Home / Washington / Centralia
1305 Alexander St., Centralia, WA 98531 · Lewis County · (360) 754-9792
83 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2025
CMS Care Compare ratings, data as of September 1, 2026 · CCN 505536 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 18, 2025, inspectors cited 8 health deficiencies (the Washington average is 15.8, the national average 9.2).
None of its 9 health citations since December 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.27 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
CMS links it to Caldera Care, an affiliated group of 6 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to complete an AIMS (Abnormal Involuntary Movement Scale) test (a rating scale used to assess the severity of involuntary movements that sometimes develop as a side effect of treatment with antipsychotic medications [a class of drugs primarily used to treat mental health conditions such as hallucinations and delusions]) and/or failed to monitor for adverse side effects (ASE) of antidepressant medication (a class of drugs used to treat depression, a mental health condition characterized by persistent feelings of sadness, hopelessness, and/or loss of interest in activities) for 1 of 5 sampled residents (Resident 42) reviewed for unnecessary medications. This failure placed residents at risk for medication side effects, medical complications, and a diminished quality of life.
Inspectors wroteBased on interview and record review, the facility failed to develop a depression (a mental health condition characterized by persistent feelings of sadness, hopelessness, and/or loss of interest or pleasure in activities) baseline care plan for 1 of 5 sampled residents (Resident 42) reviewed for unnecessary medications. This failure placed residents at risk for unmet care needs and a diminished quality of life.
Inspectors wroteBased on interview and record review, the facility failed to follow physicians' orders to assess resident's pulse (heart rate) prior to medication administration for 1 of 5 residents (Resident 30) and to administer pain medication per physician's ordered parameters for 1 of 6 residents (Resident 17), reviewed for quality of care. These failures placed residents at risk of unmet care needs, medical complications and diminished quality of life.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen tubing was changed for 1 of 1 sampled resident (Resident 7) reviewed for respiratory care. This failure placed residents at risk of respiratory infections and a decreased quality of life. Findings Included. Record review of the facility's policy titled, Oxygen Management, revised 08/2023, documented .6. Change oxygen tubing weekly or when soiled, impaired integrity or as needed. Resident 7 was admitted to the facility on [DATE] with multiple diagnosis to include chronic obstructive pulmonary disease (COPD, a group of lung diseases that cause long-term breathing problems) and emphysema (a chronic lung disease that causes progressive damage to the air sacs in the lungs). [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure a vial of purified protein derivative (PPD) solution (used in the skin test to diagnose tuberculosis, a lung infection), was dated with the date opened according to accepted professional standards of practice for 1 of 2 medication rooms (East Hall) reviewed for medication storage and labeling. This failure placed residents at risk of receiving expired medications and negative health outcomes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure opened resident food items were labeled and dated in 1 of 2 nourishment refrigerators (West Hall) reviewed for food storage. This failure placed residents at risk for food borne illness, and a diminished quality of life.
Inspectors wroteBased on interview and record review, the facility failed to offer the pneumococcal vaccine (a vaccination used to help prevent certain bacterial infections such as pneumonia, an infection of the lungs), and/or provide information and education regarding risks, benefits, and potential side effects associated with the vaccine, for 1 of 5 sampled residents (Resident 42) reviewed for unnecessary medications. This failure placed residents at risk for developing pneumonia, related complications, and a diminished quality of life.
Inspectors wroteBased on interview and record review, the facility failed to offer the Covid-19 (Coronavirus disease 2019, an infectious respiratory illness caused by a virus) vaccine and/or provide information and education regarding risks, benefits, and potential side effects associated with the vaccine, for 1 of 5 sampled residents (Resident 42) reviewed for unnecessary medications. This failure placed residents at risk for contracting Covid-19 infections, related complications, and a diminished quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from misappropriation of property for 1 of 4 sampled residents (Resident 1), reviewed for misappropriation. This failure resulted in Resident 1's funds being misappropriated and placed residents at risk for financial exploitation and diminished quality of life.
14 fire safety citations on file: 3 on November 18, 2025, 11 on December 10, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Washington | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.27 | 4.36 | 3.86 |
| Registered nurses | 0.47 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.50 | 3.80 | 3.42 |
| Nurse aides | 2.63 | ||
| Licensed practical nurses | 1.17 | ||
| Nursing staff turnover (share who left in a year) | not reported | 45.1% | 45.8% |
| Registered nurse turnover | not reported | 45.4% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.73 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.59 on weekdays and 3.50 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.91 in April to June 2025 to 4.27 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.27 | 0.47 | 4.59 | 3.50 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 4.13 | 0.58 | 4.34 | 3.58 | 0.0% | 0 of 92 | 46 |
| Jul to Sep 2025 | 4.58 | 0.74 | 4.87 | 3.87 | 0.0% | 0 of 92 | 32 |
| Apr to Jun 2025 | 4.91 | 0.92 | 5.27 | 4.03 | 0.0% | 0 of 91 | 26 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Washington, Jan to Mar 2026 | 4.21 | 0.90 | 4.44 | 3.66 | 3.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Washington, all employers | |||
| CNAs (nursing assistants) | $23.65 | $22.59 to $27.85 | 30,270 |
| LPNs and LVNs | $39.98 | $36.98 to $45.18 | 6,780 |
| Registered nurses | $59.71 | $49.57 to $64.54 | 69,260 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Washington | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.8 | 14.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.5 | 1.0 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.8 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 15.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 26.1 | 13.4 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Three Rivers Care's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
US median of homes 51.5% · Washington: 71 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
US median of homes 10.7% · Washington: 7 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
US median of homes 7.1% · Washington: 4 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024.
66.7% this home
Median of homes: Washington61.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 24 residents counted.
0.0% this home
Median of homes: Washington0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 46 residents counted.
0.0% this home
Median of homes: Washington1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 46 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Washington98.3% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: THREE RIVERS CARE LLC. CMS links this home to Caldera Care, a group of 6 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kh7 Healthcare Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 05/21/2025 |
| Kh7 Hh Cdw | 5% or greater indirect ownership interest | Organization | 05/21/2025 | |
| Kh7 Ops LLC | 5% or greater indirect ownership interest | Organization | 05/21/2025 | |
| Oscherowitz, Raphael | 5% or greater indirect ownership interest | Individual | 05/21/2025 | |
| Wolmark, Chaim | 5% or greater indirect ownership interest | Individual | 05/21/2025 | |
| 1305 Alexander Propco, LLC | 5% or greater mortgage interest | Organization | 05/21/2025 | |
| Oscherowitz, Raphael | Corporate officer | Individual | 05/21/2025 | |
| Wolmark, Chaim | Corporate officer | Individual | 05/21/2025 | |
| Hogue, Ashley | Operational/managerial control | Individual | 03/18/2014 | |
| McDaniel, Pauline | Operational/managerial control | Individual | 04/24/2023 | |
| Oscherowitz, Raphael | Operational/managerial control | Individual | 05/21/2025 | |
| Wolmark, Chaim | Operational/managerial control | Individual | 05/21/2025 | |
| 1305 Alexander Propco, LLC | Adp of the SNF | Organization | 05/21/2025 | |
| Kh7 Propco Holdings LLC | Adp of the SNF | Organization | 05/21/2025 | |
| Hogue, Ashley | Adp of the SNF | Individual | 03/18/2014 | |
| McDaniel, Pauline | Adp of the SNF | Individual | 04/24/2023 | |
| Oscherowitz, Raphael | Adp of the SNF | Individual | 05/21/2025 | |
| Wolmark, Chaim | Adp of the SNF | Individual | 05/21/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.