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Memory Care in Owensboro

CMS overall rating Info 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.

Twin Rivers Nursing And Rehab Center

Memory Care in Owensboro

CMS overall rating Info 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.

Twin Rivers Nursing And Rehab Center

Overview of Twin Rivers Nursing and Rehab Center

Welcome to Twin Rivers, where residents can discover a premier senior living community offering skilled nursing, rehabilitation therapy, and various specialty services in Owensboro, Kentucky. Their goal is to create a long-term care solution that allows residents to enjoy life more fully. Comfortable rooms and quality clinical care are provided to ensure a supportive and enriching environment. 

Residents can experience the compassion and expertise that sets the community apart. Their skilled and caring clinical staff at Twin Rivers is dedicated to providing the highest quality care. For those on the mend from recent surgery or illness, Twin Rivers in Owensboro, Kentucky, offers expert rehabilitation and top-of-the-line equipment, ensuring a speedy recovery. Residents can trust the team at Twin Rivers to support their journey to wellness. Embrace a new chapter of vibrant living and personalized care as they welcome residents to Twin Rivers.

(660) 663-2281

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
Kentucky average: 2.8/5
Health Inspection Info 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.
4/5
Kentucky average: 2.9/5
Staffing Info 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.
2/5
Kentucky average: 2.4/5
Quality Measures Info 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.
3/5
Kentucky average: 2.9/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 23m per day

This home provides 2% less nursing time per resident than the Kentucky average.

Kentucky average: 3h 27m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 36m per day 46m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 25m per day 2h 25m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 14m per day 3h 29m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 1m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 27m per day 31m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 132

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Kentucky average
Occupancy rate 72.7%
Residents per day (avg) 102
Occupancy rate
72.7%
Residents per day (avg)
102

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

20% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

66% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$9.2M
Operating loss
-$314.0K
Privately-owned community Operated by a business corporation.
Home revenue
$9.2M
Operating loss
-$314.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
53.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
Total costs $9.5M
Bed community size
132-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 52 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
73%
In line with Kentucky average
Occupied beds
96 / 132
Average residents 80 per day

License Details

Facility TypeLong Term Care (nursing Facility)
IssuanceAugust 1, 2024
ExpirationJuly 31, 2025
CountyDAVIESS

Additional Licensing Details

License Number100094
CMS Certification Number185087

Ownership & Operating Entity

Twin Rivers Nursing And Rehab Center is legally operated by Twin Rivers Operating Company, Llc, and administrated by Robert.

Type Of Units

NF (Nursing Facility)
132 units
Total beds
132 units

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Alicia Whitledge, Administrator

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

4 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Amenities & Lifestyle

13 amenities
Licensed Nurses On-Site 24/7
Medication Management
Wound Care
Physician Visits
Dietary And Nutritional Counseling
Restorative Rehabilitation
Vision And Dental Care
Disease Management And Early Intervention
Hospital Readmission Reduction Program
Individualized Resident Care Plans
Assistance With Activities Of Daily Living
Housekeeping And Laundry Services
Social Activities
Specific ProgramsSkilled Nursing, Rehabilitation, Specialty Services

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Twin Rivers Nursing And Rehab Center

Nursing Home Assisted Living Memory Care

Contact Twin Rivers Nursing And Rehab Center

Inspection History

In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.

3 visits/inspections

Latest inspection

Date July 18, 2025
Abbreviated Survey

18 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Kentucky average: 6 deficiencies

Inspection Report Summary for Twin Rivers Nursing And Rehab Center

The most recent inspection on July 18, 2025, found the facility in substantial compliance with no deficiencies cited. Earlier inspections also showed a consistent pattern of meeting regulatory requirements without notable issues. There were no complaint investigations reported or enforcement actions listed in the available reports. The facility appears to maintain compliance with applicable standards over time. This suggests a stable regulatory history without emerging concerns.

