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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeVirginiaThree Rivers Health & Rehab Center

Three Rivers Health & Rehab Center

2960 Chelsea Road, West Point, VA 231817578434323
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
5/5
Beds
60
certified
1 fine(s) totaling $8,492

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 60 certified beds with an average of 50.4 residents per day (84% occupancy)

• Last health inspection found 8 deficiencies (inspected Mar 1, 2024)

• Has been fined a total of $8,492 across 1 fine(s)

• Total nursing staff: 3.41 hours per resident per day

• Staff turnover rate: 50.0%

Three Rivers Health & Rehab Center is a 4-star Medicare and Medicaid certified nursing home in West Point, Virginia with 60 certified beds. It has been operating since 1995. The facility scored above average compared to Virginia facilities.

Beds
60
Avg Residents/Day
50.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 1995
Sprinklers
Yes
Council
Resident
County
King William
Last Inspection
Mar 1, 2024
Deficiencies (Cycle 1)
8
Weighted Score
61.0
Infection Citations
0

Deficiency Citations (36)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Mar 1, 2024Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0574Potential for Harm

The resident has the right to receive notices in a format and a language he or she understands.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0688Potential for Harm

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.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0840Potential for Harm

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.

Survey: Jul 29, 2021Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Sep 13, 2023Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Sep 13, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Sep 13, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Sep 13, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 13, 2023Corrected: NoCycle: 3
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 13, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 1, 2018Corrected: NoCycle: 3

+ 6 more deficiencies

Total Fines
$8,492
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineSep 13, 2023
$8,492

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.94 hrs
National avg: 2.35 hrs
LPN0.94 hrs
National avg: 0.86 hrs
RN0.53 hrs
National avg: 0.68 hrs
Total Nursing3.41 hrs
National avg: 3.89 hrs
Weekend Total2.86 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
RN Turnover
40.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
VA 3 OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2023
BSD EOM IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization25%Mar 1, 2023
HLHK IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization25%Mar 1, 2023
SOUTH EAST VIRGINIA HOLD CO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization25%Mar 1, 2023
VOGUE NHC LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization25%Mar 1, 2023
HARTSTEIN, JAKECORPORATE OFFICERIndividualN/AMar 1, 2023
MONTFORDD, NICOLAW-2 MANAGING EMPLOYEEIndividualN/AMar 1, 2023

Frequently Asked Questions

What is the CMS rating for Three Rivers Health & Rehab Center?▾
Three Rivers Health & Rehab Center has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated above average.
Has Three Rivers Health & Rehab Center had any health inspection violations?▾
Three Rivers Health & Rehab Center had 8 deficiency citations in its most recent health inspection (Mar 1, 2024). The facility has been fined a total of $8,492 across 1 fine(s).
What are the staffing levels at Three Rivers Health & Rehab Center?▾
Three Rivers Health & Rehab Center provides 3.41 total nursing staff hours per resident per day, including 0.53 RN hours, 0.94 LPN hours, and 1.94 nurse aide hours. The total staff turnover rate is 50.0%.
How many beds does Three Rivers Health & Rehab Center have?▾
Three Rivers Health & Rehab Center has 60 certified beds with an average of 50.4 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Limited Liability company owned.