Three Rivers Health and Rehabilitation

Nursing Home, Respite Care & Skilled Nursing · Marked Tree, AR

CMS overall rating

33904 Highway 63 E, Marked Tree, AR 72365 View map

Calculator: See prices in your area

Three Rivers Health and Rehabilitation accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Three Rivers Health and Rehabilitation accepts Medicaid, Medicare, and private pay.

Overview of Three Rivers Health and Rehabilitation

Owned by Robert Brazile, Three Rivers Health and Rehabilitation is a skilled nursing home in Marked Tree, Arkansas, serving the surrounding rural area with a focus on rehabilitation and ongoing nursing care. The 110-bed facility has an occupancy rate of 25%. Families can pay through Medicare, Medicaid, and private pay to cover both short-term rehabilitation stays and longer-term care.

Residents stay an average of about 468 days. The population includes people recovering from surgery or hospitalization and those receiving extended care. On-site rehabilitation services are available. The facility has a doctor on staff and provides 24-hour nursing coverage.

Residents receive an average of 4 hours and 5 minutes of nursing care each day, with nursing assistants, registered nurses, and licensed practical nurses providing support throughout the day and night.

State inspections identified concerns involving food safety, medication management, wheelchair safety, and resident hygiene assistance. These areas have been receiving attention as the facility works to strengthen its practices and maintain resident safety and care quality.

The neighborhood’s Walk Score is 45. A few nearby services may be accessible on foot for ambulatory residents and visiting family members, but most errands and appointments require transportation. Families evaluating care options should take a tour to get a closer look at the facility’s physical environment and daily care routines.

Facility Direct Line (870) 358-2432 tradmin@threerivershandr.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 5m per day

vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +9% above state avg

Staff type	Hours / Day / Resident	vs state avg
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.	22m per day	▼ 7% State avg: 24m per day · National avg: 41m per day
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.	1h 2m per day	▲ 9% State avg: 57m per day · National avg: 52m per day
Nurse Aide 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.	2h 1m per day	▼ 26% State avg: 2h 43m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 57m per day	▼ 15% State avg: 3h 29m per day · National avg: 3h 26m per day
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.	0m per day	▼ 77% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	10m per day	▼ 39% State avg: 16m per day · National avg: 28m per day

Capacity and availability

468 days

110-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 45 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

25%

Lower than the Arkansas average: 71.3%

Occupied beds

27 / 110

Average occupied beds in Arkansas homes 77 beds

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid/medicare)

CountyPoinsett

CMS Certification Number045391

Certification TypeMedicaid / Medicare

Three Rivers Health and Rehabilitation is administered by Robert Davis Brazile.

Owner NameThree Rivers Snf Operations, LLC

Profit StatusFor-profit

Accept Medicaid

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Fax870-358-4582

Pets not allowed

Since 2022 · 4 years of data 18 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Arkansas state average

Overall vs. AR average

Latest Inspection August 29, 2024 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	AR Average	vs. AR Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	18	21	This facility has 14% fewer total deficiencies than a typical Arkansas assisted living residence (18 vs. AR avg 21).↓ 14% better
Deficiencies per year Average deficiencies per year since 2022.	4.5	5.3	This facility has 15% fewer deficiencies per year than a typical Arkansas assisted living residence (4.5 vs. AR avg 5.3).↓ 15% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 18, 2023 annual inspection found 10 deficiencies including immediate jeopardy from food safety violations and unsafe medication storage with expired drugs and unlocked medication rooms.
April 18, 2023 complaint investigation confirmed immediate jeopardy when a resident was injured due to unsafe wheelchair transport causing fractures and hospitalization.
August 29, 2024 routine inspection found 4 deficiencies in resident hygiene assistance, accident prevention, and kitchen hand hygiene, indicating ongoing care and safety issues.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average N/A

Last Health inspection on Aug 2024

Total health citations

State average N/A

Citations per inspection

4.5

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

0 serious citations State average: N/A

16 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Nutrition moderate citation Aug 29, 2024

Corrected

Quality of Care moderate citation Aug 29, 2024

Corrected

Quality of Care moderate citation Aug 29, 2024

Corrected

Quality of Care moderate citation Aug 29, 2024

Corrected

Total staff 124

Employees 106

Contractors 18

Staff to resident ratio 1.29 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 40

