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A
Very Good

THREE RIVERS CARE

1305 ALEXANDER ST · CENTRALIA, WA 98531

3607549792 · For profit - Limited Liability company

83 beds32.2 residents78 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

THREE RIVERS CARE receives an overall staffing grade of A (Very Good). With 4.666 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.77 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.57% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.666hrs/resident/day▲ 0.77
CMS benchmark: 3.48
RN HPRD
0.7626hrs/resident/day▲ 0.08
Recommended: 0.75
Weekend Drop-off
20.57%
4.954 weekday → 3.9349 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9963hrs/resident/day
Direct care aides
LPN HPRD
1.1787hrs/resident/day
Licensed practical nurses
Consistency
0.7534std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lewis County Average-0.07 HPRD
4.73
04.67 HPRD
vs. Washington State Average+0.38 HPRD
4.28
04.67 HPRD
vs. National Average+0.77 HPRD
3.90
04.67 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THREE RIVERS CARE ★
CENTRALIA · This facility
—
A
4.6660.7626★★★★★
SOUTH CREEK POST ACUTE
CENTRALIA
1.1 mi
B
3.97010.6036★★★★☆
SHARON CARE CENTER
CENTRALIA
1.4 mi
A+
5.56491.2978★★★★☆
LACEY POST ACUTE & REHABILITATION
LACEY
20.5 mi
B
3.93630.6325★★★★★
REGENCY OLYMPIA REHABILITATION AND NURSING CENTER
OLYMPIA
21.8 mi
A
4.61460.8389★★★★☆
PUGET SOUND CARE
OLYMPIA
22.3 mi
C
4.26570.5434★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
9
Total Deficiencies
$0
Fines Assessed
Nov 18, 2025Health
8 deficiencies cited
▼
Aug 14, 2025Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.