Twin Rivers Rehabilitation and Healthcare Center
3021 Twin Rivers Drive, Arkadelphia, AR 71923 · Clark County · (870) 246-6337
112 certified beds, about 71 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045216 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 12, 2026, inspectors cited 2 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 15 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $12,335 in the last three years; the largest was $12,335, and the latest is dated August 28, 2025.
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 0.50 of those hours.
47.1% 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.
910/23
308/24
108/25
202/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
8E
2F
Potential for minimal harm
0A
0B
0C
February 12, 2026Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, record review and interview, the facility failed to ensure foods stored in freezers were covered and sealed to maintain freshness and decrease the potential for cross contamination. The facility also failed to ensure the low temperature dishwasher was maintained at proper temperatures to prevent potential contamination of dishware. This failed practice had the potential to affect 67 residents who received meals from the kitchen.
- 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.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on interviews, observation and record review it was determined the facility failed to ensure a qualified dietary professional served as dietary manager affecting 67 residents that received meals from the facility kitchen.
August 28, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, record review and facility policy review, it was determined that the facility failed to ensure residents were free of harm due to improper transferring of residents with a mechanical lift for one (Resident #1) of one resident reviewed for transfers. Resident #1 had a negative outcome which resulted in a right distal third spiral femur fracture (a spiral fracture line caused by twisting forces).
August 29, 2024Standard inspection, Complaint inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined the facility failed to keep food at a safe temperature prior to serving residents.
- 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.
Inspectors wroteBased on observation, record review, and interviews, the facility failed to provide appropriate treatment and services to prevent complications from an indwelling urinary catheter for 1 (Resident #67) of 1 sampled resident with indwelling catheters.
- 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.
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to ensure a medication was used only to treat specific diagnosed condition for 1 (Resident #71) sampled resident.
October 20, 2023Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure foods stored in in the freezer were covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; dish washer walls, baseboard, and wallboard were free of stain, debris, dirt, and rust; door frames and baseboards were free of chipped areas; wall tiles and baseboard were replaced, staff washed their hands between dirty and clean tasks and before handling clean equipment or contamination; and hot food items were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. [...]
- E Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure residents were assessed to self-administer medications prior to self-administration for 4 (Residents #39 Residents #46, #76 and #60) of 6 (Residents #34, #44, #46, #60, #62 and #76) sampled residents.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a Janitor's Closet containing chemicals was locked when not in use to prevent the potential for accidents. This failed practice had the potential to affect 8 residents who resided on the 100 Hall who were independent or supervision/set up with locomotion as documented on a list provided by the Administrator on 10/19/23 at 10:00 AM.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure dietary supplements were provided as ordered for (Resident #76) of 1 Resident reviewed for dietary supplements.
- 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.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure refrigerated scheduled II-V controlled medications were maintained within a separately locked permanently affixed compartment in 1 of 1 medication room.
- 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 6 residents who received pureed diets and 21 residents who received mechanical soft diets from 1 of 1 kitchen, according to a list provided by the Dietary Supervisor on 10/20/23.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained the appearance of cold and or hot products and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 25 residents who receive meal trays in their rooms on the 300 Hall, 20 residents who receive meal trays in their rooms on the 100 Hall, and 17 residents who received meal trays in their rooms on the 200 Hall, as documented on a list provided by the Administrator on 10/20/23 at 8:27 AM.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 5 residents who received pureed diets as provided by the Administrator on 10/20/23 at 8:27 AM.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive care plan was developed to address the use of opioid medication for 1 (Resident #42) of 29 (Residents #3, #5, #7, #9, #11, #12, #16, #26, #27, #28, #30, #34, #38, #39, #42, #44, #45, #46, #47, #48, #49, #51, #60, #61, #62, #64, #69, #72, and #76) sampled residents who had a physician order for pain medication.
Fire safety inspections
15 fire safety citations on file: 7 on February 12, 2026, 5 on August 29, 2024, 3 on October 20, 2023.
Every fire safety citation15 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- 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.
- F Have restrictions on the use of portable space heaters.
- E Have an alternate power supply for its alarm system.
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- 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.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 28, 2025 | Fine | $12,335 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | 0.50 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.45 | 3.42 |
| Nurse aides | 2.42 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 47.1% | 49.5% | 45.8% |
| Registered nurse turnover | 25.0% | 44.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.56 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 3.98 on weekdays and 3.16 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.11 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 | 0.50 | 3.98 | 3.16 | 1.8% | 0 of 90 | 71 |
| Oct to Dec 2025 | 4.15 | 0.57 | 4.39 | 3.55 | 1.9% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.91 | 0.56 | 4.16 | 3.29 | 2.0% | 0 of 92 | 70 |
| Apr to Jun 2025 | 4.11 | 0.66 | 4.38 | 3.45 | 1.6% | 0 of 91 | 67 |
| 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 | 8.5 | 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 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 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 | 6.7 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.5 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.3 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.6 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: 3P PARTNERS, 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% | 05/16/2022 |
| Jej Assets LP | 5% or greater indirect ownership interest | Organization | 01/14/2022 | |
| Ponthie, Sharlot | 5% or greater indirect ownership interest | Individual | 01/14/2022 | |
| Avery, Christina | W-2 managing employee | Individual | 09/12/2023 | |
| Ponthie, John | Corporate director | Individual | 01/14/2022 | |
| Ponthie, John | Corporate officer | Individual | 08/15/2022 | |
| Alexark1 LLC | Operational/managerial control | Organization | 01/14/2022 | |
| Jej Management, LLC | Operational/managerial control | Organization | 01/14/2022 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on February 12, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on August 28, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 29, 2024: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 20, 2023: "Allow residents to self-administer drugs if determined clinically appropriate."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 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
- Nightingale at Arkadelphia Arkadelphia, 0.3 mi · 5 of 5 stars · 6 citations
- Quapaw Care and Rehabilitation Center LLC Hot Springs, 22.4 mi · 3 of 5 stars · 25 citations
- The Springs of Red Oak Hot Springs, 22.8 mi · 3 of 5 stars · 18 citations
- Lake Hamilton Health and Rehab Hot Springs, 23.1 mi · 3 of 5 stars · 22 citations
- Encore Healthcare and Rehabi of Malvern Malvern, 23.2 mi · 3 of 5 stars · 19 citations
- Arbor Oaks Healthcare and Rehabilitation Center Malvern, 23.3 mi · 3 of 5 stars · 19 citations
- The Pines Nursing and Rehabilitation Center Hot Springs, 23.7 mi · 4 of 5 stars · 15 citations
- The Blossoms at Hot Springs Rehab and Nursing Cent Hot Springs, 24.1 mi · 5 of 5 stars · 8 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 Twin Rivers Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Twin Rivers Rehabilitation and Healthcare Center 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Twin Rivers Rehabilitation and Healthcare Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 12, 2026. The Arkansas average is 2.7.
- Has Twin Rivers Rehabilitation and Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $12,335 in the last three years.
- Does Twin Rivers Rehabilitation and Healthcare 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 Twin Rivers Rehabilitation and Healthcare Center?
- CMS lists 8 owners and managers, and links the home to Southern Administrative Services. Legal business name: 3P PARTNERS, 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.