Arkadelphia, AR

Twin Rivers Rehabilitation And Healthcare Center

3-star overall rating with 3-star inspections with $12,335 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

3021 Twin Rivers Drive, Arkadelphia, AR

(870) 246-6337

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Southern Administrative Services

Operator or chain grouping

Approved since

1993-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.60

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

3.91

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

4.22

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,925

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

9.58

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.58% · Performance 21.91% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.67% · Performance 8.05% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.4

Baseline 45.33% · Performance 57.95% · Measure score 1.4 · Achievement 1.4 · Improvement 0

Adjusted total nurse staffing

2.43

Baseline 4.15 hours · Performance 3.77 hours · Measure score 2.43 · Achievement 2.43 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.17%	10.72% 2.4 pts worse	No Different than the National Rate · Eligible stays 144 · Observed rate 14.58% · Lower 95% interval 9.01%
Discharge to community	46.55%	50.57% 4 pts worse	No Different than the National Rate · Eligible stays 135 · Observed rate 42.96% · Lower 95% interval 38.02%
Medicare spending per beneficiary	1.41	1.02 0.4 pts worse
Drug regimen review with follow-up	91.8%	95.27% 3.5 pts worse	Numerator 56 · Denominator 61
Falls with major injury	4.92%	0.77% 4.2 pts worse	Numerator 3 · Denominator 61
Discharge self-care score	58.54%	53.69% 4.9 pts better	Numerator 24 · Denominator 41
Discharge mobility score	51.22%	50.94% 0.3 pts better	Numerator 21 · Denominator 41
Pressure ulcers or injuries, new or worsened	1.64%	2.29% 0.7 pts better	Numerator 1 · Denominator 61 · Adjusted rate 1.56%
Healthcare-associated infections requiring hospitalization	8.05%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 77 · Observed rate 9.09% · Lower 95% interval 4.68%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 90
Staff flu vaccination coverage	99.06%	42% 57.1 pts better	Numerator 105 · Denominator 106
Discharge function score	56.1%	56.45% 0.4 pts worse	Numerator 23 · Denominator 41
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 26 · Denominator 26
Resident COVID-19 vaccinations up to date	4.17%	25.2% 21 pts worse	Numerator 1 · Denominator 24

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.0 0.2 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	2.2 0.7 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.3 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	94.9% 3.9 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.3% · Q3 98.4% · Q4 100.0% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	96.1% 3.9 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.9% 0.2 pts better	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.0% · Q3 4.8% · Q4 1.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.8%	1.4% 0.4 pts worse	11.4% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8%
Percentage of long-stay residents who lose too much weight	1.7%	4.9% 3.2 pts better	5.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.4% · Q4 3.6% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.5%	21.8% 12.3 pts better	19.6% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 8.8% · Q3 6.8% · Q4 8.8% · 4Q avg 9.5%
Percentage of long-stay residents who received an antipsychotic medication	1.0%	12.5% 11.5 pts better	16.7% 15.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	3.3%	11.4% 8.1 pts better	16.3% 13 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.4%	10.4% 1 pts better	14.9% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 7.8% · Q3 13.5% · Q4 4.0% · 4Q avg 9.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	1.1% 0.7 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.1%	14.6% 11.5 pts worse	19.8% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 22.0% · Q3 33.3% · Q4 24.6% · 4Q avg 26.1%
Percentage of long-stay residents with pressure ulcers	5.3%	4.6% 0.7 pts worse	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 7.2% · Q3 8.2% · Q4 3.3% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.8%	81.8% 14 pts better	81.7% 14.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 97.1% · Q3 98.6% · Q4 93.2% · 4Q avg 95.8%
Percentage of short-stay residents who had an outpatient emergency department visit	10.3%	13.8% 3.5 pts better	12.0% 1.7 pts better	Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 10.4% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.4% 1.4 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.9%	77.9% 10 pts better	79.7% 8.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 87.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.4%	25.2% 3.8 pts better	23.9% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 22.9% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-29 · Fire 2024-08-29

3 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-10-20 · Fire 2023-10-20

10 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-07-15 · Fire 2022-07-15

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-29

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-08-29

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-08-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-08-29

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-08-29

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-09-20

F · Potential for more than minimal harm 2023-10-20

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-11-19

F · Potential for more than minimal harm 2023-10-20

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-11-19

F · Potential for more than minimal harm 2023-10-20

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-11-19

Inspection history

Recent health citations

G · Actual harm 2025-08-28

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

E · Potential for more than minimal harm 2024-08-29

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 2024-09-20

D · Potential for more than minimal harm 2024-08-29

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 2024-09-20

D · Potential for more than minimal harm 2024-08-29

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 2024-09-20

F · Potential for more than minimal harm 2023-10-20

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 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-11-19

E · Potential for more than minimal harm 2023-10-20

F805 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-11-19

D · Potential for more than minimal harm 2023-10-20

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 2023-11-19

F · Potential for more than minimal harm 2022-07-15

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 2022-08-12