nursing home in Centralia, WA
Three Rivers Care
1305 Alexander St, Centralia, WA 98531 · (360) 754-9792
CMS overall star rating
- Health inspections★★★★★5
- 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 Care at a glance
Three Rivers Care is a 83-bed for-profit nursing home in Centralia, Washington (Lewis County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Washington average of 3.3.
Residents receive about 4.3 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 4.4 hours.
Its most recent standard health inspection (November 18, 2025) found 8 health citations. The Washington average is 15.8.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 83
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Caldera Care
- Medicare-certified since
- January 15, 2025
- Resident/family council
- Resident
- County
- Lewis County
- CMS Certification Number
- 505536
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.9 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.27 hrs | 4.36 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.94 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.63 hrs | 2.66 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.50 hrs | 3.80 hrs | 3.42 hrs | Average |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 16 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 25 | 116.6 | 80.6 | Better |
Penalties
| Measure | This facility | Washington 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 | $52,633 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 83 | 97 | 107 | |
| Average residents per day | 57 | 76 | 86 | |
| Occupancy | 68.7% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 2.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.8% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14.3% | 15.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 4.5% | 1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 10.8% | 14.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.2% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 10.7% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.5% | 17.7% | 12.8% | Better |
| 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) | 12.9% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.8% | 22.5% | 19% | Better |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.7% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 82% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.3% | 88.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 18, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected October 3, 2025 |
| November 18, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 3, 2025 |
| November 18, 2025 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 October 3, 2025 |
| November 18, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected December 10, 2025 |
| November 18, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected December 10, 2025 |
| November 18, 2025 Standard | 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 December 10, 2025 |
| November 18, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 10, 2025 |
| November 18, 2025 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 10, 2025 |
| November 18, 2025 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 December 10, 2025 |
| November 18, 2025 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 | D Potential harm, isolated | Corrected December 10, 2025 |
| November 18, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected December 10, 2025 |
| August 14, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected September 2, 2025 |
| December 10, 2024 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 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 10, 2024 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 December 24, 2024 |
| December 10, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 24, 2024 |
| December 10, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 24, 2024 |
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 |
|---|---|---|---|
| KH7 HEALTHCARE HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 100% | 05/21/2025 |
| KH7 HH CDW Organization | 5% or greater indirect ownership interest | — | 05/21/2025 |
| KH7 OPS LLC Organization | 5% or greater indirect ownership interest | — | 05/21/2025 |
| OSCHEROWITZ, RAPHAEL Individual | 5% or greater indirect ownership interest | — | 05/21/2025 |
| WOLMARK, CHAIM Individual | 5% or greater indirect ownership interest | — | 05/21/2025 |
| 1305 ALEXANDER PROPCO, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/21/2025 |
| 1305 ALEXANDER PROPCO, LLC Organization | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| HOGUE, ASHLEY Individual | adp of the snf | NOT APPLICABLE | 03/18/2014 |
| KH7 PROPCO HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| MCDANIEL, PAULINE Individual | adp of the snf | NOT APPLICABLE | 04/24/2023 |
| OSCHEROWITZ, RAPHAEL Individual | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| WOLMARK, CHAIM Individual | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| OSCHEROWITZ, RAPHAEL Individual | corporate officer | NOT APPLICABLE | 05/21/2025 |
| WOLMARK, CHAIM Individual | corporate officer | NOT APPLICABLE | 05/21/2025 |
| HOGUE, ASHLEY Individual | operational/managerial control | NOT APPLICABLE | 03/18/2014 |
| MCDANIEL, PAULINE Individual | operational/managerial control | NOT APPLICABLE | 04/24/2023 |
| OSCHEROWITZ, RAPHAEL Individual | operational/managerial control | NOT APPLICABLE | 05/21/2025 |
| WOLMARK, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 05/21/2025 |
Other nursing homes near Three Rivers Care
South Creek Post Acute
917 South Scheuber Road, Centralia, WA 98531 · 1.1 mi
For-profit · 128 beds · Part of Pacs Group
★★★★★4Above averageSharon Care Center
1509 Harrison Avenue, Centralia, WA 98531 · 1.4 mi
For-profit · 42 beds · Part of Regency Pacific Management
★★★★★3AverageLacey Post Acute & Rehabilitation
4524 Intelco Loop SE, Lacey, WA 98503 · 20.5 mi
For-profit · 120 beds · Part of Hill Valley Healthcare
★★★★★4Above averageRegency Olympia Rehabilitation and Nursing Center
1811 East 22nd Avenue, Olympia, WA 98501 · 21.8 mi
For-profit · 28 beds · Part of Regency Pacific Management
- CMS high performer
★★★★★5Much above averagePuget Sound Care
4001 Capitol Mall Dr Southwest, Olympia, WA 98502 · 22.3 mi
For-profit · 108 beds · Part of Caldera Care
★★★★★4Above averagePanorama City Conv & Rehab Ctr
1600 Sleater Kinney Road SE, Lacey, WA 98503 · 22.5 mi
Non-profit · 155 beds
★★★★★5Much above average
Frequently asked questions
What is Three Rivers Care's rating?
Three Rivers Care has 5 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.
How many inspection citations did Three Rivers Care receive?
Its most recent standard health inspection found 8 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Three Rivers Care 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 Care?
It is for profit - limited liability company and part of Caldera Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Three Rivers Care and how do I contact it?
Three Rivers Care is at 1305 Alexander St, Centralia, WA 98531. Phone: (360) 754-9792.
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.