Nursing homeActive
Three Rivers Health and Rehabilitation Center
1403 Conner Drive, Windsor, NC 27983252794444160 certified beds · 47 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
6
● 0● 6● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-30
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-30 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-11-01 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-09-08 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345404-20260130-F690
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345404-20260130-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345404-20260130-F812
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 345404-20241101-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 345404-20241101-F757
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 345404-20241101-F761
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.43
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.56
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.24
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover49%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover20%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.6% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.1% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.9% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Liberty Healthcare Properties Of Bertie County LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Liberty Real Properties, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Mcneill, John Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Mcneill, Ronald Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Three Rivers Health And Rehabilitation Center, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Bork, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brown, Penny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Liberty Healthcare Management Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Severa, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wilson, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Calcutt, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Calcutt, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Long Term Care Management Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcneill, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcneill, Robert Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Mcneill, Ronald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miller, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miller, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oliver, Anna Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Purvis, Jenny Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Liberty Senior Living — 37 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Bertie.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Windsor Rehabilitation and Healthcare Center Windsor | 0.1 mi | 2026-01-13 | 2315 |
| The Carrolton of Plymouth Plymouth | 13.6 mi | 2026-07-01 | 1200 |
| Ahoskie Health and Rehabilitation Center Ahoskie | 20.3 mi | 2025-12-18 | 3160 |
| The Carrolton of Williamston Williamston | 20.5 mi | 2026-01-07 | 3252 |
| Chowan River Nursing and Rehabilitation Center Edenton | 19.5 mi | 2025-04-02 | 170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |