Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
105
91 employees · 14 contractors · 41 on an average day Twin Rivers Health and Rehabilitation
Nursing Home, Respite Care & Skilled Nursing · Arkadelphia, AR
ALM Inspection Grade
B
ALM's inspection grade is 83 / 100, a B — in line with the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 83 / 100, a B — in line with the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Twin Rivers Health and Rehabilitation
Nursing Home, Respite Care & Skilled Nursing · Arkadelphia, AR
ALM Inspection Grade
B
ALM's inspection grade is 83 / 100, a B — in line with the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 83 / 100, a B — in line with the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Twin Rivers Health and Rehabilitation accepts Medicaid, Medicare, and private pay.
An outpatient program is unusual for a nursing home, and Twin Rivers Health and Rehabilitation runs one in Arkadelphia. Therapy can continue after someone has gone home, with no readmission needed. A doctor is on staff.
Nursing home care means a residential setting for a person whose need for support does not stop. Skilled nursing is the licensed layer over that, staffed through the night. A family can do a great deal and still not be the one assessing a wound at midnight. Two resident profiles fit best here, and they’re opposites: one who is staying indefinitely, and another just staying a fortnight.
A respite stay is often about something temporary: a busy season, a deployment, a trip that can’t be moved or delayed any longer. The caregiving has to be taken care of somehow.
The building holds 112 beds, and nursing care totals 4 hours and 6 minutes per resident over the course of a day.
Rehabilitation services give therapy a place during recovery. Medicare, Medicaid, and the family’s own money can all pay the way here, depending on which one turns on what brought the person in and whether they qualify. Nicolai Murusiak administers the home for 3P Partners, LLC.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 163rd out of 182 nursing homes we track in Arkansas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 6m
This nursing home is ranked 163rd out of 182 nursing homes we track in Arkansas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 6mStandout metric: Physical therapist is +54% above Arkansas average
4 of 6 metrics below Arkansas average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 9.2-hour shifts
26m
↓ 10% · AR 29mThis facility: 26m per resident per day, 10% below the Arkansas average of 29m (among Arkansas facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 9.2-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 9.6-hour shifts
56m
↓ 16% · AR 1h 6mThis facility: 56m per resident per day, 16% below the Arkansas average of 1h 6m (among Arkansas facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 9.6-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 39 are the facility's own employees; no agency contractors work in this role.
39 staff · 8.1-hour shifts
2h 44m
↓ 14% · AR 3h 11mThis facility: 2h 44m per resident per day, 14% below the Arkansas average of 3h 11m (among Arkansas facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 39 are the facility's own employees; no agency contractors work in this role.
39 staff · 8.1-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
↑ 54% · AR 2mThis facility: 3m per resident per day, 54% above the Arkansas average of 2m (among Arkansas facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 23m
↓ 16% · AR 4h 2mThis facility: 3h 23m per resident per day, 16% below the Arkansas average of 4h 2m (among Arkansas facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
17m
≈ 0% · AR 17mThis facility: 17m per resident per day, level with the Arkansas average of 17m (among Arkansas facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
105
91 employees · 14 contractors · 41 on an average day
105 total staff / 68 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.54 : 1
↓ 1% · AR 1.56This facility: 1.54 staff per resident, 1% below the Arkansas average of 1.56 (among Arkansas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
105 staff ÷ 68 residents
See full Arkansas ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↓ 1% · AR 8 hThis facility: 7.9 h, 1% below the Arkansas average of 8 h (among Arkansas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
29,843 staff hours this quarter
See full Arkansas ranking →92.2% of staff hours were worked by the facility's own employees
Arkansas average: 94.5% · Contractors this quarter: Clinical Nurse Specialist (4), Qualified Social Worker (2), Respiratory Therapy Technician (2), Physical Therapy Aide (1), Physical Therapy Assistant (1), Speech Language Pathologist (1), Medical Director (1), Occupational Therapy Assistant (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
112
