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D
Poor

THREE RIVERS HEALTH AND REHABILITATION CENTER

33904 HIGHWAY 63 E · MARKED TREE, AR 72365

8703582432 · For profit - Limited Liability company

112 beds86.6 residents95 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

THREE RIVERS HEALTH AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.5741 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3725 HPRD, below the recommended 0.75. It is 0.32 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.58% compared to weekdays. The facility has low agency staff usage (1.72% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.3725 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.72%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5741hrs/resident/day▼ 0.32
CMS benchmark: 3.48
RN HPRD
0.3725hrs/resident/day▼ 0.31
Recommended: 0.75
Weekend Drop-off
20.58%
3.7949 weekday → 3.0138 weekend
⚠ Significant weekend reduction
Agency Staff
1.72%
16.48% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.96hrs/resident/day
Direct care aides
LPN HPRD
1.0125hrs/resident/day
Licensed practical nurses
Consistency
0.4186std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Poinsett County Average-0.73 HPRD
4.31
03.57 HPRD
vs. Arkansas State Average-0.51 HPRD
4.09
03.57 HPRD
vs. National Average-0.32 HPRD
3.90
03.57 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THREE RIVERS HEALTH AND REHABILITATION CENTER ★
MARKED TREE · This facility
—
D
3.57410.3725★★★☆☆
WOODBRIAR NURSING HOME
HARRISBURG
16.7 mi
D
5.04290.2965★★★★★
LAKESIDE HEALTH AND REHAB
LAKE CITY
20 mi
F
4.30030.2074★☆☆☆☆
ST ELIZABETH'S PLACE
JONESBORO
23.4 mi
D
4.26690.3607★★★☆☆
THE SPRINGS JONESBORO
JONESBORO
23.7 mi
C
3.90220.4638★★★★★
RIDGECREST HEALTH AND REHABILITATION
JONESBORO
25.7 mi
C
4.4940.4086★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$37,106
Fines Assessed
Aug 29, 2024Health
4 deficiencies cited
▼
Aug 18, 2023Health
10 deficiencies cited· Includes actual harm
▼
Apr 18, 2023Health
1 deficiency cited· Includes actual harm
▼
Jun 9, 2022Health
3 deficiencies cited
▼

Penalty History

Aug 18, 2023Fine
$24,457
Apr 18, 2023Fine
$12,649
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.