(929) 298-3054
Call
(929) 298-3054
Twin Rivers Nursing and Rehabilitation
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

Twin Rivers Nursing and Rehabilitation

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 Rehabilitation accepts Medicare, Medicaid, and private pay.
Explore Open Rooms
Twin Rivers Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Twin Rivers Nursing and Rehabilitation

Facebook

Twin Rivers Nursing and Rehabilitation in Owensboro, Kentucky, provides nursing home care, hospice, palliative care, respite care, and skilled nursing. Skilled nursing and nursing home care include licensed nursing on site around the clock. Hospice and palliative care center on comfort for residents with serious or end of life needs, while respite care provides a short stay when a usual caregiver needs time away. The range of services suits a resident who needs nursing support during recovery or a family seeking temporary care.

Rehabilitation services and short term rehabilitation support residents through a recovery period. Medication management helps residents stay on top of prescribed medicines, and the salon and spa provide personal care services within the facility. Pets are allowed, giving a resident the option to continue living with a pet. Twin Rivers Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Facility Direct Line (270) 685-3141
Facebook

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.
▲ 65.0% Above KY avg. ▲ 65.0% Above KY avg.KY average: 3.0Click 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.
▲ 35.2% Above KY avg. ▲ 35.2% Above KY avg.KY average: 3.0Click 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.
▲ 7.1% Above KY avg. ▲ 7.1% Above KY avg.KY average: 2.8Click 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.
▲ 51.2% Above KY avg. ▲ 51.2% Above KY avg.KY average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Nursing care per resident per day and state rankings: CMS Provider Information.

Total nursing care per resident / day Info This nursing home is ranked 122nd out of 189 nursing 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.
↓ 16% · KY 3h 46mThis facility: 3h 9m per resident per day, 16% below the Kentucky average of 3h 46m (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #122 / 189Nurse hours — State benchmarked This nursing home is ranked 122nd out of 189 nursing 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 189 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 compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 9m

6 of 6 metrics below Kentucky average

By The Numbers

Community insights.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #80 / 204Walk Score — State benchmarked This nursing home is ranked 80th out of 204 nursing 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 compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
53 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
102

Source: CMS Provider Information, average daily residents (data as of Oct 2026)

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.
101 days

About This Community

Certifications & Programs

Certified Wound NurseA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.

Safety & Compliance

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

Therapy & Rehabilitation

2 services
Short-Term Rehab
Restorative Rehabilitation

Staffing & Medical

4 services
Nutritional Counseling
Disease Management and Early Intervention
Hospital Readmission Reduction Program
Certified Wound Nurse Care

Memory & Specialized Care

1 service
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.

Additional Services

4 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Daily Living Assistance
Housekeeping
Laundry & Linen

Additional Policies & Features

Pets AllowedVaccination records required.

Amenities & Lifestyle

Wi-Fi
Beauty Salon
Activities
Social Gatherings with Friends and Family
Social Outings, Including Church
Veterans Day Party
Chair-Based Exercises
Thanksgiving Celebration
Parfait Social

Faith & Spiritual Life

Religious Fellowship

Room Accommodations

Room Types
Private Room
In-Room Features
Cable TV In Rooms

Contact Twin Rivers Nursing and Rehabilitation
Enforcement

Penalties and fines About 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 Oct 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Oct 2023.

Clean record
Total fines
$0 KY avg $40KKentucky average: $40,161. Average among the 90 Kentucky facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0 KY avg 1.99Kentucky average: 1.99. Average among the 90 Kentucky facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 KY avg 0.27Kentucky average: 0.27. Average among the 90 Kentucky facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2024.

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."
$12.3MFiscal year ending 12/2024
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."
$1.0MFiscal year ending 12/2024
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."
$12.3MFiscal year ending 12/2024 Rank #62 / 186Net patient revenue — State benchmarked This nursing home is ranked 62nd out of 186 nursing homes we track in Kentucky for net patient revenue. 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 compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes 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."
$1.0MFiscal year ending 12/2024
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.
$1.3KFiscal year ending 12/2024
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 #49 / 186Payroll costs — State benchmarked This nursing home is ranked 49th out of 186 nursing homes we track in Kentucky for payroll costs. 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 compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$6.2MFiscal year ending 12/2024 50% 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 #53 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 53rd out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes 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).
$5.1MFiscal year ending 12/2024
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).
$11.3MFiscal year ending 12/2024
How we calculate these figures

This home is owned by Myra Raymer

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

Show certification details

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
339 admissions · FY2024 Residents admitted during the year.
Medicare 24 · 7%
Medicaid 224 · 66%
Private pay & other 91 · 27%
Shows care patterns over time; not used to rate this facility.

