Home / North Carolina / Windsor
Three Rivers Health and Rehabilitation Center
1403 Conner Drive, Windsor, NC 27983 · Bertie County · (252) 794-4441
60 certified beds, about 47 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345404 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 30, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 6 health citations since September 2023 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 3.56 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
48.9% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Liberty Senior Living, an affiliated group of 37 nursing homes.
Health inspections
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.
Where its citations fall on CMS's grid
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 6 health citations on file.
January 30, 2026Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interviews, the facility failed to clean 1 of 1 deep fryer, 1 of 1 steamer, 1 of 1 tray line cooler, 1 of 4 kitchen walls, the floor of 1 of 1 walk-in refrigerator and 2 of 5 meal carts. These practices had the potential to affect food served to residents.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review, observation and staff interviews, the facility failed to position a urinary drainage bag from touching the floor to reduce the risk of infection for 1 of 2 residents reviewed with urinary catheters (Resident #49).
- D 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.
Inspectors wroteBased on observation, consulting Pharmacist and staff interviews, the facility failed to date an opened multi-dose pen injector of insulin medication in 1 of 2 medication administration carts reviewed for medication storage (200 hall medication cart).
November 1, 2024Standard inspection, Complaint inspection · 3 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, staff interview, Medical Director/Physician interview, and Pharmacist interview the facility failed to have effective safeguards and systems in place to account for, and periodically reconcile controlled medications to protect the residents right to be free from potential drug diversion. This was for 7 of 14 residents reviewed for pharmacy services for controlled medication (Resident #9, Resident #205, Resident #210, Resident #211, Resident #212, Resident #213 and Resident #221).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and staff, Responsible Party (RP), and Physician interviews the facility failed to ensure a resident had an indication and a diagnosis for the use of an anti-psychotic medication. This was for 1 of 5 residents (Resident #157) reviewed for unnecessary medications.
- D 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.
Inspectors wroteBased on observations and staff interviews, the facility failed to secure resident medications stored in an unattended medication cart (200 hall medication cart) for 1 of 3 medication carts.
September 8, 2023Standard inspection · 0 citations
Fire safety inspections
12 fire safety citations on file: 6 on January 30, 2026, 2 on November 1, 2024, 4 on September 8, 2023.
Every fire safety citation12 citations
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Install proper backup exit lighting.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install an approved automatic sprinkler system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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 | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.56 | 3.85 | 3.86 |
| Registered nurses | 0.43 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.42 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 1.17 | ||
| Nursing staff turnover (share who left in a year) | 48.9% | 49.0% | 45.8% |
| Registered nurse turnover | 20.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.69 on weekdays and 3.24 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.56 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 | 3.56 | 0.43 | 3.69 | 3.24 | 14.7% | 0 of 90 | 47 |
| Oct to Dec 2025 | 3.47 | 0.50 | 3.59 | 3.17 | 17.1% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.51 | 0.46 | 3.65 | 3.14 | 12.9% | 0 of 92 | 50 |
| Apr to Jun 2025 | 3.48 | 0.42 | 3.59 | 3.19 | 12.9% | 0 of 91 | 52 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.5 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.6 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.7 | 12.9 | 12.0 |
Owners and operators
Legal business name: LIBERTY HEALTHCARE GROUP LLC. CMS links this home to Liberty Senior Living, a group of 37 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Liberty Healthcare Properties of Bertie County LLC | 5% or greater direct ownership interest | Organization | 06/25/2025 | |
| Liberty Real Properties, LLC | 5% or greater direct ownership interest | Organization | 06/25/2025 | |
| Three Rivers Health and Rehabilitation Center, LLC | 5% or greater direct ownership interest | Organization | 10/01/2002 | |
| McNeill, John | 5% or greater direct ownership interest | Individual | 10/01/2002 | |
| McNeill, Ronald | 5% or greater direct ownership interest | Individual | 10/01/2002 | |
| McNeill, John | Corporate director | Individual | 12/15/2005 | |
| McNeill, Ronald | Corporate director | Individual | 12/15/2005 | |
| Miller, Robert | Corporate director | Individual | 09/01/2024 | |
| Calcutt, Joseph | Corporate officer | Individual | 06/25/2025 | |
| Liberty Healthcare Management Inc | Operational/managerial control | Organization | 10/01/2002 | |
| Bork, Matthew | Operational/managerial control | Individual | 01/29/2007 | |
| Brown, Penny | Operational/managerial control | Individual | 06/25/2025 | |
| Miller, Robert | Operational/managerial control | Individual | 09/01/2024 | |
| Severa, Jeffrey | Operational/managerial control | Individual | 06/25/2025 | |
| Wilson, Jeffrey | Operational/managerial control | Individual | 10/01/2002 | |
| McNeill, Robert | Trustee of the SNF | Individual | 06/25/2025 | |
| Oliver, Anna | Trustee of the SNF | Individual | 06/25/2025 | |
| Purvis, Jenny | Trustee of the SNF | Individual | 06/25/2025 | |
| Long Term Care Management Services LLC | Adp of the SNF | Organization | 06/25/2025 | |
| Calcutt, Joseph | Adp of the SNF | Individual | 06/25/2025 | |
| Miller, Robert | Adp of the SNF | Individual | 06/25/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 30, 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 30, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 30, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Windsor Rehabilitation and Healthcare Center Windsor, 0.1 mi · 1 of 5 stars · 52 citations
- The Carrolton of Plymouth Plymouth, 13.6 mi · 3 of 5 stars · 21 citations
- Chowan River Nursing and Rehabilitation Center Edenton, 19.5 mi · 3 of 5 stars · 13 citations
- Ahoskie Health and Rehabilitation Center Ahoskie, 20.3 mi · 3 of 5 stars · 23 citations
- The Carrolton of Williamston Williamston, 20.5 mi · 1 of 5 stars · 52 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Three Rivers Health and Rehabilitation Center's Medicare star rating?
- CMS rates Three Rivers Health and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Three Rivers Health and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on January 30, 2026. The North Carolina average is 4.7.
- Has Three Rivers Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Three Rivers Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Three Rivers Health and Rehabilitation Center?
- CMS lists 21 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY HEALTHCARE GROUP LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.