5/5
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.
5/5
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 Nursing and Rehab Center is a 132-bed nursing home on West 3rd Street in Owensboro, Kentucky, run by Twin Rivers Operating Company, LLC, owner Myra Raymer, and administrator Robert. Around 73 percent of the beds in this single-story building are filled, meaning they typically have room to take new residents. Most people here are on Medicaid and stay for an average of 148 days, so the daily routine on the floor is split between folks recovering from brief hospital stays and those who live there long-term.
The everyday routine depends on a nursing team that averages 3 hours and 23 minutes of hands-on care per resident daily. Registered nurses, practical nurses, and aides divide these hours to manage personal care, wound care, and physical therapy routines. If you are coming to visit, the neighborhood has a walk score of 52, making it moderately walkable, so you can take care of a few quick tasks on foot, though most errands across town will still require a drive.
State inspectors from the Kentucky Cabinet for Health and Family Services visit the building for routine safety reviews. While past surveys flagged compliance issues with medication administration, infection control, nutrition, and documentation, the facility has worked to fix these problems, and the most recent inspection came back with zero deficiencies.
Prospective residents can call the intake department to check on private or semi-private room layouts and go over the move-in forms. The front office can help map out payment plans through traditional Medicare, state Medicaid, or private funds, and the staff can detail daily household services like laundry, housekeeping, and on-site dental and vision checks.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 74th out of 189 homes in Kentucky 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.
| 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.
| 44m per day | ▼ 4% State avg: 46m 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.
| 30m per day | ▼ 38% State avg: 49m 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 30m per day | ▲ 3% State avg: 2h 25m per day · National avg: 2h 21m 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.
| 3h 24m per day | ▼ 3% 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.
| 1m per day | ▼ 76% State avg: 4m 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.
| 30m per day | ■ Avg State avg: 31m per day · National avg: 29m per day |
Offers a balance of services and community atmosphere.
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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.97
5% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.24
43% better than Kentucky averageKentucky average: 2.19
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
14% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
66% of new residents, often for long-term daily care.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #49 / 192Payroll — State benchmarkedThis home is ranked 49th out of 192 homes in Kentucky for payroll. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #7 / 192Payroll % — State benchmarkedThis home is ranked 7th out of 192 homes in Kentucky for payroll %. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 50–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (66% of admissions), and a typical Medicaid stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Hermitage Care & Rehabilitation Center | NH SNF | Owensboro | 92
Facility
92
KY AVG
82
Rank
#128 / 341 |
88.0%
Facility
88.0%
KY AVG
84.3
Rank
#90 / 168 | +4% | 4.18
Facility
4.18
KY AVG
3.75
Rank
#24 / 189 | +14% | +12% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 2.0
Facility
2.0
KY AVG
4.4
Rank
#16 / 191 | - | 81 | A+ |
49
Facility
49
KY AVG
41
Rank
#170 / 423 | Matthew Clark | $11.2MFiscal year ending 12/2023
Facility
$11.2MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#52 / 192 | $4.4MFiscal year ending 12/2023
Facility
$4.4MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#86 / 192 | 39.3%Fiscal year ending 12/2023
Facility
39.3%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#171 / 192 | 185346 | ||||
| Twin Rivers Nursing And Rehab Center | NH HOS PC RC SNF | Owensboro | 132
Facility
132
KY AVG
82
Rank
#36 / 341 |
72.7%
Facility
72.7%
KY AVG
84.3
Rank
#145 / 168 | -14% | 3.39
Facility
3.39
KY AVG
3.75
Rank
#74 / 189 | -6% | -10% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 18
Facility
18
KY AVG
13.5
Rank
#140 / 191 | 9.0
Facility
9.0
KY AVG
4.4
Rank
#183 / 191 | - | 96 | - |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Myra Raymer | $9.7MFiscal year ending 12/2023
Facility
$9.7MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#121 / 192 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#49 / 192 | 57.2%Fiscal year ending 12/2023
Facility
57.2%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#7 / 192 | 185087 | ||||
| The Transitional Care Center of Owensboro | NH | Owensboro | 30
Facility
30
KY AVG
82
Rank
#310 / 341 |
44.3%
Facility
44.3%
KY AVG
84.3
Rank
#162 / 168 | -47% | 8.49
Facility
8.49
KY AVG
3.75
Rank
#1 / 189 | +116% | +126% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 2
Facility
2
KY AVG
13.5
Rank
#3 / 191 | 1.0
Facility
1.0
KY AVG
4.4
Rank
#1 / 191 | - | 13 | - |
80
Facility
80
KY AVG
41
Rank
#12 / 423 | - | - | - | - | 185396 | ||||
| Signature Healthcare at Hillcrest | NH MC RC SNF | Owensboro | 156
Facility
156
KY AVG
82
Rank
#17 / 341 |
81.4%
Facility
81.4%
KY AVG
84.3
Rank
#128 / 168 | -3% | 3.57
Facility
3.57
KY AVG
3.75
Rank
#52 / 189 | +47% | -5% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 7
Facility
7
KY AVG
13.5
Rank
#36 / 191 | 3.5
Facility
3.5
KY AVG
4.4
Rank
#75 / 191 | - | 127 | - |
1
Facility
1
KY AVG
41
Rank
#404 / 423 | William Conley | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#12 / 192 | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#40 / 192 | 38.1%Fiscal year ending 12/2023
Facility
38.1%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#168 / 192 | 185120 |
Twin Rivers Nursing and Rehabilitation is located in Owensboro, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
Twin Rivers Nursing and Rehabilitation has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Twin Rivers Nursing and Rehabilitation's occupancy is 67.8%.
No, Twin Rivers Nursing and Rehabilitation has a no-pet policy.
Twin Rivers Nursing and Rehabilitation is registered as a for-profit.
Yes — there is 1 photo of Twin Rivers Nursing and Rehabilitation in the photo gallery on this page.
(270) 685-3141 will put you in contact with the team at Twin Rivers Nursing and Rehabilitation.
Twin Rivers Nursing and Rehabilitation is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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