• 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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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.
Ensure that residents are free from significant medication errors.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
The resident has the right to receive notices in a format and a language he or she understands.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Post nurse staffing information every day.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that residents are free from significant medication errors.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
+ 6 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| VA 3 OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Mar 1, 2023 |
| BSD EOM IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | Mar 1, 2023 |
| HLHK IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | Mar 1, 2023 |
| SOUTH EAST VIRGINIA HOLD CO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | Mar 1, 2023 |
| VOGUE NHC LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | Mar 1, 2023 |
| HARTSTEIN, JAKE | CORPORATE OFFICER | Individual | N/A | Mar 1, 2023 |
| MONTFORDD, NICOLA | W-2 MANAGING EMPLOYEE | Individual | N/A | Mar 1, 2023 |