# Three Rivers Health & Rehab Center Three Rivers Health & Rehab Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in West Point, VA, CMS Certification Number 495303, with 60 certified beds and about 55 residents per day. CMS rates it 4/5 overall (health inspections 3/5, staffing 2/5, quality measures 5/5). ## Key facts - Status: Active CMS certification - Address: 2960 Chelsea Road, West Point, VA 23181 (King William County) - Ownership type: For profit - Limited Liability company - Operator (legal business name): [Three Rivers SNF Operations LLC](https://carefield.site/operator/op-three-rivers-snf-operations-llc) - CMS chain: not part of a CMS-reported chain - Phone: 7578434323 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/495303 ## Inspection record 6 inspections in the CMS window (latest 2024-03-01); 36 citations (30 health, 6 fire safety); 1 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2021-07-29 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected - 2024-03-01 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0727](https://carefield.site/deficiency/cms-f0727) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0758](https://carefield.site/deficiency/cms-f0758) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-03-01 — [F-0883](https://carefield.site/deficiency/cms-f0883) Develop and implement policies and procedures for flu and pneumonia vaccinations. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0574](https://carefield.site/deficiency/cms-f0574) The resident has the right to receive notices in a format and a language he or she understands. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0582](https://carefield.site/deficiency/cms-f0582) Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0607](https://carefield.site/deficiency/cms-f0607) Develop and implement policies and procedures to prevent abuse, neglect, and theft. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2021-07-29 — [F-0688](https://carefield.site/deficiency/cms-f0688) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 16 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.26028 (state avg 3.87523, US 3.90085) - RN: 0.4335 - Nursing staff turnover: 48.9% ## Owners and managers of record (CMS disclosures) - [VA 3 Opco Holdco LLC](https://carefield.site/owner/org-va-3-opco-holdco-llc) — Direct owner, 100%, since 2023-03-01 - [Bsd Eom Irrevocable Trust](https://carefield.site/owner/org-bsd-eom-irrevocable-trust) — Indirect owner, 25%, since 2023-03-01 - [Hlhk Irrevocable Trust](https://carefield.site/owner/org-hlhk-irrevocable-trust) — Indirect owner, 25%, since 2023-03-01 - [South East Virginia Hold Co LLC](https://carefield.site/owner/org-south-east-virginia-hold-co-llc) — Indirect owner, 25%, since 2023-03-01 - [Vogue Nhc LLC](https://carefield.site/owner/org-vogue-nhc-llc) — Indirect owner, 25%, since 2023-03-01 ## Nearby nursing homes - [Riverside Lifelong Health & Rehabilitation Saluda](https://carefield.site/facility/cms-495430) — 18.2 km, CMS overall 2/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495303&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495303&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495303&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495303&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495303&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=495303&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-495303 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.