Rank #82 / 204Bed count — State benchmarked This nursing home is ranked 82nd out of 204 nursing homes we track in Arkansas for bed count. Shows this facility's certified or reported bed count compared to other Arkansas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
112
Rank #82 / 204Bed count — State benchmarked This nursing home is ranked 82nd out of 204 nursing homes we track in Arkansas for bed count. Shows this facility's certified or reported bed count compared to other Arkansas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #5 / 43Years in operation — State benchmarked This nursing home is ranked 5th out of 43 nursing homes we track in Arkansas for years in operation. Shows how long this facility has been in operation compared to other Arkansas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #5 / 43Years in operation — State benchmarked This nursing home is ranked 5th out of 43 nursing homes we track in Arkansas for years in operation. Shows how long this facility has been in operation compared to other Arkansas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
41
years
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #5 / 202Walk Score — State benchmarked This nursing home is ranked 5th out of 202 nursing homes we track in Arkansas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Arkansas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #5 / 202Walk Score — State benchmarked This nursing home is ranked 5th out of 202 nursing homes we track in Arkansas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Arkansas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
75
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #105 / 164Occupancy rate — State benchmarked This nursing home is ranked 105th out of 164 nursing homes we track in Arkansas for occupancy. Shows this facility's occupancy rate versus the Arkansas average, with its Statewide rank out of 164. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #105 / 164Occupancy rate — State benchmarked This nursing home is ranked 105th out of 164 nursing homes we track in Arkansas for occupancy. Shows this facility's occupancy rate versus the Arkansas average, with its Statewide rank out of 164. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
67.2%
This home usually has availability
Based on 75.3 residents and 112 beds. Source: CMS Provider Information, average daily residents
Similar to the Arkansas average: 67.8%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
145
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Facility TypeSkilled Nursing Facility With Dual Certified Beds (Medicaid / Medicare)
CountyClark
CMS Certification Number045216
Certification TypeMedicaid / Medicare
Twin Rivers Health and Rehabilitation is legally operated by 3P Partners, LLC, and administered by Nicolai Murusiak.
Owner Name3P Partners, LLC
Profit StatusFor-profit
Medicaid and Medicare
112 units
Total beds
112 units
Resident Council
Family Council
Accept Medicaid
Short-Term Rehabilitation
Outpatient Rehabilitation
Physical Therapy
Speech Therapy
Occupational Therapy
Doctor on Staff
On-Site Dental Services
On-Site Podiatry
Optometry Services
Audiology ServicesHearing-related evaluation and treatment provided by an audiologist or other qualified professional. Services can include hearing tests, hearing aids, and communication support.
Radiology Services
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Mobile X-Ray and Laboratory Services
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.
Dietitian
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Medicaid Application Assistance
HousekeepingListed as: Daily housekeeping
Laundry & Linen
TransportationListed as: Transportation to medical appointments
Fax870-246-6348
Pets not allowedVisiting pets welcome.
Wi-Fi
Patio
Courtyard
Beauty Salon
Cable Tv
Tv Lounge
Whirlpool
Activities
Themed Parties
Karaoke
Painting and Other Crafts
Gardening
Picnics
Fishing
Cooking Classes
Bingo and Other Games
Spa Days
Exercise Classes
Outings To Movies, Parks, and Other Events
Live Music
Therapeutic Recreation
Pet Therapy
Church Services
In-Room Features
Spacious Closets For Storage
CMS Health Inspection History
ALM Inspection Grade
83 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
In line with the Arkansas average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
41 severity-weighted points (15 deficiencies) · 2% lower than the typical CMS-certified AR facility (median: 42)
Enforcement
Concern
1 enforcement action · above the typical CMS-certified AR facility (median: 0) · $12,335 in fines
Persistence
Typical
25 days to fix issues · faster than the typical CMS-certified AR facility (median: 28)
Total health inspections
4
↑ 8% · AR 3.7This facility: 4, 8% above the AR average of 3.7 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
15
