Total Health inspections
4
5% below Arkansas average
Arkansas average:
4.2
Last Health inspection on Aug 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Three Rivers Health and Rehabilitation
Three Rivers Health and Rehabilitation is a Nursing Home in Arkansas
Three Rivers Health and… is a Nursing Home in Arkansas
Three Rivers Health and Rehabilitation
Three Rivers Health and Rehabilitation is a Nursing Home in Arkansas
Three Rivers Health and… is a Nursing Home in Arkansas
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
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
Proprietary home
Other
Home revenue
$9.7M
Profit
$954.7K
Proprietary home
Other
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
Facility Type
Skilled Nursing Facility with dual certified beds (Medicaid/Medicare)
Additional licensing details
CMS Certification Number:
045391
Certification type:
XIX/XVIII
County:
Poinsett
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
Amenities & Lifestyle
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.
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
+1%
+4%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72513
105
No
FRENCH, MISTY
54.3%
$6,285,225.00
$2,112,665.00
33.6%
52.90
4.8699
-
18
-
+1%+4%-24%
Alma Nursing and Rehab, LLC
-40%
+6%
+31%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72921
80
No
GEORGE-FORT, DEBRA
93.6%
$11,585,302.00
$3,270,741.00
28.2%
68.60
4.9641
-
10
-
-40%+6%+31%
Alcoa Pines Health and Rehabilitation
-22%
-3%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72015
120
No
EDALA, ARPANA
65.4%
$11,733,416.00
$3,690,890.00
31.5%
90.50
4.5397
2
25
1
-22%-3%-8%
Three Rivers Health and Rehabilitation
-37%
-13%
+26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72365
110
No
BRAZILE, ROBERT
89.8%
$9,645,179.00
$3,806,332.00
39.5%
93.20
4.0829
2
18
2
-37%-13%+26%
Arbor Oaks Healthcare and Rehabilitation Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72104
94
No
-
-
-
-
-
-
-
-
-
-
-
-
Ash Flat Healthcare and Rehabilitation Center
Type of care:
SNF
AL
Community:
AR 72513
Bed Count:
105
Pets Allowed:
No
Operator:
FRENCH, MISTY
CCN:
45155
Occupancy:
54.3%
Home Revenue:
$6,285,225.00
Payroll Costs:
$2,112,665.00
Payroll %:
33.6%
Avg Residents/Day:
52.90
Overall Rating:
Adj Nurse Hours:
4.8699
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
18
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-24%
-24%
Alma Nursing and Rehab, LLC
Type of care:
SNF
AL
Community:
AR 72921
Bed Count:
80
Pets Allowed:
No
Operator:
GEORGE-FORT, DEBRA
CCN:
45370
Occupancy:
93.6%
Home Revenue:
$11,585,302.00
Payroll Costs:
$3,270,741.00
Payroll %:
28.2%
Avg Residents/Day:
68.60
Overall Rating:
Adj Nurse Hours:
4.9641
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+6%
+6%
Occupancy vs State Avg:
+31%
+31%
Alcoa Pines Health and Rehabilitation
Type of care:
SNF
AL
Community:
AR 72015
Bed Count:
120
Pets Allowed:
No
Operator:
EDALA, ARPANA
CCN:
45408
Occupancy:
65.4%
Home Revenue:
$11,733,416.00
Payroll Costs:
$3,690,890.00
Payroll %:
31.5%
Avg Residents/Day:
90.50
Overall Rating:
Adj Nurse Hours:
4.5397
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
25
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
-8%
-8%
Three Rivers Health and Rehabilitation
Type of care:
SNF
AL
Community:
AR 72365
Bed Count:
110
Pets Allowed:
No
Operator:
BRAZILE, ROBERT
CCN:
45391
Occupancy:
89.8%
Home Revenue:
$9,645,179.00
Payroll Costs:
$3,806,332.00
Payroll %:
39.5%
Avg Residents/Day:
93.20
Overall Rating:
Adj Nurse Hours:
4.0829
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
18
Severe Citations:
2
RN share vs State Avg:
-37%
-37%
Staffing vs State Avg:
-13%
-13%
Occupancy vs State Avg:
+26%
+26%Places of interest near Three Rivers Health and Rehabilitation
82.7 miles from city center
Marked Tree, AR 72365
Calculate Travel Distance to Three Rivers Health and Rehabilitation
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
115
Total Staff
100
Employees
15
Contractors
32,283
Total Hours (Quarter)
42
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 4 | 7.1 | No |
| Licensed Practical Nurse | 22 | 9 | No |
| Certified Nursing Assistant | 46 | 8.9 | No |
Staff by Category
Administration ⓘ
4 staff
7.7hs shift avg
Nursing Staff ⓘ
86 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
12 staff
8hs shift avg
Therapy Services ⓘ
9 staff
4.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
6.7hs shift avg
Dietary Services ⓘ
1 staff
6.7hs shift avg
Other Services ⓘ
1 staff
8.7hs shift avg
Contractor Analysis
5.6%
of total hours from contractors
1,792 contractor hours this quarter
Speech Language Pathologist: 1
Clinical Nurse Specialist: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Physical Therapy Aide: 1
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Total Health citations
18
17% below Arkansas average
Arkansas average:
21.8
4.5 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
17 citations
Complaint investigations
1 citations
Breakdown of citations
Critical Health citations
2
400% above Arkansas average
Arkansas average:
0.4
Serious Health citations
0
100% below Arkansas average
Arkansas average:
0.2
Moderate Health citations
16
Minor Health citations
0
Citations history (last 3 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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Southern Administrative Services
Resident Census by Payment Source
96
Total Residents
Medicare
5
(5.2%)
ⓘ
Medicaid
78
(81.3%)
ⓘ
Private Pay/Other
13
(13.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
2.5
67% better than Arkansas average
Arkansas average:
7.7
Functional decline score
3.7
72% better than Arkansas average
Arkansas average:
13.3
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
5.0%
57% below Arkansas average.
Walking Ability Worsened
2.6%
81% below Arkansas average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
3.5%
77% below Arkansas average.
Safety & clinical stability
Falls with Major Injury
3.0%
23% below Arkansas average.
High Risk Residents with Pressure Ulcers
1.3%
73% below Arkansas average.
Urinary Tract Infection
0.3%
78% below Arkansas average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.0%
100% below Arkansas average.
Antipsychotic Use
2.5%
76% below Arkansas average.
Preventive care
Pneumococcal Vaccine
100.0%
6% above Arkansas average.
Influenza Vaccine
98.9%
3% above Arkansas average.
Nutrition & physical health
Lost Too Much Weight
0.9%
82% below Arkansas average.Short-stay resident measures
Pneumococcal Vaccine
98.7%
22% better than Arkansas average
Antipsychotic medication increase
0.0%
100% better than Arkansas average
Influenza Vaccine
56.8%
27% worse than Arkansas average 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
This home paid 45% more in fines than the state average.
Arkansas average:
$26K
Number of Fines
2
This home received 36% more fines than the state average.
Arkansas average:
1.5
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Arkansas average:
0.2
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Aug 18, 2023
$24K
Civil Money Penalty
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
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