Three Rivers Health & Rehab Center is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in West Point, Virginia, the facility meets baseline standards across most quality metrics.
With 3.41 total nurse hours per resident per day, Three Rivers Health & Rehab Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 36 deficiencies at Three Rivers Health & Rehab 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 | 3.41 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.94 | 2.4 | Below Average |
| Weekend Total Nursing | 2.86 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0727 Severity EHave 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.Feb 29, 2024 · Nursing and Physician Services Deficiencies
- Tag 0883 Severity EDevelop and implement policies and procedures for flu and pneumonia vaccinations.Feb 29, 2024 · Infection Control Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Feb 29, 2024 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Feb 29, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Feb 29, 2024 · Resident Assessment and Care Planning 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 | 0.5% | 4.5% | Better |
| Falls with major injury | 4.3% | 3.0% | Worse |
| On antipsychotic medication | 16.3% | 14.5% | Worse |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 11.7% | 14.0% | Better |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 19.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,492
How This Grade Was Calculated
This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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