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Three Rivers Health And Rehab
1403 CONNER DR
Windsor, NC 27983
(252) 794-4441
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 60 |
| Number of Residents: | 58 |
| Percent of Occupied Beds: | 97% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070919 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20071022 |
| 20070919 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Pattern | Minimal harm or potential for actual harm | 20071022 |
| 20090515 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20090630 |
| 20090515 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20090630 |
| 20090515 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20090630 |
| 20090630 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090701 |
| 20090630 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090701 |
| 20090630 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20090701 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 98 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 22 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 13 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 6 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 60 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 8 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 6 | |
| Percent of long-stay residents who had a urinary tract infection: | 7 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 87 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 76 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 12 | |
| # of Residents: | 58 |
| # RN Hours per Resident: | 0.44 |
| # LPN Hours per Resident: | 0.67 |
| # CNA Hours per Resident: | 2.29 |
| Total Staff Hours per Resident: | 1.11 |
