With a score of 72/100 and a B grade, Three Rivers Health And Rehabilitation Center is a well-regarded option in Windsor, North Carolina. The facility performs above average in most CMS categories, placing it in the 76th percentile statewide.
Staffing at Three Rivers Health And Rehabilitation Center is near the national average, with 3.51 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 6 deficiencies at Three Rivers Health And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.51 | 3.8 | Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.06 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.99 | 2.4 | Below Average |
| Weekend Total Nursing | 3.14 | 3.8 | Below Average |
| Weekend RN Hours | 0.38 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 29, 2026 · Nutrition and Dietary Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventJan 29, 2026 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 29, 2026 · Pharmacy Service Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Oct 31, 2024 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 31, 2024 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.7% | 4.5% | Average |
| Falls with major injury | 4.2% | 3.0% | Worse |
| On antipsychotic medication | 13.7% | 14.5% | Average |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 7.0% | 14.0% | Better |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 15.0% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 72 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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