Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
THREE RIVERS HEALTH & REHAB CENTER
WEST POINT, VA · 60 certified beds · Last Life Safety survey March 1, 2024
CMS Certification Number 495303 · first certified September 1995
Ownership
Independently operated (no chain recorded by CMS) · For profit - Limited Liability company
- Ownership changed March 1, 2023 (change of ownership)from WEST POINT SNF OPERATIONS LLC
Position within VA
6 citations — more than 26% of the 289 certified nursing homes in VA. Compared within VA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens October 2026. This facility’s last Life Safety survey was March 2024. Facilities in VA are typically surveyed 31–43 months after the last one (median 37), measured over 125 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in VA, and nationally. Surveyors differ markedly between states, so the VA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in VA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 1, 2018 | 3 |
| July 29, 2021 | 0 |
| March 1, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-03-01 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2018-11-01 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2018-11-01 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-03-01 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2018-11-01 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2024-03-01 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Smoke Deficiencies 2
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Smoke Deficiencies | 2 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 1, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (March 15, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 15, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 15, 2024) |
November 1, 2018 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 20, 2019) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (February 20, 2019) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (February 20, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.