THREE RIVERS CARE in Centralia, WA has a 5-star overall rating, with 5 stars for health inspections and quality measures, but 3 stars for staffing. It reports 4.13 nurse staffing hours per resident day, just above the federal benchmark of 4.1, with $0 in fines in the last 24 months.
Last inspection: November 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1263.
Staffing detail
Registered nurses
0.58
Licensed practical nurses
1.04
Nurse aides
2.51
Weekend nursing
3.58
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.7%Steady
Residents with a fall causing major injury
1.7%Steady
Residents with pressure ulcers (bedsores)
5.4%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
12.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.1%Steady
Short-stay residents newly given an antipsychotic
2.7%Worsening
Residents with a long-term catheter
4%Steady
Residents with new or worsening incontinence
14.5%Steady
Residents with depressive symptoms
3.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
95.6%Worsening
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CALDERA CARE · 8 homes · 2.6 stars avg
Occupancy
46.3 residents on an average day (56% of 83 beds)
Resident voice
Resident council
Medicare history
Certified for 1 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.