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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.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
45% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Twin Rivers Health and Rehabilitation is administrated by Nicolai Murusiak.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+1%+4%
-24%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+34%-2%-9%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-40%+6%+31%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-22%-3%-8%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+1%+4%-24%
Twin Rivers Health and Rehabilitation +34%-2%-9%-40%+6%+31%
Alcoa Pines Health and Rehabilitation -22%-3%-8%
0.0 miles from city center
Arkadelphia, AR 71923
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 9.3 | No |
| Licensed Practical Nurse | 10 | 9.2 | No |
| Certified Nursing Assistant | 43 | 8.1 | No |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 43 | 0 | 43 | 16,048 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,018 | 91 | 100% | 9.2 |
| Registered Nurse | 7 | 0 | 7 | 2,498 | 90 | 99% | 9.3 |
| RN Director of Nursing | 3 | 0 | 3 | 1,503 | 68 | 75% | 8.3 |
| Clinical Nurse Specialist | 6 | 4 | 10 | 981 | 85 | 93% | 7.3 |
| Dietitian | 1 | 0 | 1 | 544 | 67 | 74% | 8.1 |
| Nurse Practitioner | 5 | 0 | 5 | 541 | 66 | 73% | 7.5 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 473 | 64 | 70% | 7.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 429 | 61 | 67% | 7 |
| Dental Services Staff | 1 | 0 | 1 | 387 | 48 | 53% | 8.1 |
| Nurse Aide in Training | 2 | 0 | 2 | 331 | 48 | 53% | 6.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 277 | 63 | 69% | 4.4 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 244 | 48 | 53% | 5.1 |
| Qualified Social Worker | 0 | 2 | 2 | 238 | 52 | 57% | 4.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 200 | 30 | 33% | 6.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 151 | 17 | 19% | 8.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 3 | 3% | 3.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Last Health inspection on Aug 2025
5.25 citations per inspection (avg)
Citations can result from standard inspections or complaint-based investigations.
Corrected
Corrected
Corrected
Corrected
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
8% above Arkansas average.
35% below Arkansas average.
87% above Arkansas average.
9% below Arkansas average.
19% above Arkansas average.
38% below Arkansas average.
13% above Arkansas average.
96% below Arkansas average.
5% above Arkansas average.
4% above Arkansas average.
74% below Arkansas average.
19% better than Arkansas average
100% better than Arkansas average
13% better than Arkansas average 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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
Last updated: Jan 2026
Historical financial and operational data for Twin Rivers Health and Rehabilitation based on CMS SNF Cost Reports.
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