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Twin Rivers Nursing And Rehab Center
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · 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.
Exterior view of Twin Rivers Nursing and Rehabilitation Center Exterior view of Twin Rivers Nursing and Rehab Center Exterior view of Twin Rivers Nursing and Rehab Center entrance Decorated porch with seasonal plants and props Elderly man enjoying time with a young child on a swing. Two smiling individuals enjoying drinks outdoors.

Twin Rivers Nursing And Rehab Center

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · 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.
2420 W 3Rd St, Owensboro, KY 42301 View map Calculator: See prices in your area
Twin Rivers Nursing And Rehab Center accepts Medicare, Medicaid, and private pay.
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Twin Rivers Nursing And Rehab Center accepts Medicare, Medicaid, and private pay.

Overview of Twin Rivers Nursing and Rehab Center

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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.

Facility Direct Line (270) 685-3141
Facility Direct Line (270) 685-3141
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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 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 vs Kentucky averages

Rank #108 / 190Nurse hours — State benchmarkedThis home is ranked 108th out of 190 homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 190 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 108th out of 190 homes we track 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 10m

16% below state avg
Staff type
Hours / day / resident
vs 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.
37m
−19% 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.
28m
−43% 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 5m
−14% 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.
2h 51m
−18% 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
−67% 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.
28m
−9% State avg: 31m per day · National avg: 29m per day

All 6 underlying metrics fall below the state average

Capacity and availability

Residents per day
96
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
148 days
Bed community size
132-bed community Rank #36 / 340Bed count — State benchmarkedThis home is ranked 36th out of 340 homes we track in Kentucky for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
2 years in operation Rank #53 / 167Years in operation — State benchmarkedThis home is ranked 53rd out of 167 homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 / 402Walk Score — State benchmarkedThis home is ranked 147th out of 402 homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.

About this community

Occupancy

Occupancy rate
73%
Rank #145 / 168Occupancy rate — State benchmarkedThis home is ranked 145th out of 168 homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 168. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
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

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Housekeeping
Laundry

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 These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 18 deficiencies 3 inspections

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 (38% above)
• Deficiencies per inspection (82% above) 0 Better No metrics in this bucket.

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. 1813 This facility has 38% more total deficiencies than a typical Kentucky nursing home (18 vs. KY avg 13).↑ 38% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.03.3 This facility has 82% more deficiencies per inspection than a typical Kentucky nursing home (6 vs. KY avg 3.3).↑ 82% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityKY Averagevs. KY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 34 This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 2

Kentucky average 2.9

Last Health inspection on Jul 2024

Total health citations
18 Rank #139 / 190Health citations — State benchmarkedThis home is ranked 139th out of 190 homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 190 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #182 / 190Citations per inspection — State benchmarkedThis home is ranked 182nd out of 190 homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 190 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

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%
View All Staffing Data in Owensboro

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 / 194Federal fines — State benchmarkedThis home is ranked 1st out of 194 homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 194 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
Significantly above 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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

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 #81 / 183Net patient revenue — State benchmarkedThis home is ranked 81st out of 183 homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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 #52 / 183Payroll costs — State benchmarkedThis home is ranked 52nd out of 183 homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$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 #34 / 183Payroll % of net patient revenue — State benchmarkedThis home is ranked 34th out of 183 homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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
How we calculate these figures

This home is administered by Robert.

