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Nursing HomeMedicaid Top Rated

Three Rivers Care

Strong Medicare quality ratings; families often praise modern, clean, and well-maintained facility. Still worth an in-person visit.

1305 Alexander St, Centralia, WA 9853183 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 20 Google reviews

5
4
3
2
1
Three Rivers Care Nursing Home in Centralia, WA — Street View
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What this means for your family

While Three Rivers Care offers a beautiful environment and skilled rehabilitation services, the reports of poor communication and lack of clinical monitoring are concerning. We strongly recommend that you visit in person to observe staff-to-patient interactions and ask specifically about their protocol for updating families on medical status changes.

Google Reviews

Google Reviews

20 reviews on Google
Three Rivers Care receives high praise for its modern, clean facility and dedicated nursing and therapy staff, particularly from families of long-term residents and rehab patients. However, there are serious concerns regarding communication and medical oversight, with reports of difficulty reaching staff and a critical incident involving a failure to monitor a patient's declining health. Families should weigh the facility's aesthetic and professional strengths against these significant lapses in responsiveness and clinical care.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean10.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Modern, clean, and well-maintained facility
  • Professional and compassionate nursing staff
  • Effective rehabilitation and IV therapy services
  • Supportive and attentive management team

Concerns

  • Difficulty reaching staff via phone (mentioned by 2 reviewers)
  • Lack of clinical oversight and patient monitoring (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02024(4)4.42025(13)3.92026(7)

Distribution · 24 analyzed

5
20
4
0
3
0
2
0
1
4

How They Respond to Reviews

35%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about how modern and clean the facility is; could you show us some of the common areas where residents relax?
  • 2Since we want to ensure we stay in the loop, what is the best way for family members to get quick updates or reach the nursing team during the day?
  • 3Could you walk us through your process for managing daily medications and how you ensure everything is double-checked for accuracy?
  • 4How does the clinical team handle increased monitoring or extra care if a resident's health needs change suddenly?
  • 5What kind of daily activities or social events do you have planned to keep the residents engaged and connected with each other?
  • 6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The staff are incredibly kind, patient and compassionate. Words cant express how thankful I am for who cared for him!

End-of-life care family member · 2025★★★★★

The highly skilled Nurses did a stellar job healing me. It was a tedious and consistent healing process and they all work together as a professional team.

Rehab patient · 2026★★★★★

We could never get a call back from the staff every time we went in there was no one to be found. When we took her out of there and to the hospital she was in renal failure.

Family member of resident · 2025☆☆☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
4.13hrs
OK
All nurses + aides combined

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
12.1%
WA
17.2%
Lewis
17.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
WA
12.2%
Lewis
22.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WA
95.9%
Lewis
90.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.5%
Better than Avg
Here
14.5%
US
19.4%
WA
23.0%
Lewis
21.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.3%
Worse than Avg
Here
12.3%
US
5.3%
WA
5.6%
Lewis
5.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.7%
Better than Avg
Here
13.7%
US
15.5%
WA
15.2%
Lewis
20.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
WA
82.0%
Lewis
72.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
81.8%
WA
87.8%
Lewis
78.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
WA
1.3%
Lewis
0.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (17.1)
1 complaint-triggered

Three Rivers Care has recurring fire safety and building maintenance issues that persist across multiple surveys, including problems with fire systems, electrical equipment, and emergency preparedness appearing in both 2024 and recent 2025 inspections. One family filed a complaint regarding financial protection of resident belongings, which was addressed. While all 23 deficiencies have correction dates, the pattern of repeated safety violations across surveys suggests ongoing facility management challenges that families should carefully consider.

Nov 18, 2025Routine
11
0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Aug 14, 2025Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Dec 10, 2024Routine
11
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Three Rivers Care

Organization Type

for profit

Chain Affiliation

Chain Name

Caldera Care

Chain Size

7 facilities nationwide

Chain avg rating: 2.4/5 · Rank 1 of 10 (Best)

Ownership & Management

Owners

Kh7 Healthcare Holdings, LLC

Owner · Organization

100%

Kh7 Hh Cdw

Owner (parent company) · Organization

Kh7 Ops LLC

Owner (parent company) · Organization

Oscherowitz, Raphael

Owner (parent company)

Wolmark, Chaim

Owner (parent company)

Key personnel

1305 Alexander Propco, LLC5% or Greater Mortgage InterestOscherowitz, RaphaelOfficer / DirectorWolmark, ChaimOfficer / DirectorHogue, AshleyManagerMcdaniel, PaulineManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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