Average shift 8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 29,523

Nursing staff breakdown

7.1 hours

8.9 hours

8 hours

Contractor staffing

1,665 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Aide: 3 Clinical Nurse Specialist: 3 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	55	0	55	15,471	92	100%	8
Licensed Practical Nurse	23	0	23	7,451	92	100%	8.9
Clinical Nurse Specialist	5	3	8	1,497	87	95%	7.7
Registered Nurse	6	0	6	936	70	76%	7.1
RN Director of Nursing	2	0	2	808	62	67%	7.8
Nurse Practitioner	3	0	3	541	66	72%	8
Administrator	1	0	1	440	55	60%	8
Nurse Aide in Training	5	0	5	434	35	38%	7.7
Qualified Social Worker	0	3	3	403	65	71%	6.2
Physical Therapy Aide	0	3	3	343	64	70%	5.3
Other Dietary Services Staff	2	0	2	307	38	41%	8.1
Speech Language Pathologist	0	2	2	293	60	65%	4.8
Medication Aide/Technician	2	0	2	219	21	23%	9.5
Dietitian	1	0	1	134	15	16%	8.9
Mental Health Service Worker	1	0	1	112	14	15%	8
Respiratory Therapy Technician	0	2	2	62	22	24%	2.8
Physical Therapy Assistant	0	2	2	42	22	24%	1.9
Occupational Therapy Aide	0	1	1	23	3	3%	7.8
Medical Director	0	1	1	6	3	3%	2
Occupational Therapy Assistant	0	1	1	3	3	3%	1

55 Certified Nursing Assistant

% of Days 100%

23 Licensed Practical Nurse

% of Days 100%

8 Clinical Nurse Specialist

% of Days 95%

6 Registered Nurse

% of Days 76%

2 RN Director of Nursing

% of Days 67%

3 Nurse Practitioner

% of Days 72%

1 Administrator

% of Days 60%

5 Nurse Aide in Training

% of Days 38%

3 Qualified Social Worker

% of Days 71%

3 Physical Therapy Aide

% of Days 70%

2 Other Dietary Services Staff

% of Days 41%

2 Speech Language Pathologist

% of Days 65%

2 Medication Aide/Technician

% of Days 23%

1 Dietitian

% of Days 16%

1 Mental Health Service Worker

% of Days 15%

2 Respiratory Therapy Technician

% of Days 24%

2 Physical Therapy Assistant

% of Days 24%

1 Occupational Therapy Aide

% of Days 3%

1 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $37K

45% higher than State average

State average: $26K

Number of fines 2

36% more fines than State average

State average: 1.5

Payment Denials 0

100% fewer payment denials than State average

State average: 0.2

Fines amount comparison

This facility $37K

State average $26K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 18, 2023 · $24K

Civil Money Penalty Aug 18, 2023

$24K

Last updated: Jan 2026

High-risk clinical events score 2.5

67% better than State average

State average: 7.7

Functional decline score 3.7

72% better than State average

State average: 13.3

Long-stay resident measures

Significantly above average State avg: 4.2

Need for Help with Daily Activities Increased 5.0%

57% better than State average

State average: 11.5%

Walking Ability Worsened 2.6%

81% better than State average

State average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence 3.5%

77% better than State average

State average: 15.1%

Falls with Major Injury 3.0%

23% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers 1.3%

73% better than State average

State average: 4.7%

Urinary Tract Infection 0.3%

78% better than State average

State average: 1.3%

Lost Too Much Weight 0.9%

82% better than State average

State average: 5.0%

Depressive Symptoms 0.0%

100% better than State average

State average: 1.5%

Antipsychotic Use 2.5%

76% better than State average

State average: 10.5%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 98.9%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 2.00

In line with State average

State average: 1.97

ED visits per 1,000 days 1.38

37% better than State average

State average: 2.18

Short-stay resident measures

Significantly above average State avg: 2.7

Pneumococcal Vaccine 98.7%

22% better than State average

State average: 80.9%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.5%

Influenza Vaccine 56.8%

27% worse than State average

State average: 77.7%

Re-hospitalized after SNF stay 15.4%

39% better than State average

State average: 25.2%

Emergency department visits 14.4%

In line with State average

State average: 13.8%

Falls with major injury 2.1%

177% worse than State average

State average: 0.8%

Ability to care for self at discharge 75.0%

40% better than State average

State average: 53.7%

Successful return to home or community 39.8%

21% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

47% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

36% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 6 years

Total residents 96

Medicare

5.2% of residents

Medicaid

81.3% of residents

Private pay or other

13.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Three Rivers Health and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 89.8% ↑ 3.2pp vs 2020