Health Inspection History

Inspections
Total health inspections 2

Kentucky average 2.9


Last Health inspection on Jul 2024

Total health citations 18

Kentucky average 13.5

Citations per inspection
9

Kentucky average 4.4


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

All 18 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 0
100% better than Kentucky average

Kentucky average: 0.6

0 critical citations More info Kentucky average: 1.1

0 serious citations More info Kentucky average: 0.6

18 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jul 26, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jul 26, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 26, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 26, 2024
Corrected

Compare Memory Care around Owensboro The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

Filter by care type
Signature Healthcare at Hillcrest
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Owensboro
156
No
1
Private Rooms / Semi-Private Rooms
1
-
4
Twin Rivers Nursing And Rehab Center
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.

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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Owensboro
132
No
52
Private Rooms / Semi-Private Rooms
1
A+
3
Carmel Home
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.

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).

Owensboro
115
No
20
Private Rooms / Semi-Private Rooms
-
-
3
Fern Terrace Of Owensboro
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.

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).

Owensboro
68
No
42
Private Rooms / Semi-Private Rooms
-
-
0
Cedarhurst of Owensboro
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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Owensboro
56
Yes
9
Private Rooms / Semi-Private Rooms
-
-
0

Places of interest near Twin Rivers Nursing And Rehab Center

Address 1.8 miles from city center — 1.68 miles to nearest hospital (Owensboro Health Healthpark)

Calculate Travel Distance to Twin Rivers Nursing And Rehab Center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 125
Employees 108
Contractors 17
Staff to resident ratio 1.29:1
26% worse than Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 49
Average shift 8.7 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 38,664
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

6.7%

2,575 contractor hours this quarter

Respiratory Therapy Technician: 3 Speech Language Pathologist: 3 Qualified Social Worker: 3 Occupational Therapy Assistant: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Occupational Therapy Aide: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant5105117,13691100%9.4
Medication Aide/Technician130135,43891100%9.1
Licensed Practical Nurse140143,79891100%9.5
Registered Nurse100103,05091100%8.4
Clinical Nurse Specialist5051,6188796%7.9
RN Director of Nursing5051,5086470%7.9
Other Dietary Services Staff5051,2999099%7.2
Physical Therapy Aide0228556875%7
Speech Language Pathologist0338296774%7
Dietitian1014916673%7.4
Nurse Practitioner1014846167%7.9
Administrator1014806066%8
Dental Services Staff1014686268%7.6
Qualified Social Worker0333755965%6.4
Mental Health Service Worker1013204044%8
Physical Therapy Assistant0221713235%5.3
Respiratory Therapy Technician0331663235%4
Occupational Therapy Aide0111041314%8
Medical Director011521314%4
Occupational Therapy Assistant0222433%8
51 Certified Nursing Assistant
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 96%
5 RN Director of Nursing
% of Days 70%
5 Other Dietary Services Staff
% of Days 99%
2 Physical Therapy Aide
% of Days 75%
3 Speech Language Pathologist
% of Days 74%
1 Dietitian
% of Days 73%
1 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 66%
1 Dental Services Staff
% of Days 68%
3 Qualified Social Worker
% of Days 65%
1 Mental Health Service Worker
% of Days 44%
2 Physical Therapy Assistant
% of Days 35%
3 Respiratory Therapy Technician
% of Days 35%
1 Occupational Therapy Aide
% of Days 14%
1 Medical Director
% of Days 14%
2 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
97 residents
Residents by payment source
Medicare
4 residents (4.1%)
Medicaid
92 residents (94.8%)
Private pay or other
1 resident (1%)
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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.3
26% worse than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.5
24% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Average Kentucky avg: 3.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.5%
34% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.9%
42% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.2%
In line with Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.2%
64% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.2%
8% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
70% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
49% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.5%
55% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.5%
45% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.0%
In line with Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Kentucky average

Kentucky average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.97
5% worse than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.24
43% better than Kentucky average

Kentucky average: 2.19

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 57.1%
32% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
13% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.1%
In line with Kentucky average

Kentucky average: 83.6%

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 $9K
85% lower than Kentucky average

Kentucky average: $63K

Number of fines 1
57% fewer fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Kentucky average

Kentucky average: 0.3

Fines amount comparison
Fines amount comparison
This facility $9K
Kentucky average $63K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 8, 2023
$9K

Last updated: Jan 2026

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.