CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Three Rivers Healthcare Center
View the most recent health deficiencies and inspection results for Three Rivers Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Three Rivers Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-18 | 2025-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-11-18 | 2025-12-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-23 | 2025-08-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-07-23 | 2025-08-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-23 | 2025-08-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-23 | 2025-08-18 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-23 | 2025-08-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-23 | 2025-08-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-06 | 2025-02-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-06 | 2025-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-06 | 2025-02-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-02-06 | 2025-02-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-12-16 | 2024-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-16 | 2024-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-10-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-15 | 2024-08-19 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-08-15 | 2024-08-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-15 | 2024-08-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-13 | 2024-07-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-13 | 2024-07-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-13 | 2024-07-10 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-13 | 2024-07-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-13 | 2024-07-10 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-06-13 | 2024-07-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-13 | 2024-07-10 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-13 | 2024-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-26 | 2024-02-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-26 | 2024-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2023-12-14 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-19 | 2023-10-06 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-09-19 | 2023-10-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-19 | 2023-10-06 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-09-19 | 2023-10-06 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-05-19 | 2022-06-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-19 | 2022-06-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-19 | 2022-06-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-19 | 2022-06-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-19 | 2022-06-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-19 | 2022-06-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-19 | 2022-06-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-05-19 | 2022-06-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-19 | 2022-06-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-19 | 2022-06-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-22 | 2019-06-30 | N |
| 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. | Health | 2019-05-22 | 2019-06-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-05-22 | 2019-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-22 | 2019-06-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-22 | 2019-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-22 | 2019-06-30 | N |