CCN 505536 · Lewis County, Washington
Three Rivers Care
1305 Alexander St, Centralia, WA 98531
Three Rivers Care is a 83-bed for-profit nursing home in Centralia, Washington, first certified for Medicare or Medicaid in 2025. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 57.0 residents a day, about 69% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 83
- Average residents per day
- 57.0 (68.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Three Rivers Care LLC
- Certified since
- Jan 15, 2025
- Chain or affiliated group
- Caldera Care (6 facilities, chain average 3.0 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Washington median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 22 at 1, 46 at 2, 36 at 3, 38 at 4, 50 at 5 | |
| Health inspections | 5 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.27 | 4.10 | 3.68 |
| RN hours per resident per day | 0.47 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 3.50 | ||
| Nursing staff turnover | not reported | 43.1% | 44.9% |
| Occupancy (residents / beds) | 68.7% | 81.8% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 8 (Nov 18, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Three Rivers Care meets that part today: 5 stars overall, 5 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Kh7 Healthcare Holdings, LLCOrganization | Direct Ownership Interest | 100% | 05/21/2025 |
| Kh7 Hh CdwOrganization | Indirect Ownership Interest | n/a | 05/21/2025 |
| Kh7 Ops LLCOrganization | Indirect Ownership Interest | n/a | 05/21/2025 |
| Oscherowitz, RaphaelIndividual | Indirect Ownership Interest | n/a | 05/21/2025 |
| Wolmark, ChaimIndividual | Indirect Ownership Interest | n/a | 05/21/2025 |
| 1305 Alexander Propco, LLCOrganization | Mortgage Interest | n/a | 05/21/2025 |
| Hogue, AshleyIndividual | Operational / Managerial Control | n/a | 03/18/2014 |
| McDaniel, PaulineIndividual | Operational / Managerial Control | n/a | 04/24/2023 |
| Oscherowitz, RaphaelIndividual | Operational / Managerial Control | n/a | 05/21/2025 |
| Wolmark, ChaimIndividual | Operational / Managerial Control | n/a | 05/21/2025 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: 1305 Alexander Propco, LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 21, 2025 | Three Rivers Care LLC | Riverside Nursing - Centralia LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.