Rank #61 / 183Health citations — State benchmarked This nursing home is ranked 61st out of 183 nursing homes we track in Arkansas for health citations. Shows this facility's total health deficiency citations benchmarked to the Arkansas State average, with a ranking across all 183 AR facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 18% · AR 18.4This facility: 15, 18% below the AR average of 18.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.75
Rank #52 / 183Citations per inspection — State benchmarked This nursing home is ranked 52nd out of 183 nursing homes we track in Arkansas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Arkansas mean across 183 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 26% · AR 5.06This facility: 3.75, 26% below the AR average of 5.06 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
15 of 15 citations corrected
Critical
J–L
0
↓ 100% · AR 0.4This facility: 0, 100% below the AR average of 0.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · AR 0.1This facility: 0, 100% below the AR average of 0.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
15
↓ 15% · AR 17.6This facility: 15, 15% below the AR average of 17.6 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · AR 0.3This facility: 0, 100% below the AR average of 0.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 12, 2026 · 2 citations, all corrected
Most cited category: Nutrition & Dietary, 7 of 15 citations · 5 categories in total
Citations history
Most recent first
Feb 12, 2026
2 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Aug 28, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Aug 29, 2024
3 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 20, 2023
9 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 15 citations
Nutrition & Dietary
7 deficiencies (47%)
Quality of Life & Care
4 deficiencies (27%)
Pharmacy Services
2 deficiencies (13%)
Resident Rights
1 deficiency (7%)
Resident Assessment & Care Planning
1 deficiency (7%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 15 citations resulted from standard inspections; and 2 of 15 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
1 penalty in the past 3 years
Latest: Aug 28, 2025 · $12,335 civil money penalty
Aug 28, 2025 · $12,335 civil money penalty
Total fines
$12,335
↓ 58% · AR $29KThis facility: $12,335, 58% below the Arkansas average of $29,338. Average among the 70 Arkansas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #145 / 184Federal fines — State benchmarked This nursing home is ranked 145th out of 184 nursing homes we track in Arkansas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Arkansas average among facilities with fines, and where it ranks among 184 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 32% · AR 1.47This facility: 1, 32% below the Arkansas average of 1.47. Average among the 70 Arkansas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
AR avg 0.17Arkansas average: 0.17. Average among the 70 Arkansas facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Aug 28, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,335
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,335Fine amount comparison
This facility
$12,335
Arkansas average
$29,338
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Arkansas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Arkansas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.0
Score · lower is better
↓ 21% · AR 6.4This facility: 5.0, 21% below the AR average of 6.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
14.1
Score · lower is better
↑ 28% · AR 11.0This facility: 14.1, 28% above the AR average of 11.0 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 8 better, 1 worse, 2 near AR average
3 short-stay measures: 3 better
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
↓ 11% · AR 9.5This facility: 8.5, 11% below the AR average of 9.5 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
↓ 11% · AR 9.5This facility: 8.5, 11% below the AR average of 9.5 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
6.7%
↓ 33% · AR 10.1This facility: 6.7, 33% below the AR average of 10.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
6.7%
↓ 33% · AR 10.1This facility: 6.7, 33% below the AR average of 10.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
↑ 100% · AR 13.5This facility: 27.1, 100% above the AR average of 13.5 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
↑ 100% · AR 13.5This facility: 27.1, 100% above the AR average of 13.5 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.4%
↓ 65% · AR 1.2This facility: 0.4, 65% below the AR average of 1.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.4%
↓ 65% · AR 1.2This facility: 0.4, 65% below the AR average of 1.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
↓ 58% · AR 3.9This facility: 1.6, 58% below the AR average of 3.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
↓ 58% · AR 3.9This facility: 1.6, 58% below the AR average of 3.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.0%
↓ 7% · AR 4.2This facility: 4.0, 7% below the AR average of 4.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.0%
