nursing home in West Point, VA
Three Rivers Health & Rehab Center
2960 Chelsea Road, West Point, VA 23181 · (757) 843-4323
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Three Rivers Health & Rehab Center at a glance
Three Rivers Health & Rehab Center is a 60-bed for-profit nursing home in West Point, Virginia (King William County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Virginia average of 3.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (March 1, 2024) found 8 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 42% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 1, 1995
- Resident/family council
- Resident
- County
- King William County
- CMS Certification Number
- 495303
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.9 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.15 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.80 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.83 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 42% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 48.2% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 61 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia 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 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 113 | 107 | |
| Average residents per day | 58 | 99 | 86 | |
| Occupancy | 96.5% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.2% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.8% | 4.7% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.6% | 14.2% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.3% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.7% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.3% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 12.5% | 18.7% | 12.8% | Average |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 28.8% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 14.9% | 21.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 90.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.7% | 73.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.9% | 73.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 36 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 1, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected March 15, 2024 |
| March 1, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 15, 2024 |
| March 1, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected March 15, 2024 |
| March 1, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected April 1, 2024 |
| March 1, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected April 1, 2024 |
| March 1, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 1, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 1, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 1, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 1, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 1, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 1, 2024 |
| September 13, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected October 24, 2023 |
| September 13, 2023 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected October 24, 2023 |
| September 13, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 24, 2023 |
| September 13, 2023 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected October 24, 2023 |
| September 13, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 15, 2023 |
| September 13, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 24, 2023 |
| July 29, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected September 1, 2021 |
| July 29, 2021 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 September 1, 2021 |
| July 29, 2021 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Tag F0574 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | 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 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 1, 2021 |
| July 29, 2021 Standard | 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. Administration Deficiencies · Tag F0840 | D Potential harm, isolated | Corrected September 1, 2021 |
| November 1, 2018 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 20, 2019 |
| November 1, 2018 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected February 20, 2019 |
| November 1, 2018 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected February 20, 2019 |
| November 1, 2018 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 December 7, 2018 |
| November 1, 2018 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 7, 2018 |
| November 1, 2018 Standard | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected December 7, 2018 |
| November 1, 2018 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected December 7, 2018 |
| November 1, 2018 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 7, 2018 |
| November 1, 2018 Standard | 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 | D Potential harm, isolated | Corrected December 7, 2018 |
| November 1, 2018 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 7, 2018 |
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 |
|---|---|---|---|
| VA 3 OPCO HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 03/01/2023 |
| BSD EOM IRREVOCABLE TRUST Organization | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| HLHK IRREVOCABLE TRUST Organization | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| SOUTH EAST VIRGINIA HOLD CO LLC Organization | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| VOGUE NHC LLC Organization | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| HARTSTEIN, JAKE Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| MONTFORDD, NICOLA Individual | w-2 managing employee | NOT APPLICABLE | 03/01/2023 |
Other nursing homes near Three Rivers Health & Rehab Center
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★★★★★2Below averageDockside Health & Rehab Center
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★★★★★4Above averageWindsormeade of Williamsburg
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- CMS high performer
★★★★★5Much above averageWalter Reed Post Acute
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★★★★★4Above averageRiverside Lifelong Health & Rehabilitation Sanders
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★★★★★5Much above averageWilliamsburg Post Acute & Rehabilitation
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★★★★★3Average
Frequently asked questions
What is Three Rivers Health & Rehab Center's rating?
Three Rivers Health & Rehab Center has 3 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Three Rivers Health & Rehab Center receive?
Its most recent standard health inspection found 8 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Three Rivers Health & Rehab 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 & Rehab Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Three Rivers Health & Rehab Center and how do I contact it?
Three Rivers Health & Rehab Center is at 2960 Chelsea Road, West Point, VA 23181. Phone: (757) 843-4323.
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.