Three Rivers Health & Rehab Center
Nursing Home · West Point, VA
CMS certification number495303
Contact & location
2960 Chelsea RoadWest Point, VA 23181
King William County
- Phone
- (757) 843-4323
- ZIP code
- 23181 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 57.9 (97% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Three Rivers SNF Operations LLC
- Medicare certified since
- September 1, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.15 (state 3.76 · U.S. 3.86)
- Registered nurses (RN)
- 0.47 (state 0.69 · U.S. 0.69)
- Licensed practical nurses
- 0.87 (state 1.00 · U.S. 0.86)
- Nurse aides
- 1.80 (state 2.07 · U.S. 2.32)
- Weekend total
- 2.83 (state 3.29 · U.S. 3.42)
- Nursing staff turnover
- 42.0 (state 48.1 · U.S. 45.8)%
- RN turnover
- 42.9 (state 48.2 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 1, 2024
- Health deficiencies (last cycle)
- 8.0 (state 14.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 36 health · 6 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2024-03-01 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2024-03-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-01 |
| 2023-09-13 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-24 |
| 2023-09-13 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-24 |
| 2023-09-13 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-09-13 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-24 |
| 2023-09-13 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-24 |
| 2023-09-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-24 |
| 2021-07-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2021-09-01 |
| 2021-07-29 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | The resident has the right to receive notices in a format and a language he or she understands. F0574 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2021-07-29 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. F0840 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-01 |
| 2018-11-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
| 2018-11-01 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
| 2018-11-01 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
| 2018-11-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
| 2018-11-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
| 2018-11-01 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
| 2018-11-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2018-12-07 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $8,492 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-09-13 | Fine | $8,492 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| VA 3 Opco Holdco LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| BSD Eom Irrevocable Trust (organization) | 5%+ Indirect Ownership Interest · 25% | |
| Hlhk Irrevocable Trust (organization) | 5%+ Indirect Ownership Interest · 25% | |
| South East Virginia Hold Co LLC (organization) | 5%+ Indirect Ownership Interest · 25% | |
| Vogue NHC LLC (organization) | 5%+ Indirect Ownership Interest · 25% | |
| Hartstein, Jake (individual) | Corporate Officer · NOT APPLICABLE | |
| Montfordd, Nicola (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Three Rivers Health & Rehab Center?
Three Rivers Health & Rehab Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.
How many beds does Three Rivers Health & Rehab Center have?
It has 60 certified beds and cares for about 58 residents per day.
Has Three Rivers Health & Rehab Center been fined?
Yes. CMS lists 1 penalty totaling $8,492 in the last three years.
What is the phone number of Three Rivers Health & Rehab Center?
(757) 843-4323. The facility is located at 2960 Chelsea Road, West Point, VA 23181.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.