↓ 7% · AR 4.2This facility: 4.0, 7% below the AR average of 4.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.3%
↑ 1% · AR 4.3This facility: 4.3, 1% above the AR average of 4.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.3%
↑ 1% · AR 4.3This facility: 4.3, 1% above the AR average of 4.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
↓ 68% · AR 1.4This facility: 0.5, 68% below the AR average of 1.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.5%
↓ 68% · AR 1.4This facility: 0.5, 68% below the AR average of 1.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
0.5%
↓ 95% · AR 10.9This facility: 0.5, 95% below the AR average of 10.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
0.5%
↓ 95% · AR 10.9This facility: 0.5, 95% below the AR average of 10.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
↑ 5% · AR 95.1This facility: 99.6, 5% above the AR average of 95.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
↑ 5% · AR 95.1This facility: 99.6, 5% above the AR average of 95.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · AR 96.1This facility: 100.0, 4% above the AR average of 96.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · AR 96.1This facility: 100.0, 4% above the AR average of 96.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · AR 1.3This facility: 0.0, 100% below the AR average of 1.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · AR 1.3This facility: 0.0, 100% below the AR average of 1.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
↑ 17% · AR 82.0This facility: 95.7, 17% above the AR average of 82.0 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
↑ 17% · AR 82.0This facility: 95.7, 17% above the AR average of 82.0 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
↑ 13% · AR 77.7This facility: 87.9, 13% above the AR average of 77.7 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.9%
↑ 13% · AR 77.7This facility: 87.9, 13% above the AR average of 77.7 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Twin Rivers Health and Rehabilitation’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 173 Arkansas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−0.4% operating margin
−7.0 pts vs prior year
An operating loss in 6 of the last 8 reported years. Other income ($0.2M) turns it into a net profit to $0.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Arkansas homes
43.2% payroll share of revenue
AR average 47.7%Rank #122 / 173Payroll % of net patient revenue — State benchmarked This nursing home is ranked 122nd out of 173 nursing homes we track in Arkansas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Arkansas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.1M while revenue fell $0.1M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Arkansas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | AR median | Compared with AR homesRank in AR | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $8.8M | −$0.1M | Trend 20162024 | AR median $9.1M | Rank in AR Rank #93 / 173Net patient revenue — State benchmarked This nursing home is ranked 93rd out of 173 nursing homes we track in Arkansas for net patient revenue. Shows this facility's net patient revenue compared to the Arkansas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 47% of homes | Below AR median Higher net patient revenue than 47% of AR homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.8M | +$0.6M | Trend 20162024 | AR median — | Rank in AR Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.0M | −$0.6M | Trend 20162024 | AR median — | Rank in AR Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −0.4% | −7.0 pts | Trend 20162024 | AR median — | Rank in AR Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.2M | — | Trend — | AR median — | Rank in AR Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.2M | −$0.5M | Trend — | AR median — | Rank in AR Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Arkansas homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | AR median | Compared with AR homesRank in AR | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.8M | +$0.1M | Trend 20162024 | AR median $4.1M | Rank in AR Rank #103 / 173Payroll costs — State benchmarked This nursing home is ranked 103rd out of 173 nursing homes we track in Arkansas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Arkansas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | Below AR median Higher payroll than 41% of AR homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 43.2% | +1.4 pts | Trend 20162024 | AR median 46.0% | Rank in AR Rank #122 / 173Payroll % of net patient revenue — State benchmarked This nursing home is ranked 122nd out of 173 nursing homes we track in Arkansas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Arkansas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | 4.5 pts under AR average The AR average is 47.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · AR benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Arkansas payroll average.
