THREE RIVERS HEALTH & REHAB CENTER
CMS
Actual Harm
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$8,492
Outcome
THREE RIVERS HEALTH & REHAB CENTER in WEST POINT, VA was fined $8,492 by CMS following 36 deficiency citations identified during federal surveys.
Details
THREE RIVERS HEALTH & REHAB CENTER (WEST POINT, VA) — $8,492 in CMS Fines
Outcome: THREE RIVERS HEALTH & REHAB CENTER in WEST POINT, VA was fined $8,492 by CMS following 36 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Ensure that residents are free from significant medication errors.
- Develop and implement policies and procedures for flu and pneumonia vaccinations.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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