North Carolina › Bertie County › Windsor
Three Rivers Health and Rehabilitation Center
1403 Conner Drive, Windsor, NC 27983
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 Health and Rehabilitation Center is a For-profit, limited liability company nursing home in Windsor, North Carolina, certified for 60 beds and caring for about 47 residents a day.
CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 6 health deficiencies across the three most recent survey cycles (3, 3, 0 by cycle, most recent first), none at the actual-harm level. That is 10.0 per 100 beds, fewer than the state median of 15.6.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the North Carolina median of 3.5; nursing staff turnover is 48.9%.
Compared with county, state and nation
| Measure | This facility | Bertie Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 6 | 52 | 16 | 28.7 |
| Citations per 100 beds | 10.0 | 63.4 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 48.9% | 79.3% | 48.6% | 45.8% |
| Fines listed | $0 | $249,991 | $8,512 | — |
County and state figures are medians across facilities (2 in the county, 419 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: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 1 Nov 2024.
Severity mix: D ×4 E ×2
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 |
|---|---|---|---|---|---|
| 30 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Feb 2026 |
| 30 Jan 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Feb 2026 |
| 30 Jan 2026 | 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 | 20 Feb 2026 |
| 1 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 27 Oct 2023 |
| 1 Nov 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 22 Nov 2024 |
| 1 Nov 2024 | 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 | 22 Nov 2024 |
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 North Carolina average. Turnover: nursing staff 48.9%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.1% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.6% | 13.2% | 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: Liberty Healthcare Group Llc. Chain: Liberty Senior Living (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Liberty Healthcare Properties of Bertie County LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 06/25/2025 |
| Liberty Real Properties, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 06/25/2025 |
| Three Rivers Health and Rehabilitation Center, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 10/01/2002 |
| Liberty Healthcare Management Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2002 |
| Long Term Care Management Services LLC | Adp of the snf | NOT APPLICABLE | 06/25/2025 |
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 Bertie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Windsor Rehabilitation and Healthcare Centerabuse icon | Windsor | 82 | 1 | 1 | 1 | 52 | 63.4 | $250K | 13 Jan 2026 |
All 2 facilities in Bertie County
Questions and answers
How many deficiencies has Three Rivers Health and Rehabilitation Center been cited for?
6 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Three Rivers Health and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Three Rivers Health and Rehabilitation Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Three Rivers Health and Rehabilitation Center?
It is part of the Liberty Senior Living chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Liberty Healthcare Properties of Bertie County LLC, Liberty Real Properties, LLC and Three Rivers Health and Rehabilitation Center, LLC. Individual owners and managers are not listed on this site.
When was Three Rivers Health and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jan 2026; the most recent standard health survey was 30 Jan 2026.
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.