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Three Rivers Care
1305 Alexander St, Centralia, WA 98531 (opens Google Maps) · Lewis County · (360) 754-9792· 83 certified beds · avg 57 residents/day · certified since Jan 15, 2025 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CALDERA CARE (6 facilities, chain avg rating 2.8★)
5/5
Health inspection rating (on-site)
inspected Nov 18, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.39
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. F-0655
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Aug 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
Inspection trend by year
All citationsSerious citations (G–L)
2025
All citations: 9
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 9 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.39
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 0.49
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.59
Washington average: 3.69
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.39 | 4.24 | 3.95 | top 27% in Washington; top 26% in the U.S. |
| Registered Nurse hours | 0.49 | 0.91 | 0.69 | bottom 3% in Washington; bottom 36% in the U.S. |
| Weekend total nurse staffing | 3.59 | 3.69 | 3.50 | top 41% in Washington; top 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.67 | 0.48 | bottom 42% in Washington; top 25% in the U.S. |
| Total nursing staff turnover (%) | — | 45.1 | 45.8 | — |
| RN turnover (%) | — | 45.4 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.27, RN 0.47, weekend 3.50.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Three Rivers Care. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| KH7 Healthcare Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/21/2025 |
| KH7 HH CDW | Organization | 5% or Greater Indirect Ownership Interest | — | 05/21/2025 |
| KH7 Ops LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/21/2025 |
| Oscherowitz, Raphael | Individual | 5% or Greater Indirect Ownership Interest | — | 05/21/2025 |
| Wolmark, Chaim | Individual | 5% or Greater Indirect Ownership Interest | — | 05/21/2025 |
| 1305 Alexander Propco, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/21/2025 |
| 1305 Alexander Propco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/21/2025 |
| Hogue, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2014 |
| Hogue, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2014 |
| KH7 Propco Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/21/2025 |
| McDaniel, Pauline | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2023 |
| McDaniel, Pauline | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2023 |
| Oscherowitz, Raphael | Individual | Corporate Officer | NOT APPLICABLE | 05/21/2025 |
| Oscherowitz, Raphael | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/21/2025 |
| Oscherowitz, Raphael | Individual | ADP of the SNF | NOT APPLICABLE | 05/21/2025 |
| Wolmark, Chaim | Individual | Corporate Officer | NOT APPLICABLE | 05/21/2025 |
| Wolmark, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/21/2025 |
| Wolmark, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 05/21/2025 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Caldera Care — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Willapa Harbor Care — Raymond, WA · overall 4/5
- Aurora Valley Care — Spokane, WA · overall 2/5
- Fir Lane Care — Shelton, WA · overall 1/5
- Puget Sound Care — Olympia, WA · overall 4/5
- Spokane Falls Care — Spokane, WA · overall 1/5
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| South Creek Post Acute | 1.1 mi | Centralia, WA | ★★★★☆ | 3/5 | |
| Sharon Care Center | 1.4 mi | Centralia, WA | ★★★☆☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 505536.