% of net patient revenue
Payroll share Operating margin AR payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022no report | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $8.0M | $7.7M | $8.0M | $7.7M | $6.5M | $5.2M | $8.8M | $8.8M | |
| Operating expenses | $8.0M | $8.4M | $8.7M | $8.6M | $8.7M | $7.8M | $8.3M | $8.8M | |
| Net patient income | $0.0M | −$0.6M | −$0.8M | −$0.8M | −$2.2M | −$2.6M | $0.6M | −$0.0M | |
| Operating margin | 0.5% | −8.3% | −9.8% | −10.8% | −33.9% | −49.9% | 6.6% | −0.4% | |
| Net income | $0.1M | −$0.6M | −$0.8M | −$0.6M | −$0.2M | $1.4M | $0.7M | $0.2M | |
| Payroll costs | $4.6M | $4.7M | $5.0M | $5.0M | $5.1M | $4.5M | $3.7M | $3.8M | |
| Payroll share of revenue | 57.0% | 61.2% | 63.2% | 64.1% | 78.3% | 86.5% | 41.8% | 43.2% | |
| Beds | 112 | 112 | 112 | 112 | 112 | 112 | 112 | 112 | |
| Gross revenue | $9.2M | $8.7M | $8.0M | $7.8M | $7.0M | $6.0M | $8.8M | $8.8M | |
| Salaries | $4.0M | $4.2M | $4.5M | $4.5M | $4.5M | $4.1M | $3.3M | $3.3M | |
| Wage-related costs | $0.6M | $0.5M | $0.5M | $0.5M | $0.5M | $0.5M | $0.4M | $0.5M | |
| Contract labor | $0.1M | $0.0M | $0.0M | $0.0M | — | — | $0.6M | $0.6M | |
| Other operating costs | $3.4M | $3.6M | $3.7M | $3.6M | $3.6M | $3.3M | $4.6M | $5.0M | |
| Net patient revenue per day | $215 | $208 | $224 | $216 | $215 | $211 | $332 | $321 | |
| Cost per day | $214 | $225 | $246 | $239 | $288 | $316 | $311 | $323 | |
| Average length of stay | 131.7 days | 166.4 days | 151.1 days | 218.9 days | 198.4 days | 210.3 days | 135.6 days | 145.3 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
175 admissions · FY2024
Residents admitted during the year.
Medicare
68 · 39%
Medicaid
10 · 6%
Private pay & other
97 · 55%
Resident snapshot
68 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
5 · 7%
Medicaid
46 · 68%
Private pay & other
17 · 25%
Leaving
188 discharges · FY2024
Residents discharged during the year.
Medicare
60 · 32%
Medicaid
18 · 10%
Private pay & other
110 · 59%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Twin Rivers Health and Rehabilitation
0.0 miles from city center
Estimated distance in miles from Arkadelphia's city center to Twin Rivers Health and Rehabilitation's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the AR Dept. of Human Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Arkansas average is: 47.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Crossing at Riverside Health and Rehabilitation | NH MC RC SNF | Searcy | 138
Facility
138
AR AVG
106
Rank
#32 / 204 | A- |
81.3%
Facility
81.3%
AR AVG
67.8%
Rank
#30 / 164 | +20% | 5.37
Facility
5.37
AR AVG
4.76
Rank
#57 / 182 | -27% | +13% | $0
Facility
$0
AR AVG
$29.3k
Rank
#1 / 184 | 8
Facility
8
AR AVG
18.4
Rank
#11 / 183 | 4.0
Facility
4.0
AR AVG
5.1
Rank
#66 / 183 | - | 112 | - |
68
Facility
68
AR AVG
38
Rank
#14 / 202 | Srcnc, Inc | $15.3MFiscal year ending 12/2024
Facility
$15.3MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#9 / 173 | $6.3MFiscal year ending 12/2024
Facility
$6.3MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#19 / 173 | 41.2%Fiscal year ending 12/2024
Facility
41.2%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#144 / 173 | 045209 | ||||
| The Green House Cottages of Wentworth Place | NH HOS MC RC SNF | Magnolia | 135
Facility
135
AR AVG
106
Rank
#36 / 204 | A+ | - | - | 5.95
Facility
5.95
AR AVG
4.76
Rank
#10 / 182 | -14% | +25% | $0
Facility
$0
AR AVG
$29.3k
Rank
#1 / 184 | 13
Facility
13
AR AVG
18.4
Rank
#44 / 183 | 4.3
Facility
4.3
AR AVG
5.1
Rank
#76 / 183 | - | 108 | - |
54
Facility
54
AR AVG
38
Rank
#51 / 202 | Wentworth, LLC | $14.1MFiscal year ending 12/2024
Facility
$14.1MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#14 / 173 | $6.3MFiscal year ending 12/2024
Facility
$6.3MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#16 / 173 | 45.1%Fiscal year ending 12/2024
