Nursing Home Alerts

Three Rivers Care

1305 Alexander St, Centralia, WA 98531

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Three Rivers Care is a nursing home in Centralia, Washington. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(360) 754-9792
Last standard health inspection
November 18, 2025 (11 months ago)
Certified beds
83
Residents per day, on average
69.3
Ownership type
For profit - Limited Liability company
Legal business name
Three Rivers Care LLC
Chain
Caldera Care
Takes part in
Medicare and Medicaid

Fewer health citations than the Washington average (9 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of July 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

  3. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from not rated by CMS to 5 of 5.

    • Name

      CMS lists a new legal business name for this home.

  4. CMS update of January 14, 2026

    • Star rating

      The CMS overall star rating changed from not rated by CMS to 5 of 5.

    • Star rating

      The CMS health inspection star rating changed from not rated by CMS to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from not rated by CMS to 5 of 5.

  5. 8 citations

    Health inspection on November 18, 2025

    CMS lists this as a standard inspection.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on December 10, 2025.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on December 10, 2025.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on December 10, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 10, 2025.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 10, 2025.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 10, 2025.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on December 10, 2025.

    • Citation F0887. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      CMS lists it as corrected on December 10, 2025.

    See this home on CMS Care Compare

  6. 3 citations

    Fire safety inspection on November 18, 2025

    CMS lists this as a standard inspection.

    • Citation K0923. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on October 3, 2025.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on October 3, 2025.

      CMS has cited this home for K0324 2 times since 2024.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on October 3, 2025.

      CMS has cited this home for K0321 2 times since 2024.

    See this home on CMS Care Compare

  7. 1 citation

    Health inspection on August 14, 2025

    CMS lists this as a complaint inspection.

    • Citation F0602. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

      CMS lists it as corrected on September 2, 2025.

    See this home on CMS Care Compare

  8. CMS update of May 28, 2025

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

  9. CMS update of April 30, 2025

    • Listing

      This home now appears in CMS data.

  10. 11 citations

    Fire safety inspection on December 10, 2024

    CMS lists this as a standard inspection.

    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0521. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on December 24, 2024.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on December 24, 2024.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Three Rivers Care last inspected?

CMS lists November 18, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Three Rivers Care have?

CMS lists 9 health citations since August 14, 2025. CMS also calls these deficiencies.

Has Three Rivers Care been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Three Rivers Care?

Its CMS overall star rating is 5 of 5.

Is Three Rivers Care a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Centralia