Three Rivers Health and Rehabilitation Center
1403 Conner Drive, Windsor, NC 27983 · Bertie County · 60 certified beds · avg 47 residents/day · certified since Mar 12, 1992
Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (6)
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 |
|---|---|---|
| Jan 30, 2026 | E · Potential for harm, repeated | 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. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 30, 2026 | 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 1, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Nov 1, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Nov 1, 2024 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2026 | 3 | 0 | E |
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 | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.42 | 4.01 | 3.95 | bottom 31% in North Carolina; bottom 33% in the U.S. |
| Registered Nurse hours | 0.41 | 0.64 | 0.69 | bottom 29% in North Carolina; bottom 24% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.56 | 3.50 | bottom 38% in North Carolina; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.41 | 0.48 | top 47% in North Carolina; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 48.9 | 49.0 | 45.8 | bottom 49% in North Carolina; bottom 40% in the U.S. |
| RN turnover (%) | 20.0 | 45.7 | 42.9 | top 12% in North Carolina; top 13% in the U.S. |
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 3.56, RN 0.43, weekend 3.24. 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: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty Healthcare Properties of Bertie County LLC | Organization | 5% or Greater Direct Ownership Interest | — | 06/25/2025 |
| Liberty Real Properties, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 06/25/2025 |
| McNeill, John | Individual | 5% or Greater Direct Ownership Interest | — | 10/01/2002 |
| McNeill, Ronald | Individual | 5% or Greater Direct Ownership Interest | — | 10/01/2002 |
| Three Rivers Health and Rehabilitation Center, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 10/01/2002 |
| Bork, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/29/2007 |
| Brown, Penny | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/25/2025 |
| Calcutt, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2025 |
| Calcutt, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Liberty Healthcare Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2002 |
| Long Term Care Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| McNeill, John | Individual | Corporate Director | NOT APPLICABLE | 12/15/2005 |
| McNeill, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 06/25/2025 |
| McNeill, Ronald | Individual | Corporate Director | NOT APPLICABLE | 12/15/2005 |
| Miller, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
| Miller, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Miller, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Oliver, Anna | Individual | Trustee of the SNF | NOT APPLICABLE | 06/25/2025 |
| Purvis, Jenny | Individual | Trustee of the SNF | NOT APPLICABLE | 06/25/2025 |
| Severa, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/25/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 |
|---|---|---|---|---|---|
| Windsor Rehabilitation and Healthcare Center | 0.1 mi | Windsor, NC | ★☆☆☆☆ | 1/5 | abuse |
| The Carrolton of Plymouth | 13.6 mi | Plymouth, NC | ★★★☆☆ | 3/5 | |
| Chowan River Nursing and Rehabilitation Center | 19.5 mi | Edenton, NC | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345404.