Net Patient Income $917.6K ↑ ~$1.1M vs 2020

Payroll Costs $4.3M ↑ ~$45.8K vs 2020

Operating Margin 9.5% ↑ 11.4pp vs 2020

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2023
Occupancy %	92.4%	92.9%	89.7%	93.1%	89.1%	91.8%	90.1%	86.7%	90.3%	86.6%	89.8%
Beds	110	110	110	110	110	110	110	110	110	110	110
Net Income	$359,963	$410,091	$329,858	$604,062	$388,795	$835,890	$393,302	$53,547	$870,830	$549,597	$954,737
Gross Revenue	$7,035,794	$7,351,703	$6,941,349	$8,273,895	$8,886,794	$10,076,877	$9,772,481	$9,230,975	$9,527,363	$9,558,149	$9,645,179
Operating Expenses	$5,985,921	$6,094,517	$5,915,711	$6,284,843	$6,463,208	$6,673,750	$7,227,468	$7,632,239	$7,728,400	$8,113,595	$8,727,620
Net Patient Income	$359,963	$408,001	$324,860	$603,701	$388,706	$835,719	$392,530	-$64,577	$870,389	-$150,033	$917,559
Net Patient Revenue	$6,345,884	$6,502,518	$6,240,571	$6,888,544	$6,851,914	$7,509,469	$7,619,998	$7,567,662	$8,598,789	$7,963,562	$9,645,179
Payroll Costs	$3,066,318	$3,100,378	$3,072,667	$3,194,810	$3,176,984	$3,227,371	$3,534,324	$3,701,449	$3,806,580	$4,215,351	$4,261,188
Operating Margin %	5.7%	6.3%	5.2%	8.8%	5.7%	11.1%	5.2%	-0.9%	10.1%	-1.9%	9.5%
Medicare %	8.8%	7.6%	7.3%	6.7%	8.7%	9.8%	10.8%	9.2%	10.3%	11.3%	6.4%
Medicaid %	81.2%	82.1%	79.8%	80.2%	80.5%	79.6%	76.1%	72.2%	72.9%	74.1%	81.0%
Private %	10.0%	10.3%	12.8%	13.1%	10.8%	10.6%	13.1%	18.5%	16.8%	14.6%	12.6%
Net Patient Revenue/Day	$171	$174	$173	$184	$192	$203	$211	$217	$237	$228	$268
Cost/Day	$161	$163	$164	$168	$181	$181	$200	$219	$213	$233	$242
Avg Length of Stay	149.0 days	161.2 days	177.5 days	410.7 days	541.9 days	616.2 days	657.9 days	519.5 days	541.4 days	314.0 days	468.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.6M

Net patient income

$917.6K

For-profit Operated by a single business entity.

Net patient revenue

$9.6M

Net patient income

$917.6K

Other income

$37.2K

Payroll costs

$4.3M 44.2% of net patient revenue

Other operating costs

$4.5M

Total costs

$8.7M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (47% of admissions), and a typical Medicare stay runs around 2 months.

Coverage residents most often arrive under.

Medicare 47%

Private pay 36%

Medicaid 17%

Coverage residents most often leave under.

Medicare 38%

Private pay 44%

Medicaid 18%

0.0 miles from city center Estimated distance in miles from Marked Tree's city center to Three Rivers Health and Rehabilitation's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Three Rivers Health and Rehabilitation

Add your location

Compare Nursing Homes around the area

The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.


Legacy Heights Nursing Home	NH RC SNF	Russellville (West 12Th Street)	-	107	A+	24	-
Hillcrest Home	NH SNF	Harrison	-	110	-	24	-
Indian Rock Village	NH	Fairfield Bay	-	55	-	11	Studio / 1 Bed / 2 Bed
Shiloh Health and Rehab	NH RC SNF	Springdale (Bethel Heights)	-	140	-	23	-
Three Rivers Health and Rehabilitation	NH RC SNF	Marked Tree	-	110	-	45	-

Nursing Home Explorer

Who is the owner of Three Rivers Health and Rehabilitation?

Three Rivers Health and Rehabilitation is legally operated by Three Rivers SNF Operations, LLC, and administered by Robert Davis Brazile.

Is Three Rivers Health and Rehabilitation in a walkable area?

Three Rivers Health and Rehabilitation has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Three Rivers Health and Rehabilitation?

Three Rivers Health and Rehabilitation's occupancy is 25%.

Are pets allowed at Three Rivers Health and Rehabilitation?

No, Three Rivers Health and Rehabilitation has a no-pet policy.

Does Three Rivers Health and Rehabilitation operate as a for-profit or non-profit?

Three Rivers Health and Rehabilitation is registered as a for-profit in AR.

Who is the administrator of Three Rivers Health and Rehabilitation?

Robert Davis Brazile is the administrator of Three Rivers Health and Rehabilitation.

How many beds does Three Rivers Health and Rehabilitation have?

Three Rivers Health and Rehabilitation has 110 beds.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Three Rivers Health and Rehabilitation

Overview of Three Rivers Health and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Contact Three Rivers Health and Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

55 Certified Nursing Assistant

23 Licensed Practical Nurse

8 Clinical Nurse Specialist

6 Registered Nurse

2 RN Director of Nursing

3 Nurse Practitioner

1 Administrator

5 Nurse Aide in Training

3 Qualified Social Worker

3 Physical Therapy Aide

2 Other Dietary Services Staff

2 Speech Language Pathologist

2 Medication Aide/Technician

1 Dietitian

1 Mental Health Service Worker

2 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Three Rivers Health and Rehabilitation

Calculate Travel Distance to Three Rivers Health and Rehabilitation

Compare Nursing Homes around the area

Guides for Better Senior Living