Washington › Lewis County › Centralia
Three Rivers Care
1305 Alexander St, Centralia, WA 98531
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Three Rivers Care, in Centralia, Washington, is certified for 83 beds under for-profit, limited liability company ownership and belongs to the Caldera Care chain.
CMS gives it 5 of 5 stars overall, above the Washington median of 3; the health inspection rating is 5, staffing 3 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (9, 0, 0 by cycle, most recent first), none at the actual-harm level. That is 10.8 per 100 beds, fewer than the state median of 50.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.3 hours per resident per day (0.5 RN), close to the Washington median of 4.1.
Compared with county, state and nation
| Measure | This facility | Lewis Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 36 | 46 | 28.7 |
| Citations per 100 beds | 10.8 | 32.8 | 50.0 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.3 | 4.1 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.9 | 0.7 |
| Nursing staff turnover | — | 55.0% | 43.2% | 45.8% |
| Fines listed | $0 | $0 | $17,388 | — |
County and state figures are medians across facilities (3 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Nov 2025, 10 Dec 2024.
Severity mix: D ×9
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Nov 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0761 | 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. | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 10 Dec 2025 |
| 18 Nov 2025 | F0887 | 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. | D | Standard survey | 10 Dec 2025 |
| 14 Aug 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Sep 2025 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.8% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.5% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.2% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.3% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Three Rivers Care Llc. Chain: Caldera Care (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kh7 Healthcare Holdings, LLC | 5% or greater direct ownership interest | 100% | 05/21/2025 |
| Kh7 Hh Cdw | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/21/2025 |
| Kh7 Ops LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/21/2025 |
| 1305 Alexander Propco, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/21/2025 |
| 1305 Alexander Propco, LLC | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
| Kh7 Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lewis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| South Creek Post Acute | Centralia | 128 | 4 | 3 | 3 | 42 | 32.8 | $8K | 30 Apr 2026 |
| Sharon Care Center | Centralia | 42 | 3 | 4 | 1 | 36 | 85.7 | — | 1 Dec 2025 |
All 3 facilities in Lewis County
Questions and answers
How many deficiencies has Three Rivers Care been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Three Rivers Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Three Rivers Care compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Three Rivers Care?
It is part of the Caldera Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kh7 Healthcare Holdings, LLC, Kh7 Hh Cdw and Kh7 Ops LLC. Individual owners and managers are not listed on this site.
When was Three Rivers Care last inspected?
The most recent survey or investigation in the CMS record is dated 18 Nov 2025; the most recent standard health survey was 18 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.