What is Three Rivers Health and Rehabilitation Center's Medicare star rating?

CMS rates Three Rivers Health and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

Has Three Rivers Health and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Three Rivers Health and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Three Rivers Health and Rehabilitation Center?

CMS lists 6 owners and managers, and links the home to Southern Administrative Services. Legal business name: THREE RIVERS SNF OPERATIONS LLC.

Three Rivers Health and Rehabilitation Center (045391)

The record in brief

At its most recent standard inspection, on April 16, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).

Of 15 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.74 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

35.5% of nursing staff left within the year CMS measured (Arkansas average 49.5%).

CMS links it to Southern Administrative Services, an affiliated group of 35 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

1008/23

408/24

104/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10E

Potential for minimal harm

April 16, 2026Standard inspection · 1 citation

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 8, 2026

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview and facility policy review it was determined that the facility failed to ensure hair restraints were consistently worn to prevent the potential for hair to contaminate resident food items in one of one kitchen observed.

August 29, 2024Standard inspection · 4 citations

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 16, 2024

Inspectors wroteBased on observations, interview, and record review the facility failed to ensure hand hygiene was performed properly in one of one kitchen.
E

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

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 16, 2024

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents who required assistance with activities of daily living were regularly provided with the necessary assistance to maintain good hygiene and grooming for two (Residents #69 and #88) of two sampled residents.
E

Provide appropriate foot care.

F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 16, 2024

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents who required assistance with foot care were regularly provided with the necessary assistance to maintain good hygiene and grooming, as evidenced by failure to ensure toenails were kept clean and trimmed for one (Resident #88) of one sampled resident.
E

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 16, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an accident/hazard free environment was provided for 2 (Residents #6 and #64) of 2 sampled residents.

August 18, 2023Standard inspection · 10 citations

J

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

F812 · Nutrition and Dietary · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food items were maintained at acceptable temperature, failed to ensure employees washed hands between clean and dirty tasks and failed to obtain foods served to residents were from an approved source to prevent food borne illness. The failed practice resulted in 6 (Resident #11, #21, #30, #38, #50 and #87) residents experiencing food borne illness symptoms and had the ability to affect 93 residents who receive meals from 1 of 1 kitchen according to a list provided by the Director of Nursing on 08/17/2023 at 11:00 AM.
E

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain privacy for 1 of 1 (Resident #8) sampled resident and failed to ensure residents dignity was maintained for 2 (Resident #37 and Resident #81) of 2 sampled residents.
E

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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation and interview, the facility failed to ensure that a safe, clean, and homelike environment was provided for all 94 residents who reside in the facility according to the census & condition which was provided by the Director of Nursing on 08/14/2023 at 1:05 PM.
E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff assessed, reported, and notified the physician for residents who had skin tears/wounds to prevent infection and possible injury for 2 residents (Resident #8, and Resident #38) of 2 sampled residents.
E

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

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents on special diets who required assistance for eating and hydration, received care and services to prevent the potential of dehydration and possible infections for 1 (Resident #51) of 1 sampled resident who had orders for thickened liquids. Review of Resident # 51's physician's Order Summary Report with an active order date of 08/17/202023 showed diagnoses of atrial fibrillation, dehydration, and extended spectrum beta lactamase (ESBL) in the urine, and a mechanical soft diet with nectar consistency. During observation on 08/14/2023 at 2:33 PM Resident #51was lying in bed with no liquids at the bedside. Family was at bedside. During observation on 08/15/2023 at 9:12 AM. Resident #51 had no source of hydration available, and no cup at bedside. [...]
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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals were stored in accordance with the facility's policy and procedure, currently accepted professional principles, and disposed of in accordance with manufacturer's instructions to prevent potential administration of medicines that had been opened and stored beyond the manufacturer's specified timeframes.
E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program (QAPI) Committee developed and implemented appropriate plans of action to prevent repeated deficiencies with medication storage. These failed practices had the potential to affect all 94 residents who resided in the facility as identified on the Resident Census and Condition which was provided by the Director of Nursing on 8/14/23 at 1:05 PM.
E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the facility was free of pests and insects to prevent potential for the spread of infectious disease or injury to residents who reside in the facility. This failed practice had the potential to affect 94 residents according to the census and condition provided by the Director of Nursing (DON) on 08/14/2023 at 1:00 PM.
D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents representatives/responsible party was notified of changes in condition for 1 (Resident #51) of 1 sampled resident. The findings Included: Review of Resident #51's physician orders with a start date of 08/07/2023 showed Resident #51 is in contact isolation. Review of Resident #51's progress notes with an effective date range of 01/01/2023 to 08/17/2023 showed no documentation of family notification of Resident being in isolation. On 08/16/2023 at 1:53 PM Resident #51's family members (responsible party) were observed visiting and not wearing personal protective equipment. The Surveyor asked the family members if they were contacted about Resident #51 being in isolation? The family members said no and did not know about the urinary tract infection. [...]
D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023

