Twin Rivers Nursing And Rehab Center
Nursing Home, Hospice Care, Nursing Care, Palliative Care & Respite Care · Owensboro, KY
CMS overall rating Info 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

Nursing Home, Hospice Care, Nursing Care, Palliative Care & Respite Care · Owensboro, KY
CMS overall rating Info 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.
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Twin Rivers Nursing And Rehab Center accepts Medicare, Medicaid, and private pay.

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.

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.
▲ 77.6% Above KY avg. ▲ 77.6% Above KY avg.KY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 37.1% Above KY avg. ▲ 37.1% Above KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 12.4% Above KY avg. ▲ 12.4% Above KY avg.KY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 72.7% Above KY avg. ▲ 72.7% Above KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Kentucky state averages

Total nursing care / resident Info This home is ranked 77th out of 193 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.
3h 23m per day
Rank #77 / 193Nurse hours — State benchmarkedThis home is ranked 77th out of 193 homes in Kentucky. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility Kentucky avg (3h 45m per day)
vs Kentucky avg
-10%

4 of 6 metrics below state avg

Standout metric Nurse Aide is +3% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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 Info 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 Info 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 Info 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

Capacity and availability

Avg. Length of Stay
148 days
Bed community size
132-bed community Rank #36 / 341Bed count — State benchmarkedThis home is ranked 36th out of 341 homes in Kentucky. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #53 / 149Years in operation — State benchmarkedThis home is ranked 53rd out of 149 homes in Kentucky. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 52 / 100 Rank #147 / 423Walk Score — State benchmarkedThis home is ranked 147th out of 423 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky facilities. Higher scores benefit residents, families, and staff.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.
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%
Rank #171 / 209Occupancy rate — State benchmarkedThis home is ranked 171st out of 209 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 209. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Kentucky average: 81.3%
Occupied beds
96 / 132
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (nursing Facility)
IssuanceAugust 1, 2024
ExpirationJuly 31, 2025 Expired
CountyDaviess
License Number100094
CMS Certification Number185087

Ownership & Operating Entity

Twin Rivers Nursing And Rehab Center is legally operated by Twin Rivers Operating Company, Llc, and administered 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

1 service
24-Hour Staffing

Amenities & Lifestyle

Licensed Nurses On-Site 24/7
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

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.

Since 2019 · 7 years of data 18 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (200% above)
• Deficiencies per year (189% above)
0 Better No metrics in this bucket.
Latest Inspection July 18, 2025 Abbreviated Survey

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 186 This facility has 200% more total deficiencies than a typical Kentucky nursing home (18 vs. KY avg 6).↑ 200% worse
Deficiencies per year Info Average deficiencies per year since 2019. 2.60.9 This facility has 189% more deficiencies per year than a typical Kentucky nursing home (2.6 vs. KY avg 0.9).↑ 189% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • July 18, 2025 annual inspection found no health deficiencies and no complaints were reported.
  • July 26, 2024 survey cited 8 deficiencies including medication errors, feeding tube mismanagement, psychotropic medication misuse, food safety violations, and infection control failures.
  • March 5, 2019 inspection identified 10 deficiencies involving resident dignity violations, poor facility maintenance, inaccurate assessments, incomplete care plans, and inadequate oral and catheter care.

Health Inspection History

Inspections since 2019
Total health inspections 2

Kentucky average 2.9


Last Health inspection on Jul 2024

Total health citations
18 Rank #143 / 195Health citations — State benchmarkedThis home is ranked 143rd out of 195 homes in Kentucky. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 195 KY facilities. Lower citation counts earn a better 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.

Kentucky average 13.5

Citations per inspection
9 Rank #187 / 195Citations per inspection — State benchmarkedThis home is ranked 187th out of 195 homes in Kentucky. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 195 facilities with citation data. Lower is better.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.

