Three Rivers Care
1305 Alexander St, Centralia, WA 98531 · Lewis County · 83 certified beds · avg 57 residents/day · certified since Jan 15, 2025
Part of chain: CALDERA CARE (6 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 18, 2025 | D · Potential for harm, one-off | 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. |
| Nov 18, 2025 | D · Potential for harm, one-off | 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. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 18, 2025 | D · Potential for harm, one-off | 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. |
| Nov 18, 2025 | D · Potential for harm, one-off | 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. |
| Nov 18, 2025 | D · Potential for harm, one-off | 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. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 18, 2025 | D · Potential for harm, one-off | 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. |
| Aug 14, 2025 | D · Potential for harm, one-off | 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 |
Inspection trend by year
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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 (%) | 0.0 | 45.1 | 45.8 | — |
| RN turnover (%) | 0.0 | 45.4 | 42.9 | — |
Hours are per resident per day, 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. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
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 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 505536.