A

THREE RIVERS CARE

1305 ALEXANDER ST, CENTRALIA, WA 98531
Score: 96 / 100

Among nursing homes in Washington, Three Rivers Care stands out with an A grade and a score of 96 out of 100. It ranks in the 99th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing levels at Three Rivers Care exceed national averages, with 4.58 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.74 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 9 deficiencies at Three Rivers Care. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.58 3.8 Above Average
Registered Nurses (RN) 0.74 0.7 Average
Licensed Practical Nurses (LPN) 1.17 0.7 Above Average
Certified Nursing Assistants (CNA) 2.68 2.4 Above Average
Weekend Total Nursing 3.87 3.8 Average
Weekend RN Hours 0.87 0.7 Above Average

🔍 Inspection & Deficiency History

9
Total Deficiencies
Nov 17, 2025
Most Recent Inspection
🟠 9 Moderate
View recent deficiencies (5 shown)
  • Tag 0605 Severity D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Nov 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Nov 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Nov 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Nov 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Nov 17, 2025 · 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 3.3% 4.5% Better
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 20.0% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 9.7% 14.0% Better
Excessive weight loss 13.9% 7.5% Worse
New/worsened incontinence 3.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 96 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
83
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 17, 2025
Deficiencies (Cycle 1)
9