Owensboro, KY

Twin Rivers Nursing and Rehabilitation Center

4-star overall rating with 4-star inspections with $9,440 in total fines

2420 W. 3rd Street, Owensboro, KY

(270) 685-3141

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

98

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Benjamin Landa

Operator or chain grouping

Approved since

1969-09-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing

LPN hours / resident day

0.58

Licensed practical nurse staffing

Aide hours / resident day

2.42

Nurse aide staffing

Weekend hours

3.24

Weekend nurse staffing

RN turnover

55%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
1.9
0.1 pts worse
1.9
0.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
2.2
1 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
94.3%
3 pts better
93.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.2%
3.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.2%
3.8%
2.4 pts worse
3.3%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 6.5%
15.2%
8.7 pts better
11.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.4%
6.7%
5.3 pts better
5.4%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 43.6%
29.6%
14 pts worse
19.6%
24 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.4%
17.6%
7.2 pts better
16.7%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 29.7%
17.3%
12.4 pts worse
16.3%
13.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 21.7%
15.6%
6.1 pts worse
14.9%
6.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.3%
1.7%
1.4 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.3%
19.8%
1.5 pts better
19.8%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.3%
5.5%
0.2 pts better
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.6%
83.8%
15.2 pts worse
81.7%
13.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.8%
0.8 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.1%
83.6%
0.5 pts better
79.7%
4.4 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-18 · Fire 2025-07-18

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-26 · Fire 2024-07-26

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2019-03-26 · Fire 2019-03-26

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-26

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-26

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-26

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-08-21

D · Potential for more than minimal harm 2019-03-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-04-24

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-07-26

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-26

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-26

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-26

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-26

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-26

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-21

E · Potential for more than minimal harm 2019-03-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-04-24

E · Potential for more than minimal harm 2019-03-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-04-24

E · Potential for more than minimal harm 2019-03-26

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2019-04-24

D · Potential for more than minimal harm 2019-03-26

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2019-04-24

Penalties and ownership

What sits behind the stars

$9,440 2023-05-08

Fine

Fine · fine $9,440

Fine

Ownership

Landa, Benjamin

5% Or Greater Direct Ownership Interest · Individual

44% 103 facilities 2018-09-01
Platschek, Goldie

5% Or Greater Direct Ownership Interest · Individual

25% 25 facilities 2018-09-01
Platschek, Alexander

5% Or Greater Direct Ownership Interest · Individual

15% 25 facilities 2018-09-01
Rubenstein, David

5% Or Greater Direct Ownership Interest · Individual

7% 50 facilities 2018-09-01
Bon Harbor Re, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2018-09-01
Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2018-09-01
Kelman, Moshe

Operational/Managerial Control · Individual

0% 35 facilities 2018-09-01
Metropolitan Commercial Bank

5% Or Greater Security Interest · Organization

0% 25 facilities 2018-09-01
Raymer, Myra

Operational/Managerial Control · Individual

0% 8 facilities 2020-10-10
Whitledge, Alicia

Operational/Managerial Control · Individual

0% 1 facilities 2023-06-05
Whitledge, Alicia

W-2 Managing Employee · Individual

0% 1 facilities 2023-06-05

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4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#2

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1-star overall rating with 1-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

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1 / 5
Health
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Staffing
2 / 5
Fines
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#3

Carmel Home

Owensboro, KY

4-star overall rating with 4-star inspections with $40,173 in total fines with 8 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
0 / 5
Fines
$40,173

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