TWIN RIVERS HEALTH AND REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Twin Rivers Health and Rehabilitation. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TWIN RIVERS HEALTH AND REHABILITATION
3021 TWIN RIVERS DRIVE
ARKADELPHIA, AR 71923
(870) 246-6337

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 110
  • Certified Beds: 112

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Hot Springs | Prescott | Glenwood

Rating Details For Twin Rivers Health and Rehabilitation

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours15 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 37 Minutes2 Hours and 3 Minutes
Total Licensed Nurse Hours58 Minutes1 Hour and 26 Minutes
Total Nurse Hours4 Hours and 35 Minutes3 Hours and 29 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Arkansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityArkansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%95%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious3%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-2%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder26%42%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%14%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain-13%
Percent of Short-Stay Residents Who Have Pressure Sores10%11%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/21/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/20/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/19/2008
  • Correction Date: 09/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/20/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/19/2008
  • Correction Date: 09/12/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 10/21/2010
  • Correction Date: 11/18/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/19/2008
  • Correction Date: 09/12/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/20/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Twin Rivers Health and Rehabilitation, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 11/17/2008
  • Correction Date: 12/17/2008

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 06/02/2010
  • Correction Date: 06/02/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 11/17/2008
  • Correction Date: 12/17/2008

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/02/2010
  • Correction Date: 07/02/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 06/02/2010
  • Correction Date: 07/02/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 11/17/2008
  • Correction Date: 12/13/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Twin Rivers Health and Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/18/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/20/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/20/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/18/2010
  • Correction Date: 11/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/20/2009
Source: Medicare Nursing Home Compare; Department of Human Services of Arkansas - Office of Long Term Care - Retrieved 2011