We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
This home is ranked 74th out of 184 homes in Kentucky. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 36m per day | ▼ 22% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 35m per day | ▼ 29% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
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 25m per day | ■ Avg State avg: 2h 25m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 15m per day | ▼ 7% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 27m per day | ▼ 13% State avg: 31m per day · National avg: 29m per day |
Lower than the Kentucky average: 81.3%Twin Rivers Nursing And Rehab Center is legally operated by Twin Rivers Operating Company, Llc, and administrated by Robert.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 6 | This facility has 200% more total deficiencies than a typical Kentucky nursing home (18 vs. KY avg 6).↑ 200% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 2.6 | 0.9 | This facility has 189% more deficiencies per year than a typical Kentucky nursing home (2.6 vs. KY avg 0.9).↑ 189% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky average 2.9
Last Health inspection on Jul 2024
Kentucky average 13.5
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.
100% better than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% worse than Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,469 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 15,377 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 16 | 0 | 16 | 6,018 | 92 | 100% | 8.9 |
| Registered Nurse | 12 | 0 | 12 | 3,791 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,039 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,077 | 90 | 98% | 8 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,361 | 92 | 100% | 6.3 |
| RN Director of Nursing | 3 | 0 | 3 | 1,289 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 796 | 67 | 73% | 6.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 777 | 68 | 74% | 7.3 |
| Dietitian | 1 | 0 | 1 | 509 | 62 | 67% | 8.2 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 485 | 61 | 66% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 473 | 62 | 67% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 388 | 55 | 60% | 7.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 184 | 33 | 36% | 5.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 136 | 29 | 32% | 3.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 112 | 14 | 15% | 8 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
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)
85% lower than Kentucky averageKentucky average: $63K
57% fewer fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
24% worse than Kentucky averageKentucky average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.5%
34% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
27.9%
42% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
In line with Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
64% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
6.2%
8% worse than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.6%
70% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
3.5%
49% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
6.5%
55% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
8.5%
45% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.97
5% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.24
43% better than Kentucky averageKentucky average: 2.19
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
32% worse than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
13% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.1%
In line with Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
14% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
66% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Twin Rivers Nursing And Rehab Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #47 / 188Payroll — State benchmarkedThis home is ranked 47th out of 188 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
1.8 miles from city center
Estimated distance in miles from Owensboro's city center to Twin Rivers Nursing And Rehab Center's address, calculated via Google Maps.
— 1.68 miles to nearest hospital (Owensboro Health Healthpark)
Add your location
Twin Rivers Nursing And Rehab Center is located in Owensboro, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Signature Healthcare at Hillcrest |
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.
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.
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 | 81.4% | 0% | 3.57 | +47% | -5% | $0 | 7 | 3.5 | - | 127 | - | 1 | William Conley | $20.2M | $7.2M | 35.8% | 185120 | ||||
| Twin Rivers Nursing And Rehab 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.
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 | 72.7% | -11% | 3.39 | -6% | -10% | $9.4k | 18 | 9.0 | - | 96 | A+ | 52 | Myra Raymer | $9.2M | $6.5M | 71.2% | 185087 | ||||
| Carmel Home |
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. | Owensboro (Old Hartford Road) | 115 | 83.5% | +3% | - | - | - | - | $40.2k | 3 | 3.0 | - | 96 | - | 20 | Mary Heisler | $7.5M | $4.5M | 59.7% | 185226 |
The legal owner and operator of Twin Rivers Nursing And Rehab Center is Twin Rivers Operating Company, Llc.
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.
According to KY state health department records, Twin Rivers Nursing And Rehab Center's license number is 100094.
According to KY state health department records, Twin Rivers Nursing And Rehab Center's license expires on July 31, 2025.
Twin Rivers Nursing And Rehab Center's occupancy is 73%.
Robert is the administrator of Twin Rivers Nursing And Rehab Center.
Twin Rivers Nursing And Rehab Center has 132 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
