Virginia › King William County › West Point
Three Rivers Health & Rehab Center
2960 Chelsea Road, West Point, VA 23181
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.
Certified for 60 beds, Three Rivers Health & Rehab Center serves West Point in King William County, Virginia and has taken Medicare and Medicaid residents since 1995.
CMS gives it 3 of 5 stars overall, equal to the Virginia median; the health inspection rating is 3, staffing 1 and quality measures 5.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (8, 15, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 60.0 per 100 beds, more than the state median of 34.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the Virginia median of 3.4; nursing staff turnover is 42.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | King William Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 36 | 32 | 28.7 |
| Citations per 100 beds | 60.0 | 60.0 | 34.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 42.0% | 42.0% | 48.3% | 45.8% |
| Fines listed | $8,492 | $8,492 | $0 | — |
County and state figures are medians across facilities (1 in the county, 289 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: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Mar 2024, 29 Jul 2021.
Severity mix: G ×2 D ×30 E ×4
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 |
|---|---|---|---|---|---|
| 1 Mar 2024 | F0727 | 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. | E | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0758 | 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. | D | Standard survey | 1 Apr 2024 |
| 1 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Apr 2024 |
| 13 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 24 Oct 2023 |
| 13 Sep 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 24 Oct 2023 |
| 13 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Dec 2023 |
| 13 Sep 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 24 Oct 2023 |
| 13 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Oct 2023 |
| 13 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 24 Oct 2023 |
| 29 Jul 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0688 | 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. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0732 | Post nurse staffing information every day. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Sep 2021 |
| 29 Jul 2021 | F0840 | 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. | D | Standard survey | 1 Sep 2021 |
| 1 Nov 2018 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 Dec 2018 |
| 1 Nov 2018 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 7 Dec 2018 |
| 1 Nov 2018 | F0622 | 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. | D | Standard survey | 7 Dec 2018 |
| 1 Nov 2018 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Dec 2018 |
| 1 Nov 2018 | 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 | 7 Dec 2018 |
| 1 Nov 2018 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Dec 2018 |
| 1 Nov 2018 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Dec 2018 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Sep 2023 | Fine | $8,492 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 42.0%, RNs 42.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.3% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.7% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.6% | 13.3% | 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 Snf Operations Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Va 3 Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 03/01/2023 |
| South East Virginia Hold Co LLC | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
| Vogue Nhc LLC | 5% or greater indirect ownership interest | 25% | 03/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Three Rivers Health & Rehab Center been cited for?
36 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Three Rivers Health & Rehab Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Three Rivers Health & Rehab Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Three Rivers Health & Rehab Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Va 3 Opco Holdco LLC, South East Virginia Hold Co LLC and Vogue Nhc LLC. Individual owners and managers are not listed on this site.
When was Three Rivers Health & Rehab Center last inspected?
The most recent survey or investigation in the CMS record is dated 1 Mar 2024; the most recent standard health survey was 1 Mar 2024.
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.