Three Rivers Health and Rehabilitation Center
1403 Conner Drive, Windsor, NC 27983
Three Rivers Health and Rehabilitation Center, a 60-bed for profit - limited liability company nursing facility in Windsor, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #100 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2527944441
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #100 of 415
- In-state rank among rated NC homes
- 3.56
- Below average · nurse hrs/day · nat'l 3.86
- 6
- Inspection findings
The verdict
Three Rivers Health and Rehabilitation Center, a 60-bed for profit - limited liability company nursing facility in Windsor, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #100 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #100 of 415
- In-state rank among rated NC homes
- 3.56
- Nurse hrs/resident-day · national 3.86
- 6
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 419 NC nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345404
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 47
- In Hospital
- No
- County
- Bertie
- Last Inspection
- Jan 30, 2026
Staffing Data
How the 3.56 total nursing hours per resident-day are staffed:
- RN Hours
- 0.43 (nat'l avg: 0.69)
- LPN Hours
- 1.17
- CNA Hours
- 1.96
- Total Nursing Hours
- 3.56 (nat'l avg: 3.86)
- PT Hours
- 0.07
- Nursing Turnover
- 48.9%
- RN Turnover
- 20.0%
What the CMS Record Reveals About Three Rivers Health and Rehabilitation Center
According to CMS Nursing Home Compare, Three Rivers Health and Rehabilitation Center ranks #100 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Three Rivers Health and Rehabilitation Center operates 60 certified beds in Windsor, NC with approximately 47 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 4★).
The inspection file contains 6 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.56 total nursing hours (national average 3.86) and 0.43 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Three Rivers Health and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.9% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (6 most recent)
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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 20, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 20, 2026
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.
Category: Pharmacy Service Deficiencies
Corrected: Nov 22, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Nov 22, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Oct 27, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.1% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 11.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 27.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 20.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 95.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 97.0% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Three Rivers Health and Rehabilitation Center, both outside NC so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NC (60 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NC (3.42 here).
Nearby Nursing Homes in NC
418 other nursing homes are on record in NC; 6 are shown here.
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Rose Manor LLC
Durham, NC
Adams Farm Living & Rehabilitation
Jamestown, NC
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
Understanding Nursing Home Data
What the CMS records show for Three Rivers Health and Rehabilitation Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
- Peer homes near 60 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Three Rivers Health and Rehabilitation Center?
Where does Three Rivers Health and Rehabilitation Center rank among nursing homes in NC?
What are the staffing levels at Three Rivers Health and Rehabilitation Center?
How many beds does Three Rivers Health and Rehabilitation Center have?
Does Three Rivers Health and Rehabilitation Center have any deficiencies on record?
Has Three Rivers Health and Rehabilitation Center received any fines or penalties?
Who owns Three Rivers Health and Rehabilitation Center?
When was Three Rivers Health and Rehabilitation Center last inspected?
What quality measures are tracked for Three Rivers Health and Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
