nursing home in Windsor, NC
Three Rivers Health and Rehabilitation Center
1403 Conner Drive, Windsor, NC 27983 · (252) 794-4441
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Three Rivers Health and Rehabilitation Center at a glance
Three Rivers Health and Rehabilitation Center is a 60-bed for-profit nursing home in Windsor, North Carolina (Bertie County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 3.6 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (January 30, 2026) found 3 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 48.9% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Liberty Senior Living
- Medicare-certified since
- March 12, 1992
- Resident/family council
- Resident
- County
- Bertie County
- CMS Certification Number
- 345404
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.56 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.43 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.96 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.24 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.9% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 20% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 105 | 107 | |
| Average residents per day | 47 | 87 | 86 | |
| Occupancy | 78.7% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 5.5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 17.6% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.1% | 15.6% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 16.5% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 7.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11.3% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.9% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.6% | 92% | 93.6% | Better |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.8% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 6 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 30, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected June 19, 2026 |
| January 30, 2026 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected June 19, 2026 |
| January 30, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected June 19, 2026 |
| January 30, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 19, 2026 |
| January 30, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 19, 2026 |
| January 30, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 19, 2026 |
| January 30, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 20, 2026 |
| January 30, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 30, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 20, 2026 |
| November 1, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected December 30, 2024 |
| November 1, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected December 30, 2024 |
| November 1, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected October 27, 2023 |
| November 1, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 22, 2024 |
| November 1, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 22, 2024 |
| September 8, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected November 18, 2023 |
| September 8, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected November 18, 2023 |
| September 8, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected November 18, 2023 |
| September 8, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected November 18, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LIBERTY HEALTHCARE PROPERTIES OF BERTIE COUNTY LLC Organization | 5% or greater direct ownership interest | — | 06/25/2025 |
| LIBERTY REAL PROPERTIES, LLC Organization | 5% or greater direct ownership interest | — | 06/25/2025 |
| MCNEILL, JOHN Individual | 5% or greater direct ownership interest | — | 10/01/2002 |
| MCNEILL, RONALD Individual | 5% or greater direct ownership interest | — | 10/01/2002 |
| THREE RIVERS HEALTH AND REHABILITATION CENTER, LLC Organization | 5% or greater direct ownership interest | — | 10/01/2002 |
| CALCUTT, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 06/25/2025 |
| LONG TERM CARE MANAGEMENT SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 06/25/2025 |
| MILLER, ROBERT Individual | adp of the snf | NOT APPLICABLE | 06/25/2025 |
| MCNEILL, JOHN Individual | corporate director | NOT APPLICABLE | 12/15/2005 |
| MCNEILL, RONALD Individual | corporate director | NOT APPLICABLE | 12/15/2005 |
| MILLER, ROBERT Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| CALCUTT, JOSEPH Individual | corporate officer | NOT APPLICABLE | 06/25/2025 |
| BORK, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 01/29/2007 |
| BROWN, PENNY Individual | operational/managerial control | NOT APPLICABLE | 06/25/2025 |
| LIBERTY HEALTHCARE MANAGEMENT INC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2002 |
| MILLER, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| SEVERA, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 06/25/2025 |
| WILSON, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2002 |
| MCNEILL, ROBERT Individual | trustee of the snf | NOT APPLICABLE | 06/25/2025 |
| OLIVER, ANNA Individual | trustee of the snf | NOT APPLICABLE | 06/25/2025 |
| PURVIS, JENNY Individual | trustee of the snf | NOT APPLICABLE | 06/25/2025 |
Other nursing homes near Three Rivers Health and Rehabilitation Center
Windsor Rehabilitation and Healthcare Center
1306 South King Street, Windsor, NC 27983 · under 1 mi
For-profit · 82 beds · Part of Simcha Hyman & Naftali Zanziper
- Abuse citation
★★★★★1Much below averageThe Carrolton of Plymouth
1084 US 64 East, Plymouth, NC 27962 · 13.6 mi
For-profit · 114 beds · Part of Carrolton Nursing Homes
★★★★★3AverageChowan River Nursing and Rehabilitation Center
1341 Paradise Road, Edenton, NC 27932 · 19.5 mi
For-profit · 130 beds · Part of Principle Long Term Care
★★★★★3AverageAhoskie Health and Rehabilitation Center
604 Stokes Street East, Ahoskie, NC 27910 · 20.3 mi
For-profit · 151 beds · Part of August Healthcare
★★★★★3AverageThe Carrolton of Williamston
119 Gatling Street, Williamston, NC 27892 · 20.5 mi
For-profit · 154 beds · Part of Carrolton Nursing Homes
★★★★★1Much below averageRich Square Health & Rehabilitation Center
300 North Main Street, Rich Square, NC 27869 · 28 mi
For-profit · 69 beds
- Special Focus candidate
★★★★★1Much below average
Frequently asked questions
What is Three Rivers Health and Rehabilitation Center's rating?
Three Rivers Health and Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Three Rivers Health and Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Three Rivers Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Three Rivers Health and Rehabilitation Center?
It is for profit - limited liability company and part of Liberty Senior Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Three Rivers Health and Rehabilitation Center and how do I contact it?
Three Rivers Health and Rehabilitation Center is at 1403 Conner Drive, Windsor, NC 27983. Phone: (252) 794-4441.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.