Quick answers
- Where is Three Rivers Care?
- 1305 Alexander St, Centralia, WA 98531, in Lewis County, Washington.
- What is the phone number of Three Rivers Care?
- (360) 754-9792, as listed by Medicare (CMS).
- What is the Medicare star rating of Three Rivers Care?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Three Rivers Care been fined?
- Medicare lists no fines for Three Rivers Care.
- What did inspectors find at Three Rivers Care?
- In its last three inspection cycles (December 10, 2024 to November 18, 2025), Medicare lists 9 health citations; the most serious was level D. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 10, 2024 to November 18, 2025), Three Rivers Care had 9 health citations; the most serious was level D (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.26 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: November 18, 2025 — 8 health citations
Inspections in this cycle: November 18, 2025 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0761 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”
Previous cycle: December 10, 2024 — 1 health citation
Inspections in this cycle: December 10, 2024 (standard health inspection); August 14, 2025 (complaint investigation).
Show 1 citation (levels A to F, no actual harm)
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (14)
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Washington | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.53 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.16 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.57 | 2.68 | 2.35 |
| Total nurse staff hours per resident per day | 4.26 | 4.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.28 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 0.44 | 0.71 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 6 nursing homes: Caldera Care.
Legal business name: Three Rivers Care LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| KH7 Healthcare Holdings, LLC | Direct owner | 100% | May 21, 2025 |
| KH7 HH CDW | Indirect owner | — | May 21, 2025 |
| KH7 Ops LLC | Indirect owner | — | May 21, 2025 |
| Oscherowitz, Raphael | Indirect owner | — | May 21, 2025 |
| Wolmark, Chaim | Indirect owner | — | May 21, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 83 |
| Average residents per day | 69.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Caldera Care |
| Legal business name | Three Rivers Care LLC |
| First approved by Medicare/Medicaid | 2025-01-15 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1305 Alexander St, Centralia, WA 98531 |
| County | Lewis County |
| State | Washington |
| Phone | (360) 754‑9792 |
| CMS Certification Number | 505536 |
| Name in Medicare records | THREE RIVERS CARE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- South Creek Post Acute1.1 mi · Centralia, WA · 4 of 5 stars
- Sharon Care Center1.4 mi · Centralia, WA · 3 of 5 stars
- Lacey Post Acute & Rehabilitation21 mi · Lacey, WA · 2 of 5 stars
- Regency Olympia Rehabilitation and Nursing Center22 mi · Olympia, WA · 5 of 5 stars
- Puget Sound Care22 mi · Olympia, WA · 4 of 5 stars
Nearest hospital emergency rooms
- Providence Centralia Hospital0.9 mi · Centralia, WA · Acute Care Hospital
- Capital Medical Center22 mi · Olympia, WA · Acute Care Hospital
- Providence St Peter Hospital24 mi · Olympia, WA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13