The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
Three Rivers Health and Rehabilitation Center
Windsor, NC · Medicare-certified · 60 beds
In good standing
For-profitChain member
4 of 5 overall
Three Rivers Health and Rehabilitation Center in Windsor, NC has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality ratings but a low 2-star staffing rating. Reported nurse staffing is 3.47 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4737 hrs/resident/day
Quality measures
Last inspection: January 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4737.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.02
- Weekend nursing
- 3.17
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.3%Worsening
Residents with a fall causing major injury
6.4%Worsening
Residents with pressure ulcers (bedsores)
5.2%Improving
Residents with a urinary tract infection
0.7%Steady
Residents who lost too much weight
3.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.8%Worsening
Residents whose ability to walk got worse
15.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
26.3%Worsening
Short-stay residents newly given an antipsychotic
0.5%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.7%Worsening
Residents with depressive symptoms
9.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.3%Worsening
Short-stay residents given the seasonal flu vaccine
97%Steady
Short-stay residents given the pneumonia vaccine
97.5%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LIBERTY SENIOR LIVING · 37 homes · 2.6 stars avg
- Occupancy
- 53.1 residents on an average day (88% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.