Hearth Record

Three Rivers Health and Rehabilitation Center

A nursing home in Windsor, North Carolina 27983

1403 Conner Drive, Windsor, North Carolina 27983. (252) 794-4441.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 6 citations in 2 months of the last 36. Last cited Jan 2026. Most serious: no actual harm, potential for more than minimal harm (E). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

3 health citations at the latest inspection cycle

The North Carolina average is 4.6.

Last standard inspection Jan 30, 2026.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

6 citations in 2 months of the last 36. Last cited Jan 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.

6 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 6 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 2 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jan 30, 2026: standard inspection3 citations

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

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

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 20, 2026.

Nov 1, 2024: standard inspection1 citation

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 22, 2024.

Nov 1, 2024: standard and complaint inspection2 citations

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 27, 2023.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 22, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Mar 12, 1992.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 60 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 2 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.60 nurse hours per resident per day

The North Carolina average is 3.87.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNorth Carolina average
Nurse hours per resident per day3.603.87
Of which registered nurses0.370.62
At weekends3.353.40
Nursing staff turnover48.8%48.7%
Registered nurse turnoverNot given45.7%
Administrators who left0Not given

Who owns it?

  • Liberty Long Term Care LLC owns 100% directly since Oct 1, 2002; Liberty Real Properties, LLC owns 100% directly since Jun 25, 2025; Liberty Healthcare Properties of Bertie County LLC owns 100% directly since Jun 25, 2025; Three Rivers Health and Rehabilitation Center, LLC owns an unstated share directly since Oct 1, 2002.
  • Liberty Healthcare Management Inc. runs it.
  • 18 owners or officers are people: Ronald Benjamin Mcneill (owns 5% or more directly, 50%); Ronald Benjamin Mcneill (owns 5% or more through other companies, 26%); Jenny Purvis (trustee); Jeffrey S. Wilson (runs it (operational or managerial control)); Robert Mcneill (trustee); John Albert Mcneill (owns 5% or more directly); John Albert Mcneill (owns 5% or more through other companies); John Albert Mcneill (corporate director); Penny Brown (runs it (operational or managerial control)); Joseph V Calcutt (corporate officer); Joseph V Calcutt (additional disclosable party (controls, leases property to, or provides services to the home)); Jeffrey Francis Severa (runs it (operational or managerial control)); Matthew L Bork (runs it (operational or managerial control)); Robert B Miller (corporate director); Robert B Miller (runs it (operational or managerial control)); Robert B Miller (additional disclosable party (controls, leases property to, or provides services to the home)); Ronald Benjamin Mcneill (corporate director); Anna Oliver (trustee).
  • Part of Liberty Senior Living (37 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Liberty Healthcare Group LLCOwns 5% or more through other companies100%Jun 25, 2025
Liberty Long Term Care LLCOwns 5% or more directly100%Oct 1, 2002
Liberty Real Properties, LLCOwns 5% or more directly100%Jun 25, 2025
Liberty Healthcare Properties of Bertie County LLCOwns 5% or more directly100%Jun 25, 2025
Ronald B. and Cynthia J. Mcneill 2013 Irrevocable TrustOwns 5% or more through other companies24%Jun 25, 2025
John A Mcneill Jr 2012 Irrv TrOwns 5% or more through other companies24%Jun 25, 2025
Liberty Healthcare Management Inc.Runs it (operational or managerial control)Oct 1, 2002
Long Term Care Management Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 25, 2025
Three Rivers Health and Rehabilitation Center, LLCOwns 5% or more directlyOct 1, 2002

How do residents fare?

  • CMS rates its quality measures 4 of 5 (North Carolina average 3.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating4 of 5
Health inspections4 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 30.4 miles, this one had the 7th most health citations at the latest inspection cycle (3; the middle value was 4).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Three Rivers Health and Rehabilitation Center This nursing home3
Windsor Rehabilitation and Healthcare Center0.114
The Carrolton of Plymouth13.61
Chowan River Nursing and Rehabilitation Center19.55
Ahoskie Health and Rehabilitation Center20.39
The Carrolton of Williamston20.511
Rich Square Health & Rehabilitation Center28.010
Hertford Rehabilitation and Healthcare Center28.51
Bryan Health and Rehab29.22
Scotland Manor Health and Rehabilitation Center29.43
Gates Health and Rehabilitation Center29.73
Ridgewood Living & Rehabilitation Center30.411

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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