PlainNursing
CMS Nursing Home Compare · August 2026

Twin Rivers Rehabilitation and Healthcare Center

3021 Twin Rivers Drive, Arkadelphia, AR 71923

Twin Rivers Rehabilitation and Healthcare Center, a 112-bed for profit - limited liability company nursing facility in Arkadelphia, AR, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #96 of 218 rated homes in AR on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8702466337

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4 / 5
Above average · CMS overall · nat'l 3.0
#96 of 218
In-state rank among rated AR homes
3.74
About average · nurse hrs/day · nat'l 3.86
15
Inspection findings

The verdict

Twin Rivers Rehabilitation and Healthcare Center, a 112-bed for profit - limited liability company nursing facility in Arkadelphia, AR, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #96 of 218 rated homes in AR on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#96 of 218
In-state rank among rated AR homes
3.74
Nurse hrs/resident-day · national 3.86
15
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 221 AR nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
045216
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
112
Residents
71
In Hospital
No
County
Clark
Last Inspection
Feb 12, 2026

Staffing Data

How the 3.74 total nursing hours per resident-day are staffed:

RN Hours
0.50 (nat'l avg: 0.69)
LPN Hours
0.82
CNA Hours
2.42
Total Nursing Hours
3.74 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
47.1%
RN Turnover
25.0%

What the CMS Record Reveals About Twin Rivers Rehabilitation and Healthcare Center

According to CMS Nursing Home Compare, Twin Rivers Rehabilitation and Healthcare Center ranks #96 of 218 rated nursing homes in AR on overall stars (tie-broken by health+staffing+quality, then fewer fines). Twin Rivers Rehabilitation and Healthcare Center operates 112 certified beds in Arkadelphia, AR with approximately 71 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 3★ · quality 5★).

The inspection file contains 15 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $12K levied against this facility. Staffing is reported at 3.74 total nursing hours per resident day (national average 3.86), with RN coverage at 0.50 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Twin Rivers Rehabilitation and Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 47.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 3, 2026

F - Widespread - Minimal harm Feb 12, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 13, 2026

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2025

D - Isolated - Minimal harm Aug 29, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Sep 20, 2024

D - Isolated - Minimal harm Aug 29, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

E - Pattern - Minimal harm Aug 29, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 20, 2024

D - Isolated - Minimal harm Oct 20, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 19, 2023

E - Pattern - Minimal harm Oct 20, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Nov 19, 2023

F - Widespread - Minimal harm Oct 20, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 19, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.9% No

Penalty History 1 penalties totaling $12K

Date Type Amount
Aug 28, 2025 Fine $12K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Twin Rivers Rehabilitation and Healthcare Center, both outside AR so the neighborhoods are not the same-state geography list below.

What the CMS records show for Twin Rivers Rehabilitation and Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The AR registry aggregates state averages and the highest-rated homes in this cohort. View AR registry
  • Peer homes near 112 beds show how CMS stars vary at a similar scale in AR. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Twin Rivers Rehabilitation and Healthcare Center?
Twin Rivers Rehabilitation and Healthcare Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
Where does Twin Rivers Rehabilitation and Healthcare Center rank among nursing homes in AR?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Twin Rivers Rehabilitation and Healthcare Center ranks 96th among 218 rated nursing homes in AR (#96 of 218). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Twin Rivers Rehabilitation and Healthcare Center?
Twin Rivers Rehabilitation and Healthcare Center reports 3.74 total nursing hours per resident day (national average: 3.86). RN hours are 0.50 per resident day (national average: 0.69). Nursing staff turnover is 47.1%.
How many beds does Twin Rivers Rehabilitation and Healthcare Center have?
Twin Rivers Rehabilitation and Healthcare Center has 112 certified beds with approximately 71 residents. The facility is located at 3021 Twin Rivers Drive, Arkadelphia, AR 71923.
Does Twin Rivers Rehabilitation and Healthcare Center have any deficiencies on record?
Yes, Twin Rivers Rehabilitation and Healthcare Center has 15 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Twin Rivers Rehabilitation and Healthcare Center received any fines or penalties?
Yes, Twin Rivers Rehabilitation and Healthcare Center has received 1 penalties totaling $12K.
Who owns Twin Rivers Rehabilitation and Healthcare Center?
Twin Rivers Rehabilitation and Healthcare Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Twin Rivers Rehabilitation and Healthcare Center last inspected?
The most recent health inspection for Twin Rivers Rehabilitation and Healthcare Center was on Feb 12, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Twin Rivers Rehabilitation and Healthcare Center?
Twin Rivers Rehabilitation and Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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