This home is owned by Myra Raymer

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 185087

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

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%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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

Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Hermitage Care & Rehabilitation Center ★ ★ ★ ★ ★
NH
SNF
Owensboro
92
Facility 92
KY AVG 83
Rank #128 / 340
88.0%
Facility 88.0%
KY AVG 84.5%
Rank #93 / 168
+4%
3.89
Facility 3.89
KY AVG 3.75
Rank #27 / 190
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +14%+4%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
4
Facility 4
KY AVG 13.5
Rank #10 / 190
2.0
Facility 2.0
KY AVG 4.4
Rank #16 / 190
-81A+
49
Facility 49
KY AVG 43
Rank #169 / 402
Matthew Clark
$11.2MFiscal year ending 12/2023
Facility $11.2MFiscal year ending 12/2023
KY AVG $9.8M
Rank #54 / 183
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
KY AVG $4.8M
Rank #83 / 183
39.3%Fiscal year ending 12/2023
Facility 39.3%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #153 / 183
185346
Twin Rivers Nursing And Rehab Center ★ ★ ★ ★ ★
NH
HOS
PC
RC
SNF
Owensboro
132
Facility 132
KY AVG 83
Rank #36 / 340
72.7%
Facility 72.7%
KY AVG 84.5%
Rank #145 / 168
-14%
3.17
Facility 3.17
KY AVG 3.75
Rank #108 / 190
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -6%-16%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
18
Facility 18
KY AVG 13.5
Rank #139 / 190
9.0
Facility 9.0
KY AVG 4.4
Rank #182 / 190
-96-
52
Facility 52
KY AVG 43
Rank #147 / 402
Myra Raymer
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
KY AVG $9.8M
Rank #81 / 183
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
KY AVG $4.8M
Rank #52 / 183
57.2%Fiscal year ending 12/2023
Facility 57.2%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #34 / 183
185087
The Transitional Care Center of Owensboro ★ ★ ★ ★ ★
NH
Owensboro
30
Facility 30
KY AVG 83
Rank #310 / 340
43.3%
Facility 43.3%
KY AVG 84.5%
Rank #162 / 168
-49%- ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ +116%-
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
2
Facility 2
KY AVG 13.5
Rank #3 / 190
1.0
Facility 1.0
KY AVG 4.4
Rank #1 / 190
-13-
80
Facility 80
KY AVG 43
Rank #12 / 402
----185396
Wellington Parc of Owensboro ★ ★ ★ ★ ☆
NH
HOS
MC
RC
SNF
Owensboro
80
Facility 80
KY AVG 83
Rank #168 / 340
52.5%
Facility 52.5%
KY AVG 84.5%
Rank #158 / 168
-38%
4.18
Facility 4.18
KY AVG 3.75
Rank #18 / 190
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -8%+12%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
14
Facility 14
KY AVG 13.5
Rank #109 / 190
4.7
Facility 4.7
KY AVG 4.4
Rank #115 / 190
-42-
52
Facility 52
KY AVG 43
Rank #147 / 402
Jack T Wells Estate
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
KY AVG $9.8M
Rank #137 / 183
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
KY AVG $4.8M
Rank #111 / 183
54.9%Fiscal year ending 12/2023
Facility 54.9%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #40 / 183
185436
Carmel Home ★ ★ ★ ★ ☆
NH
SNF
Owensboro
115
Facility 115
KY AVG 83
Rank #63 / 340
83.5%
Facility 83.5%
KY AVG 84.5%
Rank #116 / 168
-1%- ★ ★ ★ ★ ☆ - ★ ★ ★ ★ ☆ --
$40.2k
Facility $40.2k
KY AVG $65.4k
Rank #176 / 194
3
Facility 3
KY AVG 13.5
Rank #6 / 190
3.0
Facility 3.0
KY AVG 4.4
Rank #46 / 190
-96-
20
Facility 20
KY AVG 43
Rank #333 / 402
Mary Heisler
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
KY AVG $9.8M
Rank #145 / 183
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
KY AVG $4.8M
Rank #80 / 183
70.4%Fiscal year ending 12/2023
Facility 70.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #6 / 183
185226
Nursing Home Explorer

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.

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

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

How long has Twin Rivers Nursing And Rehab Center been in business?

Twin Rivers Nursing And Rehab Center has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Twin Rivers Nursing And Rehab Center?

No, Twin Rivers Nursing And Rehab Center has a no-pet policy.

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.

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