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Three Rivers Health & Rehab Center

2960 Chelsea Road, West Point, VA 23181
7578434323
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Overall CMS Rating

4.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.5/5

5.0/5

Quality Measures

vs State Average: 3.9/5

1 penalties in last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Mar 1, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
Mar 1, 2024 Ensure services provided by the nursing facility meet professional standards of quality. D
Mar 1, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable. D
Mar 1, 2024 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. E
Mar 1, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Score
2.0
State Average
2.5
National Average
2.9
0.5 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
40.0% RN Turnover Rate
Score
5.0
State Average
3.9
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
50.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST VA 3 OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST BSD EOM IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST HLHK IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST SOUTH EAST VIRGINIA HOLD CO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST VOGUE NHC LLC
CORPORATE OFFICER HARTSTEIN, JAKE
W-2 MANAGING EMPLOYEE MONTFORDD, NICOLA
Recent Penalties
Date Type Fine
Sep 13, 2023 Fine $8,492

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