Facility type
Skilled Nursing Facility With Dual Certified Beds (medicaid/medicare)
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Three Rivers Health and Rehabilitation
Three Rivers Healthcare and Rehabilitation serves the elders in the community of Marked Tree, Arkansas, and surrounding areas with a warm and caring environment. The facility offers personalized care plans, 24/7 care, on-site therapy services, and transport to appointments. It is dedicated to enhancing the lives of elders and providing comfort and peace of mind.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
110
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.8%
Residents per day (avg)
93
Occupancy rate
89.8%
Residents per day (avg)
93
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Privately-owned community
Home revenue
$9.7M
Profit
$954.7K
Privately-owned community
Home revenue
$9,682,357.00
Profit
$954,737.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.7M
110-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
Poinsett
Additional licensing details
CMS Certification Number:
045391
Certification type:
XIX/XVIII
Ownership & operating entity
Three Rivers Health and Rehabilitation is administrated by Robert Davis Brazile.
Owner name:
Three Rivers SNF Operations, LLC
Profit status:
Limited Liability Company
Care Services
Accepts Medicaid
Doctor on Staff
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
24-Hour Staffing
Contact Information
Fax:
870-358-4582
Programs & Activities
Specific Programs
Long-Term Care, Therapy, Life With Us, About, Careers, News, Contact
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Health Inspection History
Inspections
Total health inspections
4
Arkansas average 4.2
Last Health inspection on Aug 2024
Total health citations
18
Arkansas average 21.8
Citations per inspection
4.5
Arkansas average 5.32
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 3 years)
Critical Health citations
2
2
400% worse than Arkansas averageArkansas average: 0.4
Serious Health citations
0
0
100% better than Arkansas averageArkansas average: 0.2
2 critical citations
0 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 29, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 29, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 29, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 29, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 29, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 29, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 29, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 29, 2024
Corrected
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.
Compare Nursing Homes around Arkansas The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
Ash Flat Healthcare and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Ash Flat
105
54.3%
-24%
4.87
+4%
0
18
0
53
-
French, Misty
$6,3M
$2,1M
33.6%
45155
Alma Nursing and Rehab, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alma
80
93.6%
+31%
4.96
+6%
0
10
0
69
-
George-Fort, Debra
$11,6M
$3,3M
28.2%
45370
Alcoa Pines Health and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Benton
120
65.4%
-8%
4.54
-3%
2
25
1
91
A+
Edala, Arpana
$11,7M
$3,7M
31.5%
45408
Three Rivers Health and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Marked Tree
110
89.8%
+26%
4.08
-13%
2
18
2
93
-
Brazile, Robert
$9,6M
$3,8M
39.5%
45391
Arbor Oaks Healthcare and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Malvern
94
-
-
-
-
0
0
0
-
-
-
-
-
-
-
Places of interest near Three Rivers Health and Rehabilitation
82.7 miles from city center
33904 Highway 63 E, Marked Tree, AR 72365
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
115
Employees
100
Contractors
15
Staff to resident ratio
1.20:1
26% worse than Arkansas averageArkansas average ratio: 1.61:1
Avg staff/day
42
Average shift
8.4 hours
5% better than Arkansas averageArkansas average: 8 hours
Total staff hours (quarter)
32,283
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.6%
1,792 contractor hours this quarter
Clinical Nurse Specialist: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 46 | 0 | 46 | 17,105 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 22 | 0 | 22 | 6,732 | 91 | 100% | 9 |
| Clinical Nurse Specialist | 6 | 3 | 9 | 1,600 | 90 | 99% | 8.1 |
| Registered Nurse | 4 | 0 | 4 | 1,392 | 85 | 93% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 914 | 68 | 75% | 8.6 |
| Nurse Aide in Training | 9 | 0 | 9 | 805 | 44 | 48% | 7.5 |
| Nurse Practitioner | 3 | 0 | 3 | 533 | 65 | 71% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 521 | 60 | 66% | 8.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 496 | 45 | 49% | 9.2 |
| Administrator | 3 | 0 | 3 | 485 | 59 | 65% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 443 | 66 | 73% | 6.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 378 | 64 | 70% | 5.9 |
| Dietitian | 1 | 0 | 1 | 375 | 56 | 62% | 6.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 355 | 64 | 70% | 5.5 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 67 | 22 | 24% | 3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 52 | 27 | 30% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 23 | 3 | 3% | 7.8 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 4 | 3 | 3% | 1.3 |
46 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
9 Clinical Nurse Specialist
% of Days
99%
4 Registered Nurse
% of Days
93%
2 RN Director of Nursing
% of Days
75%
9 Nurse Aide in Training
% of Days
48%
3 Nurse Practitioner
% of Days
71%
1 Mental Health Service Worker
% of Days
66%
3 Medication Aide/Technician
% of Days
49%
3 Administrator
% of Days
65%
2 Qualified Social Worker
% of Days
73%
1 Physical Therapy Aide
% of Days
70%
1 Dietitian
% of Days
62%
1 Speech Language Pathologist
% of Days
70%
2 Respiratory Therapy Technician
% of Days
24%
3 Physical Therapy Assistant
% of Days
30%
1 Occupational Therapy Aide
% of Days
3%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
96 residents
Residents by payment source
Medicare
5 residents (5.2%)
Medicaid
78 residents (81.3%)
Private pay or other
13 residents (13.5%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.5
67% better than Arkansas averageArkansas average: 7.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.7
72% better than Arkansas averageArkansas average: 13.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.0%
Percent of long-stay residents whose need for help with daily activities has increased
5.0%
57% better than Arkansas averageArkansas average: 11.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
2.6%
Percent of long-stay residents whose ability to move independently worsened
2.6%
81% better than Arkansas averageArkansas average: 13.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.5%
77% better than Arkansas averageArkansas average: 15.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
23% better than Arkansas averageArkansas average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.3%
Percent of long-stay high risk residents with pressure ulcers
1.3%
73% better than Arkansas averageArkansas average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
78% better than Arkansas averageArkansas average: 1.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
82% better than Arkansas averageArkansas average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
2.5%
Percent of long-stay residents who received an antipsychotic medication
2.5%
76% better than Arkansas averageArkansas average: 10.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Arkansas averageArkansas average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Arkansas averageArkansas average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
22% better than Arkansas averageArkansas average: 80.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.8%
27% worse than Arkansas averageArkansas average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$37K
45% higher than Arkansas averageArkansas average: $26K
Number of fines
2
36% more fines than Arkansas averageArkansas average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Arkansas averageArkansas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$37K
Arkansas average
$26K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 18, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 18, 2023
$24K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Three Rivers Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
89.8%
↑ 5.5pp vs 2022
Net Income
$954,737
↓ ~$831K vs 2022
Total Payroll
$4,550,166
↑ ~$84K vs 2022
Profit Margin
9.9%
↓ 9.2pp vs 2022
Loading trend charts...
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