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.
| Cycle | Inspection date | This facility | Virginia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-03-01 | 8 | 14.4 | 9.5 | -6.4 better |
| 2 | 2021-07-29 | 15 | 12.3 | 9.8 | +2.7 worse |
| 3 | 2018-11-01 | 13 | 11.9 | 9.3 | +1.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.41 | 50.0% |
| RN staffing (reported) | 0.53 | 40.0% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2024-03-01 · Health · corrected 2024-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- GF0760Ensure that residents are free from significant medication errors.2023-09-13 · Health · corrected 2023-10-24
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-29 · Health · corrected 2021-09-01
Actual harm
- 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
- 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
- DF0732Post nurse staffing information every day.2021-07-29 · Health · corrected 2021-09-01
Potential for more than minimal harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2021-07-29 · Health · corrected 2021-09-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| VA 3 OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 |
| BSD EOM IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-03-01 |
| HLHK IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-03-01 |
| SOUTH EAST VIRGINIA HOLD CO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-03-01 |
| VOGUE NHC LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-03-01 |
| HARTSTEIN, JAKE | Individual | CORPORATE OFFICER | — | 2023-03-01 |
| MONTFORDD, NICOLA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-03-01 |
Other facilities in WEST POINT
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.