Inspectors wroteBased on interview and record review, that facility failed to ensure that a resident and/or their representative was provided notification of their discharge and the possibility of appeal 2 days prior to discharge from skilled services for 1 of 1(Resident #27) sampled resident.

Fire safety inspections

4 fire safety citations on file: 4 on April 16, 2026.

Every fire safety citation4 citations

F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · April 16, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 16, 2026 · Corrected (the home has a date of correction)
F
Install corridor and hallway doors that block smoke.

K 363 · April 16, 2026 · Corrected (the home has a date of correction)
F
Meet requirements for the use of electrical equipment.

K 919 · April 16, 2026 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Arkansas	United States
All nursing staff (RN, LPN and aides)	3.74	4.02	3.86
Registered nurses	0.39	0.41	0.69
All nursing staff on weekends	3.05	3.45	3.42
Nurse aides	2.29
Licensed practical nurses	1.06
Nursing staff turnover (share who left in a year)	35.5%	49.5%	45.8%
Registered nurse turnover	14.3%	44.8%	42.9%
Administrators who left	1

CMS expects 3.14 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.01 on weekdays and 3.05 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.74 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.74	0.39	4.01	3.05	1.6%	0 of 90	83
Oct to Dec 2025	3.42	0.37	3.61	2.95	1.8%	0 of 92	87
Jul to Sep 2025	3.57	0.37	3.79	3.01	1.7%	0 of 92	87
Apr to Jun 2025	3.49	0.42	3.69	2.99	1.6%	0 of 91	93
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Arkansas, Jan to Mar 2026	4.05	0.40	4.28	3.47	2.0%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Arkansas	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	3.8	9.5	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.6	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	1.2	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.3	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	4.1	10.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.7	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	3.0	10.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	18.6	24.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.8	12.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.5	2.1	1.8

Owners and operators

Legal business name: THREE RIVERS SNF OPERATIONS LLC. CMS links this home to Southern Administrative Services, a group of 35 nursing homes averaging 3.9 stars overall.

Name	Role	Type	Share	Since
4p2t1 Ops Holding LP	5% or greater direct ownership interest	Organization	100%	08/15/2022
Jej Assets LP	5% or greater indirect ownership interest	Organization		08/15/2022
Ponthie, Sharlot	5% or greater indirect ownership interest	Individual		06/14/2022
Brazile, Robert	W-2 managing employee	Individual		08/15/2022
Alexark1 LLC	Operational/managerial control	Organization		08/15/2022
Ponthie, John	General partnership interest	Individual		01/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 29, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on August 18, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 16, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 18, 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."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Arkansas average of 3.45.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Quail Run Health and Rehab
Trumann, 11.3 mi · not rated · 0 citations
Woodbriar Nursing Home
Harrisburg, 16.7 mi · 4 of 5 stars · 10 citations
Craighead Nursing Center
Jonesboro, 17.8 mi · not rated · 1 citation
Lakeside Health and Rehab
Lake City, 20 mi · 2 of 5 stars · 8 citations
St. Elizabeth's Place
Jonesboro, 23.4 mi · 2 of 5 stars · 22 citations
The Springs Jonesboro
Jonesboro, 23.7 mi · 4 of 5 stars · 15 citations

Arkansas contacts for a concern about a nursing home

These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.

Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Three Rivers Health and Rehabilitation Center's Medicare star rating?: CMS rates Three Rivers Health and Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Three Rivers Health and Rehabilitation Center get at its last inspection?: 1 health deficiency at the standard inspection on April 16, 2026. The Arkansas average is 2.7.
Has Three Rivers Health and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Three Rivers Health and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Three Rivers Health and Rehabilitation Center?: CMS lists 6 owners and managers, and links the home to Southern Administrative Services. Legal business name: THREE RIVERS SNF OPERATIONS LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.