THREE RIVERS NURSING AND REHABILITATION CENTER LLC

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Three Rivers Nursing and Rehabilitation Center LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/04/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 12/04/2009 Correction Date: 01/18/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 02/04/2011 Correction Date: 03/23/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Get Rid of Garbage Properly. Inspection Date: 12/04/2009 Correction Date: 01/18/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/04/2011 Correction Date: 03/23/2011

Mistreatment

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. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
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. Inspection Date: 02/04/2011 Correction Date: 03/23/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/04/2009 Correction Date: 01/18/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/04/2011 Correction Date: 03/23/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 12/04/2009 Correction Date: 01/18/2010
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. Inspection Date: 02/04/2011 Correction Date: 03/26/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/04/2011 Correction Date: 03/23/2011
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 02/04/2011 Correction Date: 03/23/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/04/2009 Correction Date: 01/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/04/2011 Correction Date: 03/26/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 12/04/2009 Correction Date: 01/18/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Three Rivers Nursing and Rehabilitation Center LLC, as well as complaints by residents or their family in the previous three years.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 06/15/2010 Correction Date: 06/28/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/15/2010 Correction Date: 04/21/2010

Mistreatment

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. Complaint Filed: 09/04/2009 Correction Date: 10/16/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 09/04/2009 Correction Date: 10/16/2009

Quality Care

Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 05/09/2009 Correction Date: 06/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 06/15/2010 Correction Date: 06/28/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 06/15/2010 Correction Date: 06/28/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 06/15/2010 Correction Date: 06/28/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 06/15/2010 Correction Date: 06/28/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 06/15/2010 Correction Date: 06/28/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 09/24/2010 Correction Date: 10/22/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Three Rivers Nursing and Rehabilitation Center LLC had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/03/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/29/2008 Correction Date: 12/08/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/29/2008 Correction Date: 12/08/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/29/2008 Correction Date: 12/08/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 12/03/2009 Correction Date: 01/18/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/29/2008 Correction Date: 12/08/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/03/2011 Correction Date: 03/21/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 02/03/2011 Correction Date: 03/21/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 12/03/2009 Correction Date: 01/18/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 10/29/2008 Correction Date: 12/08/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/29/2008 Correction Date: 12/08/2008