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Three Rivers Health and Rehab

Updated May 1, 2022 by Nick Lata

Historical Rating
Grade: B-minus
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: CFeb 19: CMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: B-Mar 20: B-Apr 20: CMay 20: CJun 20: CJul 20: CAug 20: CSep 20: COct 20: B-Jan 21: B-Feb 21: B-Mar 21: CApr 21: B-May 21: B-Jun 21: B-Jul 21: B-Aug 21: B-Sep 21: B-Oct 21: B-Nov 21: B-Jan 22: CFeb 22: CMar 22: CApr 22: B-May 22: B-
See Rating Overview

1403 Conner Drive,
Windsor NC 27983

(252) 794-4441

88.66% estimated occupancy 1

Three Rivers Health and Rehab is a small nursing home located in Windsor, North Carolina. This facility received an overall grade of B-, which is a solid rating. Based on our assessment, this nursing home ought to be a solid choice for most people. The best part of this place's report card is its stellar inspection score. We discuss inspections in the next section.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
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January
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February
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Facility Inspections

Grade: A

While this nursing home's overall grade was decent, it really excelled in the category of inspections. In fact, we awarded it a grade of A for that category, which is one of our best scores. Inspection ratings take several factors into consideration, including deficiencies and federal fines. You can find more information about each of these items by obtaining copies of nursing homes' inspection reports. Fortunately, although this facility had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This means CMS didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. The fact that none of the deficiencies were severe made us feel better about this inspection report.

Short-term Care Quality

Grade: B-plus

Another one of this facility's better category scores came in the category of short-term care. In that area, we gave this facility a grade of B+. Short-term care grades are generally employed to assess a nursing home's rehabilitation services. To have highly scored rehabilitation services, facilities generally must provide better levels of skilled nursing. Skilled nursing includes registered nurses, physical therapists, respiratory therapists and other types of therapists. We were pleased to find that this nursing home employs both registered nurses and physical therapists. The same can't be said for all nursing homes. This facility fared much better in the final metric we looked at in this area, which was the number of patients who were able to leave the facility and return home. This place performed as well as just about any nursing home in North Carolina in this metric with 61 percent of its patients returning home. Unfortunately, at most nursing homes, fewer than half of the short-stay patients are able to return home.

Long-term Care Quality

Grade: D

Turning to the area of long-term care, this facility received a grade of just D in this category. For prospective patients seeking a permanent residence as opposed to rehabilitation, long-term care is an important category. After considering the volume of care provided by aids and other staff, we then analyzed the facility's vaccination data. This nursing home vaccinated 95.77465 percent of its patients for pneumonia, which is better than the average nursing home. To our surprise, this nursing home also keeps its residents out of the hospital. In fact, it had just 1.65 hospitalizations per one thousand long-term resident days. Sadly, some of its other scores in the category weren't as favorable as these.

Nurse Quality

Grade: D

This facility's worst category was nursing, which is the last category we scored. For this area, we gave this facility a grade of just D. Our nursing score weighs quite a few factors, however, the most important consideration is the level of nurse hours spent with patients. This place provided just 3 hours of nursing care per patient on a daily basis. This is a very low total compared to most nursing homes. To go along with its subpar totals in the area of nursing hours per patient, this place also didn't perform as well in the quality-based measures we looked at in calculating our nursing scores. We looked at the percentage of residents sustaining major falls and pressure ulcers. This nursing home had more falls and pressure ulcers than the average facility.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Jun 22

Three Rivers Health and Rehab Quality Metrics

Minimizes Pressure Ulcers

Grade: F

In Three Rivers Health and Rehab, 10.34% of Patients had Pressure Ulcers

This metric gauges the percent of long-term care patients which developed new or worsened pressure ulcers or bed sores. We bake this statistic into our nursing grades.

Minimizes Serious Falls

Grade: D

In Three Rivers Health and Rehab, 3.97% of Patients had Serious Falls

This tells you the percent of residents that sustained a major fall. Falls resulting in serious injury are considered by many in the nursing home industry to be an indicator of nursing care at a nursing home. Major falls leading to injury are routinely the result of poor nursing care.

Minimizes Urinary Tract Infections

Grade: F

In Three Rivers Health and Rehab, 3.26% of Patients had UTIs

This tells you the percentage of residents who sustained a urinary tract infection. UTI's are often linked to facilities with worst hygiene practices. Better hygiene protocols reduces the number likelihood of residents sustaining infections. We want to point out that this metric is affected by by the fact that nursing homes have incongruent reporting standards for urinary tract infections.

Appropriately Uses Anti-Psychotic Medication

Grade: A-minus

In Three Rivers Health and Rehab, 11.5% of Patients use Anti-Psychotic Medication

This indicates the percentage of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of conditions, including Alzheimer's or other dementias. Unfortunately, in limited situations, increased usage of these drugs may suggest that a nursing home is using these drugs to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: B-minus

In Three Rivers Health and Rehab, 22.5% of Patients use Anti-Anxiety Medication

This is the percent of residents who were given antianxiety medications. Antianxiety drugs are prescribed to patients suffering from anxiety or depression.

Managing Depression Among Residents

Grade: A-minus

In Three Rivers Health and Rehab, 3.06% of Patients

This is the percent of residents demonstrating signs of depression.

Appropriate Vaccine Usage

Grade: B

In Three Rivers Health and Rehab, 88.86% of Patients

This tells you the percent of residents who were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.

Residents Maintain Autonomy

Grade: D

In Three Rivers Health and Rehab, 19.28% Percentage of Patients

This metric is a measure of the percent of long-term care patients that needed increased assistance with activities of daily living over time. ADL's include activities such as getting dressed and continence. Many argue this is a reasonable measure of a resident's well-being.

Ability to Keep Residents Mobile

Grade: B-plus

In Three Rivers Health and Rehab, 26.79% Percentage of Residents

This is a measure of the percent of long-term stay residents who were able to retain mobility. Many in the industry argue that the ability to move around is important for patients well-being.

Hospitalizations

Grade: B-plus

In Three Rivers Health and Rehab, 1.3 Hospitalizations per 1,000 resident days

This metric measures the number of times residents are hospitalized per thousand days of patient care.

Short-term Care: Rehospitalizations

Grade: B-minus

In Three Rivers Health and Rehab, 26.79 Percentage of Residents Rehospitalized

This is the number of times residents are rehospitalized per thousand days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.

Short-term Care: ER Visits

Grade: F

In Three Rivers Health and Rehab, 11.98 Percentage of Patients

This indicates the number of emergency room visits per 1,000 days of short-term care. There is typically a correlation between staying out of the emergency room and the overall quality of rehabilitation.

Short-term Care: Facilitates Functional Improvement

Grade: A-minus

In Three Rivers Health and Rehab, 72.58% Percentage of Resident

This indicates the percent of short-term care patients that experienced functional improvements, such as with activities of daily living. Higher levels of autonomy with ADL's generally correlates with superior rehabilitation.