THREE RIVERS NURSING AND REHABILITATION CENTER LLC

The information listed below provides an in-depth look into the type and quality of care offered at Three Rivers Nursing and Rehabilitation Center LLC. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

THREE RIVERS NURSING AND REHABILITATION CENTER LLC
7800 JANDARACRES DRIVE
CINCINNATI, OH 45248
(513) 941-0787

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 109
  • Certified Beds: 125

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Cheviot | Harrison | Norwood

Resident Services

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.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.3%
Total Percent:2.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.5%
ADL Index Range: 2-106.8%
Total Percent:9.3%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.4%
Total Percent:3.4%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-163.0%
Total Percent:3.0%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-104.6%
ADL Index Range: 0-54.1%
Total Percent:8.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.3%
ADL Index Range: 6-102.1%
ADL Index Range: 0-528.9%
Total Percent:46.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.2%
Total Percent:0.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.4%
ADL Index Range: 6-109.3%
ADL Index Range: 0-56.8%
Total Percent:19.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care and ventilator/respirator
7.3%
Total Percent:7.3%
 

Rating Details For Three Rivers Nursing and Rehabilitation Center LLC

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours29 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 1 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 35 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 56 Minutes
Total Nurse Hours3 Hours and 5 Minutes4 Hours and 12 Minutes

Quality of Care -

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.

This FacilityOhio Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder37%48%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%11%
Percent of Long-Stay Residents Who Were Physically Restrained7%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious31%18%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-5%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%12%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain-24%

Health Inspection Details -

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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

Enforcement

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.

Action TakenDateAmount
Civil Money Penalty (CMP)03/15/2010$2,080
Civil Money Penalty (CMP)06/15/2010$5,493
Civil Money Penalty (CMP)09/24/2010$6,110
Civil Money Penalty (CMP)09/24/2010$37,603

Deficiencies from Complaints and Incidents

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

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

Fire Safety

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.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

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
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011