Nursing HomeInspections

Three Rivers Health & Rehab Center

Nursing home in West Point, VA

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
2960 Chelsea Road, West Point, VA 23181
Phone
(757) 843-4323
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
495303
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
60
Average residents per day
55
Ownership
For-profit, limited Liability company
Legal business name
Three Rivers SNF Operations LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 495303. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 1, 2024. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 1, 2018 to Mar 1, 2024): 0 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 1, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 1, 2024Develop 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
D
Potential for more than minimal harm, isolated
Mar 1, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 1, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 1, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 1, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 1, 2024Have 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
E
Potential for more than minimal harm, pattern
Mar 1, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
E
Potential for more than minimal harm, pattern
Jul 29, 2021Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 29, 2021The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 29, 2021Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 29, 2021Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.26 hours
Registered nurse (RN) time per resident per day
0.43 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
2.97 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
43%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.