Mostly long-term care residents

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

Typical stay

Medicare 24 days Medicaid 4 - 5 months Private pay & other 1 month

Places of interest near Twin Rivers Nursing and Rehabilitation

Address 1.5 miles from city center Info Estimated distance in miles from Owensboro's city center to Twin Rivers Nursing and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Twin Rivers Nursing and Rehabilitation

Add your location

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-ranked to lowest-ranked based on our 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: 45.8% 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 98
Rank #111 / 195
96.4%
Facility 96.4%
KY AVG 87.5%
Rank #18 / 162
+10%
3.90
Facility 3.90
KY AVG 3.76
Rank #35 / 189
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +4%+4%
$0
Facility $0
KY AVG $40.2k
Rank #1 / 192
1
Facility 1
KY AVG 12.0
Rank #1 / 191
1.0
Facility 1.0
KY AVG 4.1
Rank #1 / 191
-89A+
49
Facility 49
KY AVG 46
Rank #96 / 204
LP Owensboro, LLC
$12.6MFiscal year ending 12/2024
Facility $12.6MFiscal year ending 12/2024
KY AVG $11.4M
Rank #58 / 186
$5.2MFiscal year ending 12/2024
Facility $5.2MFiscal year ending 12/2024
KY AVG $5.2M
Rank #73 / 186
41.6%Fiscal year ending 12/2024
Facility 41.6%Fiscal year ending 12/2024
KY AVG 45.8%
Rank #123 / 186
185346
Twin Rivers Nursing And Rehab Center ★ ★ ★ ★ ★
NH
HOS
PC
RC
SNF
Owensboro
132
Facility 132
KY AVG 98
Rank #31 / 195
77.0%
Facility 77.0%
KY AVG 87.5%
Rank #140 / 162
-12%
3.14
Facility 3.14
KY AVG 3.76
Rank #122 / 189
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +2%-16%
$0
Facility $0
KY AVG $40.2k
Rank #1 / 192
18
Facility 18
KY AVG 12.0
Rank #145 / 191
9.0
Facility 9.0
KY AVG 4.1
Rank #181 / 191
-102-
52
Facility 52
KY AVG 46
Rank #85 / 204
Twin Rivers Operating Company, LLC
$12.3MFiscal year ending 12/2024
Facility $12.3MFiscal year ending 12/2024
KY AVG $11.4M
Rank #62 / 186
$6.2MFiscal year ending 12/2024
Facility $6.2MFiscal year ending 12/2024
KY AVG $5.2M
Rank #49 / 186
50%Fiscal year ending 12/2024
Facility 50%Fiscal year ending 12/2024
KY AVG 45.8%
Rank #53 / 186
185087
The Transitional Care Center of Owensboro ★ ★ ★ ★ ★
NH
Owensboro
30
Facility 30
KY AVG 98
Rank #190 / 195
42.7%
Facility 42.7%
KY AVG 87.5%
Rank #160 / 162
-51%
8.61
Facility 8.61
KY AVG 3.76
Rank #1 / 189
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +7%+129%
$0
Facility $0
KY AVG $40.2k
Rank #1 / 192
2
Facility 2
KY AVG 12.0
Rank #6 / 191
1.0
Facility 1.0
KY AVG 4.1
Rank #1 / 191
-13-
80
Facility 80
KY AVG 46
Rank #5 / 204
----185396
Wellington Parc of Owensboro ★ ★ ★ ★ ☆
NH
HOS
MC
RC
SNF
Owensboro
80
Facility 80
KY AVG 98
Rank #130 / 195
93.0%
Facility 93.0%
KY AVG 87.5%
Rank #67 / 162
+6%
3.82
Facility 3.82
KY AVG 3.76
Rank #46 / 189
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +9%+2%
$0
Facility $0
KY AVG $40.2k
Rank #1 / 192
6
Facility 6
KY AVG 12.0
Rank #40 / 191
2.0
Facility 2.0
KY AVG 4.1
Rank #22 / 191
-74-
52
Facility 52
KY AVG 46
Rank #85 / 204
Wellington Parc Health Systems, Inc
$8.0MFiscal year ending 12/2024
Facility $8.0MFiscal year ending 12/2024
KY AVG $11.4M
Rank #136 / 186
$4.1MFiscal year ending 12/2024
Facility $4.1MFiscal year ending 12/2024
KY AVG $5.2M
Rank #112 / 186
51%Fiscal year ending 12/2024
Facility 51%Fiscal year ending 12/2024
KY AVG 45.8%
Rank #44 / 186
185436

Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

Nursing Home Explorer
Financial assistance

Programs that may help with care and living costs in Kentucky

Twin Rivers Nursing and Rehabilitation is in Owensboro, Kentucky. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.

