All citations for Three Rivers Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Three Rivers Healthcare Center

Last standard health inspection on record

February 6, 2025

Showing 1 to 25 of 28 citations

  1. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  2. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  3. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  5. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  7. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  11. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  12. No harm, with potential for more than minimal harm

    Have proper power supply for life support equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  13. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  14. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  15. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2019).

  16. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  17. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  19. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  20. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  21. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  22. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2024).

  23. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2024).

  24. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2024).

  25. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.