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 26 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

  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 February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

  14. 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).

  15. 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).

  16. 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).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

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

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

  22. 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).

  23. 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).

  24. 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).

  25. 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).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.