Twin Rivers Rehabilitation and Healthcare Center
3021 Twin Rivers Drive · Arkadelphia, AR · 71923 · 8702466337
112 certified beds For profit - Limited Liability company Chain: Southern Administrative Services
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.55 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $12,335 |
Inspection citations (15 in the current record)
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Potential for harm · D February 12, 2026
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.
Corrected March 3, 2026 · Nutrition and Dietary
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Potential for harm · F February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 13, 2026 · Nutrition and Dietary
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Potential for harm · D August 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2024 · found via complaint
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 September 20, 2024 · Pharmacy Service
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Potential for harm · D August 29, 2024
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 September 20, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2024 · Nutrition and Dietary
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Potential for harm · E October 20, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 19, 2023 · Resident Rights
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Potential for harm · D October 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2023 · Quality of Life and Care
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Potential for harm · E October 20, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected November 19, 2023 · Quality of Life and Care
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Potential for harm · E October 20, 2023
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 November 19, 2023 · Pharmacy Service
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Potential for harm · E October 20, 2023
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 November 19, 2023 · Nutrition and Dietary
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Potential for harm · E October 20, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 19, 2023 · Nutrition and Dietary
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Potential for harm · E October 20, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 19, 2023 · Nutrition and Dietary
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Potential for harm · F October 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 19, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2025 | Fine | $12,335 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045216 · certified since September 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.