER | HARTSTEIN, JAKE | since 03/01/2023 |
Were you or a family member harmed at THREE RIVERS HEALTH & REHAB CENTER?