Federal inspection record · CMS data as of October 1, 2026
Twin Rivers Rehabilitation and Healthcare Center
3021 Twin Rivers Drive, Arkadelphia, AR · (870) 246-6337
- Certified beds
- 112
- Residents per day
- 75
- Ownership
- For-Profit
- Chain
- Southern Administrative Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1993
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Twin Rivers Rehabilitation and Healthcare Center carries 20 inspection points. That is fewer than 63% of Arkansas's 218 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–18 pts
- 3★ 18–29 pts
- 2★ 29–44 pts
- 1★ over 44 pts
Bars show every rated home in Arkansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary7F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Quality of Life and Care4E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service2E
- D
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.
- E
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.
Resident Rights1E
- E
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2026-02-12
2 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-08-29
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-10-20
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 44 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 20% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,335 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-28 | Fine | $12,335 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 1.0 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 100.0% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 100.0% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts better | 0.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts better | 0.4% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 3.9% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.8 pts better | 10.0% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.9 pts better | 0.0% | 10.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.2 pts better | 9.0% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts better | 5.6% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12 pts worse | 24.9% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts better | 93.6% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse | 17.8% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.1 pts better | 94.0% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts better | 18.9% | 23.4% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 4p2t1 Ops Holding LP | 5% Or Greater Direct Ownership Interest · Organization | 100% | 34 facilities |
| Alexark1 LLC | Operational/Managerial Control · Organization | 0% | 33 facilities |
| Avery, Christina | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Jej Assets LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Jej Management, LLC | Operational/Managerial Control · Organization | 0% | 31 facilities |
| Ponthie, John | Corporate Director · Individual | 0% | 30 facilities |
| Ponthie, John | Corporate Officer · Individual | 0% | 30 facilities |
| Ponthie, Sharlot | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 35 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Provide properly protected cooking facilities.
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Have an alternate power supply for its alarm system.
- F
Provide properly protected cooking facilities.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have an alternate power supply for its alarm system.
- F
Properly provide smoke detection systems in areas open to corridors.
Emergency Preparedness3F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Miscellaneous1F
- F
Have restrictions on the use of portable space heaters.
·
Other homes nearby
-
Nightingale At Arkadelphia
Arkadelphia, AR · Nightingale
★★★★★- Worst citation, 3 yrs
- C
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Quapaw Care And Rehabilitation Center LLC
Hot Springs, AR · Central Arkansas Nursing Centers
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 35 min
- Fines
- $0
-
The Springs Of Red Oak
Hot Springs, AR · The Springs Arkansas
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 4 min
- Fines
- $14,935