facebook tracking Three Rivers Care, Centralia WA: CMS Ratings & Inspections
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Three Rivers Care

All states › Washington › Centralia › Three Rivers Care

1305 Alexander St Centralia, WA 98531 · Lewis County

(360) 754-9792

All 3 nursing homes in Centralia, WA (3 take Medicaid)

Accepts Medicare Accepts Medicaid 83 certified beds For profit

CMS certification number 505536 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Three Rivers Care a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Three Rivers Care as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Washington average of 3.3. Inspectors issued 9 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.26 hours per resident per day at Three Rivers Care, above the Washington median of 4.15 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.28 hours, 23% below its all-week average. Ask how weekends are staffed.

Nursing care per resident per day 4.26 hours
Above the Washington median of 4.15 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.53 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.28 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds83
Residents per day 69 About 83% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2025
Part of a chainCaldera Care
Legal business nameTHREE RIVERS CARE LLC

Paying for care at Three Rivers Care: Medicare and Medicaid

Three Rivers Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Washington's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on November 18, 2025 and found 8 deficiencies. In total, inspectors issued 9 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 9 citations at Three Rivers Care across 2 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 9 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (2) and infection control (2). The most serious was cited under the CMS rule to "prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function" (tag F0605, level D, November 18, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

November 18, 2025 · 8 citations

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Dec 10, 2025)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Dec 10, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Dec 10, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 10, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 10, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 10, 2025)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Dec 10, 2025)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Dec 10, 2025)

August 14, 2025 · 1 citation · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Sep 2, 2025)

Questions to ask on a tour of Three Rivers Care

  1. CMS cited the home under its abuse and neglect rules on November 18, 2025. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 23% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 3/5 4/5
August 2026 5/5 5/5 3/5 4/5
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Location

Hospitals near Three Rivers Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

South Creek Post Acute Centralia · 1.1 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 128 beds · Medicaid
Sharon Care Center Centralia · 1.4 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 42 beds · Medicaid
Lacey Post Acute & Rehabilitation Lacey · 20.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 120 beds · Medicaid
Regency Olympia Rehabilitation and Nursing Center Olympia · 21.8 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 28 beds · Medicaid
Puget Sound Care Olympia · 22.3 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 108 beds · Medicaid

More nursing homes near Three Rivers Care ›   All nursing homes in Centralia ›

Compare Three Rivers Care with the 3 closest homes side by side ›

Other Caldera Care nursing homes in Washington

Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Caldera Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/washington/centralia/three-rivers-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.