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 7 years)
Critical health citations
0
100% better than Kentucky average

Kentucky average: 1.1


Serious health citations
0
100% better than Kentucky average

Kentucky average: 0.6

0 critical citations Kentucky average: 1.1

0 serious citations Kentucky average: 0.6

18 moderate citations Kentucky average: 11.6

0 minor citations Kentucky average: 0.1
Citations history (last 7 years)
Infection Control moderate citation Jul 26, 2024
Corrected

Nutrition moderate citation Jul 26, 2024
Corrected

Pharmacy moderate citation Jul 26, 2024
Corrected

Quality of Care moderate citation Jul 26, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 119
Employees 103
Contractors 16
Staff to resident ratio 1.23 : 1
29% fewer staff per resident than Kentucky average
Kentucky average ratio: 1.72 : 1 Kentucky average ratio: 1.72 : 1See full Kentucky ranking
Avg staff/day 49
Average shift 8.4 hours
0% compared with Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 37,838

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 46 CNA Staff are full-time employees. No contractors work on this role. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.5%

2,469 contractor hours this quarter

Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Occupational Therapy Aide: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4604615,37792100%8.9
Medication Aide/Technician160166,01892100%8.9
Registered Nurse120123,79192100%8.5
Licensed Practical Nurse100103,03992100%8.9
Clinical Nurse Specialist5052,0779098%8
Other Dietary Services Staff6061,36192100%6.3
RN Director of Nursing3031,2896571%8
Physical Therapy Aide0227966773%6.9
Speech Language Pathologist0337776874%7.3
Dietitian1015096267%8.2
Administrator1014886166%8
Mental Health Service Worker1014856166%7.9
Dental Services Staff1014736267%7.6
Nurse Practitioner1014645863%8
Qualified Social Worker0223885560%7.1
Physical Therapy Assistant0221843336%5.6
Respiratory Therapy Technician0331362932%3.7
Occupational Therapy Aide0221121415%8
Medical Director011521314%4
Occupational Therapy Assistant0112433%8
46 Certified Nursing Assistant
% of Days 100%
16 Medication Aide/Technician
% of Days 100%
12 Registered Nurse
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 98%
6 Other Dietary Services Staff
% of Days 100%
3 RN Director of Nursing
% of Days 71%
2 Physical Therapy Aide
% of Days 73%
3 Speech Language Pathologist
% of Days 74%
1 Dietitian
% of Days 67%
1 Administrator
% of Days 66%
1 Mental Health Service Worker
% of Days 66%
1 Dental Services Staff
% of Days 67%
1 Nurse Practitioner
% of Days 63%
2 Qualified Social Worker
% of Days 60%
2 Physical Therapy Assistant
% of Days 36%
3 Respiratory Therapy Technician
% of Days 32%
2 Occupational Therapy Aide
% of Days 15%
1 Medical Director
% of Days 14%
1 Occupational Therapy Assistant
% of Days 3%

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 Rank #1 / 199Federal fines — State benchmarkedThis home is ranked 1st out of 199 homes in Kentucky. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 199 facilities in the pool. Lower total dollars mean a better 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.
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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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: 3.5 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%

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

Facility Characteristics

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

Total residents 97
Medicare
4
4.1% of residents
Medicaid
92
94.8% of residents
Private pay or other
1
1% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$9.7M
Net patient income Info 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."
-$455.3K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$9.7M Rank #124 / 197Revenue — State benchmarkedThis home is ranked 124th out of 197 homes in Kentucky. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$455.3K
Other income Info 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.
$141.3K
Payroll costs Info 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 #50 / 197Payroll — State benchmarkedThis home is ranked 50th out of 197 homes in Kentucky. 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.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.
$5.5M 57.2% of net patient revenue Info 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 #6 / 197Payroll % — State benchmarkedThis home is ranked 6th out of 197 homes in Kentucky. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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.
Other operating costs Info 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).
$4.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$10.1M

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

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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.

Admissions
202 total

Coverage residents most often arrive under.

Medicare 14%
Private pay 20%
Medicaid 66%
Discharges
220 total

Coverage residents most often leave under.

Medicare 5%
Private pay 15%
Medicaid 81%

Places of interest near Twin Rivers Nursing And Rehab Center

Address 1.8 miles from city center Info Estimated distance in miles from Owensboro's city center to Twin Rivers Nursing And Rehab Center's address, calculated via Google Maps.

