Three Rivers Care: Staffing, Turnover, and Inspection Record
Three Rivers Care is a 83-bed for-profit nursing home in Centralia, Washington, part of Caldera Care. In the CMS August 2026 release it reported 2.63 nurse aide hours per resident per day, about the same as the Washington average of 2.66.
Three Rivers Care
1305 Alexander StCentralia, WA 98531
Lewis County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Three Rivers Care, nurse aides logged 2.63 hours per resident per day, about the same as the Washington average. With about 57 residents a day, that works out to roughly 150 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.63 | 2.66 | 2.32 |
| Licensed practical nurses | 1.17 | 0.77 | 0.86 |
| Registered nurses | 0.47 | 0.94 | 0.69 |
| All nursing staff | 4.27 | 4.37 | 3.86 |
| All nursing staff, weekends | 3.50 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Three Rivers Care in this release.
CMS note: Staffing data did not meet the criteria to calculate turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Washington average 16.1). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Three Rivers Care holds 5 of 5 overall; the Washington average is 3.2.
About Three Rivers Care
- Ownership: For profit - Limited Liability company
- Chain: Caldera Care, 6 homes
- Legal name: Three Rivers Care LLC
- Medicare and Medicaid certified since: Jan 15, 2025
- Councils: resident council
- Area: rural
Nursing homes near Three Rivers Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| South Creek Post Acute Centralia | 1.1 | 128 | 2.58 | 4.23 | 55.0% | 4 | $8,278 |
| Sharon Care Center Centralia · staffing data not validated | 1.4 | 42 | — | — | — | 3 | None |
| Lacey Post Acute & Rehabilitation Lacey | 20.5 | 120 | 2.15 | 3.92 | 54.5% | 4 | $7,443 |
| Regency Olympia Rehabilitation and Nursing Center Olympia | 21.8 | 28 | 2.85 | 4.56 | 66.7% | 5 | $8,278 |
| Puget Sound Care Olympia | 22.3 | 108 | 2.62 | 4.02 | 56.0% | 4 | $8,018 |
| Panorama City Conv & Rehab Ctr Lacey | 22.5 | 155 | 3.22 | 5.07 | 28.9% | 5 | $42,904 |
| Crystal Cove Post Acute Lacey · Special Focus Facility | 23.3 | 96 | 2.27 | 3.77 | 69.7% | — | $235,475 |
| Woodard Creek Health & Rehabilitation Olympia · SFF candidate | 23.7 | 152 | 2.32 | 3.89 | 71.8% | 1 | $189,638 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.