Facility
45.1%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#97 / 173 | 045187 | ||||
| Spring Creek Health and Rehab | NH MC RC SNF | Cabot | 109
Facility
109
AR AVG
106
Rank
#94 / 204 | A |
74.4%
Facility
74.4%
AR AVG
67.8%
Rank
#67 / 164 | +10% | 4.33
Facility
4.33
AR AVG
4.76
Rank
#146 / 182 | -43% | -9% | $0
Facility
$0
AR AVG
$29.3k
Rank
#1 / 184 | 6
Facility
6
AR AVG
18.4
Rank
#2 / 183 | 3.0
Facility
3.0
AR AVG
5.1
Rank
#17 / 183 | - | 81 | - |
67
Facility
67
AR AVG
38
Rank
#15 / 202 | Scnc, Inc | $9.5MFiscal year ending 12/2024
Facility
$9.5MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#76 / 173 | $4.0MFiscal year ending 12/2024
Facility
$4.0MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#90 / 173 | 42.2%Fiscal year ending 12/2024
Facility
42.2%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#130 / 173 | 045392 | ||||
| Edgewood Health and Rehabilitation | NH MC RC SNF | Springdale | 102
Facility
102
AR AVG
106
Rank
#117 / 204 | A |
74.5%
Facility
74.5%
AR AVG
67.8%
Rank
#35 / 164 | +10% | 4.86
Facility
4.86
AR AVG
4.76
Rank
#57 / 182 | -100% | +2% | $0
Facility
$0
AR AVG
$29.3k
Rank
#1 / 184 | 12
Facility
12
AR AVG
18.4
Rank
#42 / 183 | 4.0
Facility
4.0
AR AVG
5.1
Rank
#66 / 183 | - | 76 | A+ |
37
Facility
37
AR AVG
38
Rank
#106 / 202 | Cwnc Ops, Inc | $9.5MFiscal year ending 12/2024
Facility
$9.5MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#77 / 173 | $4.6MFiscal year ending 12/2024
Facility
$4.6MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#66 / 173 | 48.1%Fiscal year ending 12/2024
Facility
48.1%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#65 / 173 | 045428 | ||||
| Twin Rivers Health and Rehabilitation | NH RC SNF | Arkadelphia | 112
Facility
112
AR AVG
106
Rank
#82 / 204 | B |
67.2%
Facility
67.2%
AR AVG
67.8%
Rank
#105 / 164 | -1% | 4.10
Facility
4.10
AR AVG
4.76
Rank
#163 / 182 | +5% | -14% | $12.3k
Facility
$12.3k
AR AVG
$29.3k
Rank
#145 / 184 | 15
Facility
15
AR AVG
18.4
Rank
#61 / 183 | 3.8
Facility
3.8
AR AVG
5.1
Rank
#52 / 183 | - | 75 | A+ |
75
Facility
75
AR AVG
38
Rank
#5 / 202 | 3P Partners, LLC | $8.8MFiscal year ending 12/2024
Facility
$8.8MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#93 / 173 | $3.8MFiscal year ending 12/2024
Facility
$3.8MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#103 / 173 | 43.2%Fiscal year ending 12/2024
Facility
43.2%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#122 / 173 | 045216 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other AR nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Twin Rivers Health and Rehabilitation
Quick answers from public records and the community's own listing.01 Who is the owner of Twin Rivers Health and Rehabilitation?
Twin Rivers Health and Rehabilitation is legally operated by 3P Partners, LLC, and administered by Nicolai Murusiak.
02 Is Twin Rivers Health and Rehabilitation in a walkable area?
Twin Rivers Health and Rehabilitation has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
03 What is the occupancy rate at Twin Rivers Health and Rehabilitation?
Twin Rivers Health and Rehabilitation's occupancy is 67.2%.
04 How long has Twin Rivers Health and Rehabilitation been in business?
Twin Rivers Health and Rehabilitation has been operating for approximately 41 years, based on available licensing and registration records.
05 Are pets allowed at Twin Rivers Health and Rehabilitation?
No, Twin Rivers Health and Rehabilitation has a no-pet policy.
06 What is the best email address for Twin Rivers Health and Rehabilitation?
The team at Twin Rivers Health and Rehabilitation can be reached at twadmin@twinriversrehab.com.
07 Does Twin Rivers Health and Rehabilitation operate as a for-profit or non-profit?
Twin Rivers Health and Rehabilitation is registered as a for-profit in AR.
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