Starfile

Starfile / Virginia

THREE RIVERS HEALTH & REHAB CENTER

2960 CHELSEA ROAD, WEST POINT, VA 23181 · CCN 495303

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
60
Avg residents/day
50.4
Phone
7578434323

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityVirginia avgNational avgvs state
12024-03-01814.49.5-6.4 better
22021-07-291512.39.8+2.7 worse
32018-11-011311.99.3+1.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Nursing and physician services1
Resident rights1
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4150.0%
RN staffing (reported)0.5340.0%
Total nurse staffing (adjusted)3.48

Fines & penalties

Total fines
$8,492
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (36)2 actual harm

  1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  5. EF0727Have 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.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  6. DF0758Implement 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.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  7. DF0760Ensure that residents are free from significant medication errors.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  8. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-01 · Health · corrected 2024-04-01

    Potential for more than minimal harm

  9. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-13 · Health · corrected 2023-10-24

    Potential for more than minimal harm

  10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-13 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  11. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-13 · Health · corrected 2023-10-24

    Potential for more than minimal harm

  12. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-13 · Health · corrected 2023-10-24

    Potential for more than minimal harm

  13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-13 · Health · corrected 2023-10-24

    Potential for more than minimal harm

  14. GF0760Ensure that residents are free from significant medication errors.2023-09-13 · Health · corrected 2023-10-24

    Actual harm

  15. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  16. DF0574The resident has the right to receive notices in a format and a language he or she understands.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  17. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  18. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  19. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  20. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  21. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  22. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-29 · Health · corrected 2021-09-01

    Actual harm

  23. DF0688Provide 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.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  25. DF0732Post nurse staffing information every day.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  27. DF0760Ensure that residents are free from significant medication errors.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  29. DF0840Employ 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.2021-07-29 · Health · corrected 2021-09-01

    Potential for more than minimal harm

  30. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

  31. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

  32. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

  33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

  34. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

  35. DF0695Provide safe and appropriate respiratory care for a resident when needed.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

  36. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2018-11-01 · Health · corrected 2018-12-07

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
VA 3 OPCO HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-03-01
BSD EOM IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2023-03-01
HLHK IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2023-03-01
SOUTH EAST VIRGINIA HOLD CO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2023-03-01
VOGUE NHC LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2023-03-01
HARTSTEIN, JAKEIndividualCORPORATE OFFICER2023-03-01
MONTFORDD, NICOLAIndividualW-2 MANAGING EMPLOYEE2023-03-01

Other facilities in WEST POINT

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.