Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Three Rivers Health And Rehabilitation Center during CMS and state inspections, most recent first.
Hair restraints were not consistently worn during food prep when two dietary aides were observed with hair exposed outside their hair nets while preparing resident food items. One aide stated their long hair should have been fully contained, and the other aide also acknowledged all hair should have been up in the hair net. The DM confirmed all hair should be confined and that extra-large hair nets were available, while the Administrator stated dietary staff were trained on hair restraints during initial hire.
The facility failed to ensure proper hand hygiene in the kitchen. Dietary aides were observed not washing hands between tasks, despite handling food and equipment. This was contrary to the facility's policy on handwashing and glove usage, as confirmed by interviews with staff.
Two residents in the facility were not provided with adequate assistance for activities of daily living, resulting in poor hygiene and grooming. A resident with dementia and chronic kidney disease was observed with greasy, unwashed hair and unshaved facial hair, despite being dependent on staff for bathing. Another resident with diabetes and dementia had long, jagged, and dirty fingernails, with staff acknowledging the difficulty in providing timely care due to understaffing. The DON highlighted the importance of maintaining residents' grooming to prevent skin issues or infections.
A resident with diabetes and dementia did not receive regular foot care, resulting in long, thick, and jagged toenails. Despite being dependent on staff for personal care, there was no standing order for podiatry, and the issue was reported over a month ago without action. Staff interviews confirmed the need for toenail trimming, but a lack of a foot care policy and timely intervention led to the deficiency.
The facility failed to ensure a hazard-free environment for two residents. One resident, with severe cognitive impairment, was at risk for falls but lacked a required fall mat by their bed. Another resident, with dementia, had hemorrhoidal ointment improperly left in their bathroom. Staff interviews confirmed these oversights, highlighting deficiencies in maintaining safety protocols.
Hair restraints not consistently worn during food preparation
Penalty
Summary
The facility failed to ensure hair restraints were consistently worn in the kitchen to prevent hair from contaminating resident food items. During an observation, Dietary Aide #1 was seen preparing sandwiches with a hair net covering only the top part of the hair, with uncovered hair hanging out the back. The aide noticed the surveyor observing the kitchen, moved quickly to the outside door, and called out to other workers requesting a hair net. Dietary Aide #1 stated they knew all of their hair should have been covered and that it had just fallen out; they also stated their hair was 28 inches long and should have been contained in a hair net. Dietary Aide #2 was also observed preparing food into bowls with approximately two inches of hair hanging out on each side of the head and not confined by the hair net. Dietary Aide #2 stated that all hair should have been up in the hair net. The Dietary Manager confirmed that all hair should be confined with a hair net and that extra-large hair nets were available for staff with a lot of hair. The Administrator stated that dietary staff were trained during initial hire on wearing hair restraints, but the DM did not have staff sign an in-service training document. Facility records included an in-service on hairnets and beard guards, a kitchen door notice requiring effective hair restraints, a kitchen inspection checklist noting hair and beard coverings were worn correctly, and a policy stating all personnel would wear hair restraints to prevent hair from contacting exposed food.
Improper Hand Hygiene in Kitchen
Penalty
Summary
The facility failed to ensure proper hand hygiene was performed in the kitchen, as observed by surveyors. On one occasion, Dietary Aide #8 donned gloves to handle a food processor and pureed spaghetti, but did not wash hands after removing the gloves before continuing to handle food. This process was repeated with pureed green beans, where the aide again failed to wash hands between tasks. The surveyor noted that the aide only washed hands after completing the entire food preparation process. Similarly, Dietary Aide #9 was observed not washing hands after removing gloves and before handling food with oven mitts. The aide then proceeded to handle garlic bread and place it in a steam table pan without washing hands between tasks. Interviews with the Dietary Manager and the aides themselves revealed an understanding of the importance of handwashing to prevent foodborne illness, yet the observed practices did not align with the facility's policy on handwashing and glove usage in food service.
Deficiencies in Resident Hygiene and Grooming
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living for two residents, leading to deficiencies in personal hygiene and grooming. Resident #69, diagnosed with dementia, depressive episodes, anxiety, and chronic kidney disease, was observed over several days with greasy, unwashed hair and unshaved facial hair. Despite being dependent on staff for bathing and using a shower bed, Resident #69 only received bed baths during the observed period, and there was no documentation of behaviors that might have prevented proper care. Interviews with facility staff revealed that hospice care was responsible for bathing, but they missed shaving the resident, and the resident's hair was noted to be in need of trimming. Similarly, Resident #88, who has type two diabetes and dementia, was observed with long, jagged, and dirty fingernails over several days. The resident was also dependent on staff for bathing and primarily received bed baths, with only one shower documented. Staff interviews indicated that the facility was understaffed, with only two CNAs available to care for 27 residents, making it difficult to provide timely and adequate care. The CNAs and RN acknowledged the poor condition of Resident #88's nails and the potential for hygiene issues and infections. The DON emphasized the importance of daily living activities for maintaining residents' grooming and preventing skin issues or infections.
Failure to Provide Regular Foot Care for Resident
Penalty
Summary
The facility failed to provide appropriate foot care for a resident who required assistance, resulting in a deficiency. The resident, who had diagnoses of type two diabetes, need for assistance with personal care, and dementia, was observed with long, thick, and jagged toenails over several days. Despite being dependent on staff for bathing and requiring assistance with personal care, there was no standing order for podiatry, and the resident's toenails were not trimmed, indicating a lack of regular foot care. Interviews with facility staff revealed that the resident's foot condition had been reported over a month ago, but no action was taken to address it. Certified Nursing Assistants noted the resident's feet were dry and scaly, and the toenails were long and jagged. A Registered Nurse acknowledged the need for toenail trimming for hygiene and infection prevention, and a Licensed Practical Nurse mentioned that the resident had been recently added to the podiatry caseload. However, the lack of a foot care policy and the absence of timely intervention contributed to the deficiency.
Failure to Maintain Hazard-Free Environment for Residents
Penalty
Summary
The facility failed to maintain an accident/hazard-free environment for two residents, leading to deficiencies in their care. Resident #6, who was admitted with heart disease and dementia, was identified as being at risk for falls. Despite the care plan specifying the use of a low bed and a fall mat, observations revealed that the fall mat was missing on multiple occasions. Interviews with CNAs and the LPN confirmed the absence of the fall mat, which was supposed to be in place to prevent injury if the resident rolled out of bed. The Director of Nursing also acknowledged that the fall mat should have been present at all times. Resident #64, admitted with dementia and dysuria, was found to have a tube of hemorrhoidal ointment in their bathroom, contrary to safety instructions that it should be kept out of reach. The resident's care plan included interventions for impaired cognitive function, such as cueing and supervision. However, the presence of the ointment in the bathroom was confirmed by the LPN and acknowledged as inappropriate by the Director of Nursing, indicating a lapse in maintaining a safe environment for the resident.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Marked Tree
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Quail Run Health And Rehab | 11.3 mi | — | 0 | 0 |
| Woodbriar Nursing Home | 16.7 mi | ★★★★★ | 4 | 0 |
| Craighead Nursing Center | 17.8 mi | — | 4 | 0 |
| Lakeside Health And Rehab | 20 mi | ★★★★★ | 5 | 0 |
| St Elizabeth's Place | 23.4 mi | ★★★★★ | 1 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.