Calculate Travel Distance to Twin Rivers Nursing And Rehab Center

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Address

Compare Nursing Homes around Owensboro

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

5 facilities compared · CMS & KY Dept. of Health data

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88.0%
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KY AVG 81.3%
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+8%
4.18
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4
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2.0
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-88A+
49
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$11.2M
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$4.4M
Facility $4.4M
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39.3%
Facility 39.3%
KY AVG 40.7%
Rank #176 / 197
185346
Twin Rivers Nursing And Rehab Center
NH
HC
NC
PC
RC
Owensboro
132
Facility 132
KY AVG 82
Rank #36 / 341
72.7%
Facility 72.7%
KY AVG 81.3%
Rank #171 / 209
-11%
3.39
Facility 3.39
KY AVG 3.75
Rank #77 / 193
-6%-10%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
18
Facility 18
KY AVG 13.5
Rank #143 / 195
9.0
Facility 9.0
KY AVG 4.4
Rank #187 / 195
-93A+
52
Facility 52
KY AVG 41
Rank #147 / 423
Myra Raymer
$9.7M
Facility $9.7M
KY AVG $10.5M
Rank #124 / 197
$5.5M
Facility $5.5M
KY AVG $4.0M
Rank #50 / 197
57.2%
Facility 57.2%
KY AVG 40.7%
Rank #6 / 197
185087
Signature Healthcare at Hillcrest
NH
MC
RC
Owensboro
156
Facility 156
KY AVG 82
Rank #17 / 341
81.4%
Facility 81.4%
KY AVG 81.3%
Rank #136 / 209
0%
3.57
Facility 3.57
KY AVG 3.75
Rank #55 / 193
+47%-5%
$0
Facility $0
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7
Facility 7
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-128-
1
Facility 1
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William Conley
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$5.7M
Facility $5.7M
KY AVG $4.0M
Rank #38 / 197
38.1%
Facility 38.1%
KY AVG 40.7%
Rank #173 / 197
185120
Wellington Parc of Owensboro
NH
HC
MC
RC
Owensboro
80
Facility 80
KY AVG 82
Rank #168 / 341
52.5%
Facility 52.5%
KY AVG 81.3%
Rank #197 / 209
-35%
7.74
Facility 7.74
KY AVG 3.75
Rank #2 / 193
-8%+106%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
14
Facility 14
KY AVG 13.5
Rank #113 / 195
4.7
Facility 4.7
KY AVG 4.4
Rank #119 / 195
-42-
52
Facility 52
KY AVG 41
Rank #147 / 423
Jack T Wells Estate
$6.8M
Facility $6.8M
KY AVG $10.5M
Rank #147 / 197
$3.7M
Facility $3.7M
KY AVG $4.0M
Rank #133 / 197
54.9%
Facility 54.9%
KY AVG 40.7%
Rank #76 / 197
185436
Woodmont Health Campus
NH
ADC
AL
MC
RC
Boonville99 54.5% -22%3.06 -36%-11%$0202.9-53A+ 19 Robyn Meador$9.1M$4.6M50.6%155682

Financial Assistance for
Nursing Home in Kentucky

Twin Rivers Nursing And Rehab Center is located in Owensboro, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.

Get Financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled
General Kentucky resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
KY

Rural focus; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Homemaker services Home modifications

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled
General Kentucky resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
KY

Competitive grants; limited availability.

Benefits
In-home support (up to 10 hours/week) Respite (varies) Adaptive equipment (~$500 avg.)

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+
General Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
Income Limits (2025) No strict limit; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based focus.
KY

15 AAAs; rural focus; not in nursing homes.

Benefits
Personal care (4-6 hours/day) Respite (5 days/year) Chore services Meal delivery ($7/meal) Minor home repairs

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled
General Kentucky resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
KY

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
KY

15 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($55/day) Caregiver training Supplies (~$500/year)

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Age
General Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
Income Limits (2025) ~$31,225/year (individual); varies by AAA.
Asset Limits Not strictly assessed; need-based.
KY

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

Benefits
Grants (~$500-$1,500/year) for respite Supplies Care costs; counseling Training

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

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
KY

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Twin Rivers Nursing And Rehab Center

Who is the owner of Twin Rivers Nursing And Rehab Center?

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

Is Twin Rivers Nursing And Rehab Center in a walkable area?

Twin Rivers Nursing And Rehab Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Twin Rivers Nursing And Rehab Center?

According to KY state health department records, Twin Rivers Nursing And Rehab Center's license number is 100094.

When does Twin Rivers Nursing And Rehab Center's license expire?

According to KY state health department records, Twin Rivers Nursing And Rehab Center's license expires on July 31, 2025.

What is the occupancy rate at Twin Rivers Nursing And Rehab Center?

Twin Rivers Nursing And Rehab Center's occupancy is 73%.

Does Twin Rivers Nursing And Rehab Center operate as a for-profit or non-profit?

Twin Rivers Nursing And Rehab Center is registered as a for-profit in KY.

Who is the administrator of Twin Rivers Nursing And Rehab Center?

Robert is the administrator of Twin Rivers Nursing And Rehab Center.

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