Three Rivers Care
A nursing home in Centralia, Washington 98531
1305 Alexander St, Centralia, Washington 98531. (360) 754-9792.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle Washington average: 15.7
- 4.26 nurse hours per resident per day Washington average: 4.42
- 0 fines in the last three years
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?
8 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Nov 18, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
9 citations in 2 months of the last 36. Last cited Nov 2025. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 9 citations in the last three years
Grouped by inspection, newest first. Each carries 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)., from A, the least serious, to L, the most. 1 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Nov 18, 2025: standard inspection8 citations
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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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.
Aug 14, 2025: complaint inspection1 citation
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Protect each resident from the wrongful use of the resident’s belongings or money.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 15, 2025.
- 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.
- 83 certified beds.
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.
- 1 citation in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.26 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 4.26 | 4.42 |
| Of which registered nurses | 0.53 | 0.99 |
| At weekends | 3.28 | 3.82 |
| Nursing staff turnover | Not given | 43.9% |
| Registered nurse turnover | Not given | 43.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- Kh7 Healthcare Holdings, LLC owns 100% directly since May 21, 2025.
- 12 owners or officers are people: Chaim Wolmark (owns 5% or more through other companies, 50%); Raphael Oscherowitz (owns 5% or more through other companies, 50%); Chaim Wolmark (corporate officer); Chaim Wolmark (runs it (operational or managerial control)); Chaim Wolmark (additional disclosable party (controls, leases property to, or provides services to the home)); Ashley Hogue (runs it (operational or managerial control)); Ashley Hogue (additional disclosable party (controls, leases property to, or provides services to the home)); Pauline Mcdaniel (runs it (operational or managerial control)); Pauline Mcdaniel (additional disclosable party (controls, leases property to, or provides services to the home)); Raphael Oscherowitz (corporate officer); Raphael Oscherowitz (runs it (operational or managerial control)); Raphael Oscherowitz (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Caldera Care (6 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Kh7 Healthcare Holdings, LLC | Owns 5% or more directly | 100% | May 21, 2025 |
| Kh7 Hh Cdw | Owns 5% or more through other companies | 50% | May 21, 2025 |
| Kh7 Ops LLC | Owns 5% or more through other companies | 50% | May 21, 2025 |
| 1305 Alexander Propco, LLC | Holds 5% or more of the mortgage | May 21, 2025 | |
| 1305 Alexander Propco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 21, 2025 | |
| Kh7 Propco Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 21, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 35.9 miles, this one had the 10th most health citations at the latest inspection cycle (8; the middle value was 15.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Three Rivers Care This nursing home | 8 | |
| South Creek Post Acute | 1.1 | 16 |
| Sharon Care Center | 1.4 | 10 |
| Lacey Post Acute & Rehabilitation | 20.5 | 23 |
| Regency Olympia Rehabilitation and Nursing Center | 21.8 | 8 |
| Puget Sound Care | 22.3 | 9 |
| Panorama City Conv & Rehab Ctr | 22.5 | 5 |
| Crystal Cove Post Acute | 23.3 | 38 |
| Woodard Creek Health & Rehabilitation | 23.7 | 54 |
| Olympia Transitional Care and Rehabilitation | 23.8 | 19 |
| Montesano Health-Rehab Center | 34.7 | 15 |
| Fir Lane Care | 35.9 | 19 |
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
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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).
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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).
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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).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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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.
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.