Twin Rivers Nursing and Rehabilitation
Nursing Home, Hospice 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 Rehabilitation

Nursing Home, Hospice 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 Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Twin Rivers Nursing and Rehabilitation

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.

(270) 685-3141

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

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 132

This home usually has availability

Lower occupancy than the Kentucky average: 81.3%
Occupancy rate
67.8% Rank #185 / 209Occupancy rate — State benchmarkedThis home is ranked 185th 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.
Avg. Length of Stay
148 days
Walk Score
Walk Score: 53 / 100 Rank #140 / 423Walk Score — State benchmarkedThis home is ranked 140th 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.

Safety & Compliance

Safety FeaturesLicensed nurses on-site 24/7, Medication management, Wound care, Physician visits

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Policies & Features

Pets Allowed
Admission CriteriaNondiscriminatory basis for all residents
Linen ServiceYes

Contact Twin Rivers Nursing and Rehabilitation

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

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.

Long-stay resident measures
Average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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

Breakdown by payment type

Medicare

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

Typical stay 27 days

Private pay

20% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

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

Typical stay 7 - 8 months

Finances and operations

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

Privately-owned community
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
Privately-owned community 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

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%

Compare Nursing Homes around Owensboro

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

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

Hermitage Care & Rehabilitation Center
NH
NC
Owensboro
92
Facility 92
KY AVG 82
Rank #128 / 341
88.0%
Facility 88.0%
KY AVG 81.3%
Rank #89 / 209
+8%
4.18
Facility 4.18
KY AVG 3.75
Rank #26 / 193
+14%+12%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
4
Facility 4
KY AVG 13.5
Rank #11 / 195
2.0
Facility 2.0
KY AVG 4.4
Rank #17 / 195
-88A+
49
Facility 49
KY AVG 41
Rank #170 / 423
Matthew Clark
$11.2M
Facility $11.2M
KY AVG $10.5M
Rank #51 / 197
$4.4M
Facility $4.4M
KY AVG $4.0M
Rank #87 / 197
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
KY AVG $65.4k
Rank #1 / 199
7
Facility 7
KY AVG 13.5
Rank #38 / 195
3.5
Facility 3.5
KY AVG 4.4
Rank #78 / 195
-128-
1
Facility 1
KY AVG 41
Rank #404 / 423
William Conley
$15.0M
Facility $15.0M
KY AVG $10.5M
Rank #12 / 197
$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
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 Rehabilitation 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 Rehabilitation

Is Twin Rivers Nursing and Rehabilitation in a walkable area?

Twin Rivers Nursing and Rehabilitation has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Twin Rivers Nursing and Rehabilitation?

Twin Rivers Nursing and Rehabilitation's occupancy is 67.8%.

Are there photos of Twin Rivers Nursing and Rehabilitation?

Yes — there is 1 photo of Twin Rivers Nursing and Rehabilitation in the photo gallery on this page.

What is the phone number of Twin Rivers Nursing and Rehabilitation?

(270) 685-3141 will put you in contact with the team at Twin Rivers Nursing and Rehabilitation.

Is Twin Rivers Nursing and Rehabilitation Medicare or Medicaid certified?

Twin Rivers Nursing and Rehabilitation is not currently listed as a CMS-certified provider of Medicare or Medicaid.

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