Three Rivers Care
Centralia, Lewis County, Washington · CCN 505536 · For-profit (LLC) · part of Caldera Care (6 facilities, chain average 2.8 stars)
CMS rates Three Rivers Care 5 of 5 overall as of August 2026. 83 certified beds, 57 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 4.27179 hours per resident per day |
|---|---|
| Registered nurses | 0.47369 hours per resident per day |
| Weekend total | 3.49564 hours per resident per day |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-18 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-11-18 | 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. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-10 |
| 2025-08-14 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-02 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Kh7 Healthcare Holdings, LLC Organization | 5% or greater direct ownership interest | 100% | 2025-05-21 |
| Kh7 Hh Cdw Organization | 5% or greater indirect ownership interest | — | 2025-05-21 |
| Kh7 Ops LLC Organization | 5% or greater indirect ownership interest | — | 2025-05-21 |
| 1305 Alexander Propco, LLC Organization | 5% or greater mortgage interest | — | 2025-05-21 |
| 1305 Alexander Propco, LLC Organization | adp of the snf | — | 2025-05-21 |
| Kh7 Propco Holdings LLC Organization | adp of the snf | — | 2025-05-21 |
| Oscherowitz, Raphael Individual | 5% or greater indirect ownership interest | — | 2025-05-21 |
| Wolmark, Chaim Individual | 5% or greater indirect ownership interest | — | 2025-05-21 |
| Hogue, Ashley Individual | adp of the snf | — | 2014-03-18 |
| Mcdaniel, Pauline Individual | adp of the snf | — | 2023-04-24 |
| Oscherowitz, Raphael Individual | adp of the snf | — | 2025-05-21 |
| Wolmark, Chaim Individual | adp of the snf | — | 2025-05-21 |
| Oscherowitz, Raphael Individual | corporate officer | — | 2025-05-21 |
| Wolmark, Chaim Individual | corporate officer | — | 2025-05-21 |
| Hogue, Ashley Individual | operational/managerial control | — | 2014-03-18 |
| Mcdaniel, Pauline Individual | operational/managerial control | — | 2023-04-24 |
| Oscherowitz, Raphael Individual | operational/managerial control | — | 2025-05-21 |
| Wolmark, Chaim Individual | operational/managerial control | — | 2025-05-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Three Rivers Care.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lewis County.