Nursing home · Top rated by CMS
Three Rivers Care
1305 Alexander St, Centralia, WA 98531 · Map
For profit - Limited Liability company · Part of Caldera Care (10 facilities) · 83 certified beds
Three Rivers Care is a Medicare-certified nursing home in Centralia, Washington. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 5/5 for health inspections). Nurse staffing is 4.58 hours per resident per day, above the Washington average of 4.39. Its most recent inspection on Nov 18, 2025 cited 9 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Three Rivers Care compares
This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.58 | 4.39 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.74 | 0.88 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.68 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | —% | 46.7% | 46.4% | — |
| Deficiencies cited, last inspection | 9.0 | 17.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 18, 2025 inspection was corrected by December 10, 2025
What inspectors found at Three Rivers Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Nov 18, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
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 · Nov 18, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Nov 18, 2025 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
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 · Nov 18, 2025 · Full report (PDF) - Potential for harm
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 · Nov 18, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 14, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1305 Alexander St
Centralia, WA 98531 - CMS certification #
- 505536
- Ownership
- For profit - Limited Liability company
- Certified beds
- 83
- Avg residents/day
- 32.2
- Provider type
- Medicare and Medicaid
- First certified
- 2025-01-15
- Chain
- Caldera Care (10 facilities)
- Setting
- Rural
Part of Caldera Care
Caldera Care operates 10 nursing facilities across the United States. View all Caldera Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Three Rivers Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Providence Centralia Hospital, Centralia. 0.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- South Creek Post Acute, Centralia. 1.1 miles away, straight line.
- Nearest home health agency office
- Assured Home Health And Hospice, Centralia. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Centralia Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98531 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Cooks Hill Dialysis, Centralia, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Chehalis, Chehalis, 6.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 98531.
Assured Home Health, Hospice & Home Care, office in Centralia, 0.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Puget Sound Hospice, office in Tumwater, 18.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Providence At Home With Compassus, Puget Sound South, office in Lacey, 23.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Kaiser Foundation Health Plan Of Washington, Olympia. 24.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective June 1, 1982), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Three Rivers Care a good nursing home?
CMS gives Three Rivers Care an overall rating of 5 out of 5 stars, including 4/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Three Rivers Care staffed?
Three Rivers Care reports 4.58 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Three Rivers Care had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Three Rivers Care have?
Three Rivers Care is certified for 83 beds.