Get financial aid guidance
Cash support · veterans

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

VA Pension Aid and Attendance and Housebound Benefits (Federal)

Who it is for
Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
Income limit
No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
Asset limit
Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.

Eligibility

General
Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
KY specifics
A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.

What it provides

  • A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
Residential or in-home support

Optional State Supplementation

Kentucky Optional State Supplementation

Eligibility

General
Eligible Kentucky adults who are aged, blind or disabled, meet the applicable financial and technical rules, need a full-time qualifying living arrangement and have insufficient income for the payment standard.
KY specifics
Personal/family care home and caretaker categories require age 18 or older. Eligibility and payment depend on the specific category.

What it provides

  • Supplemental payments for qualifying personal care homes; family care homes or approved caretaker arrangements; separate criteria govern community integration supplementation.
In-home & community support

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Eligibility

General
People age 65 or older or with a physical disability who meet Kentucky Medicaid and HCB waiver functional requirements.
KY specifics
Service approval is based on assessed needs and current waiver policy; no flat daily hours are established.

What it provides

  • Authorized supports such as adult day health; personal care; respite and other HCB waiver services.
In-home support

Hart-Supported Living Program

KY Hart-Supported Living

Eligibility

General
Kentucky residents with qualifying disabilities seeking supports for community living, under Hart-Supported Living eligibility rules.
KY specifics
The program supports integrated living and individual control; segregated or certain congregate models are excluded.

What it provides

  • Approved grants for supports that promote community living; independence and inclusion.
In-home support

Kentucky Homecare Program

Kentucky Homecare Program

Eligibility

General
Age 60 or older with the stated ADL/IADL limitations and institutional-care risk, or able to leave an institution for home with support.

What it provides

  • Coordinated home supports for daily needs; according to assessment and program authorization.
Caregiver support

Family Caregiver Support Program

Family Caregiver Support Program (Kentucky)

Who it is for
Family or informal caregivers of an adult 60+ or of someone of any age with dementia

Eligibility

General
Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.

What it provides

  • Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Caregiver support

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Income limit
Household income at or below 150% of the federal poverty level.

Eligibility

General
Grandparents who are primary caregivers of a grandchild age 18 or younger living in the same home; the child's parents must not reside in the household.
KY specifics
This is a grandparent-caregiver program, not a general elder-care grant.

What it provides

  • Information; support groups; counseling and training; eligible participants may receive grants or vouchers for approved child-related expenses.
Returning home

Kentucky Transitions

Kentucky Kentucky Transitions

Eligibility

General
Older adults or people with qualifying disabilities who have lived in a nursing facility at least 60 days, meet Medicaid requirements, receive Medicaid-paid services at least one day before referral and can live in the community with support. Some stay exclusions apply.

What it provides

  • Transition planning; help locating affordable housing and connections to approved community supports and Medicaid waiver services.
In-home support

Personal Care Attendant Program (PCAP)

Kentucky Personal Care Attendant Program (PCAP)

Eligibility

General
Adults age 18 or older with qualifying severe physical disability, including the statutory functional loss of two or more limbs, who need at least 14 hours of assistance weekly or a nighttime attendant to avoid inappropriate institutional placement. Assessment, financial rules and ability to manage attendants apply.
KY specifics
The Commonwealth resource directory explicitly lists all counties. Actual service authorization depends on assessment and funding.

What it provides

  • A subsidy for approved personal attendant services in a non-institutional setting; subject to available funding.
Medicare costs

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Who it is for
Medicare beneficiaries with limited income who need help with premiums or cost sharing

Eligibility

General
Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
KY specifics
Applications are administered by the state Medicaid program.

What it provides

  • Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit

Frequently Asked Questions about Twin Rivers Nursing and Rehabilitation

Quick answers from public records and the community's own listing.
01 Is Twin Rivers Nursing and Rehabilitation in a walkable area?
Twin Rivers Nursing and Rehabilitation has a walk score of 53. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at Twin Rivers Nursing and Rehabilitation?
Twin Rivers Nursing and Rehabilitation's occupancy is 69.6%.
03 Are pets allowed at Twin Rivers Nursing and Rehabilitation?
Yes, Twin Rivers Nursing and Rehabilitation allows residents to bring their pets.
04 Does Twin Rivers Nursing and Rehabilitation operate as a for-profit or non-profit?
Twin Rivers Nursing and Rehabilitation is registered as a for-profit.
05 What is the overall rating for Twin Rivers Nursing and Rehabilitation?
Twin Rivers Nursing and Rehabilitation received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 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.
07 What levels of care does Twin Rivers Nursing and Rehabilitation provide?
Twin Rivers Nursing and Rehabilitation offers Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing.
Updated on
Pricing
More
More Actions
Contact Contact Map Book a Tour Let's Chat