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B
Good

TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER

3021 TWIN RIVERS DRIVE · ARKADELPHIA, AR 71923

8702466337 · For profit - Limited Liability company

112 beds70.1 residents97 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER receives an overall staffing grade of B (Good). With 3.9169 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5634 HPRD, below the recommended 0.75. It is 0.02 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.96% compared to weekdays. The facility has low agency staff usage (1.98% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5634 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 (1.98%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9169hrs/resident/day▲ 0.02
CMS benchmark: 3.48
RN HPRD
0.5634hrs/resident/day▼ 0.12
Recommended: 0.75
Weekend Drop-off
20.96%
4.1635 weekday → 3.2909 weekend
⚠ Significant weekend reduction
Agency Staff
1.98%
12.03% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2224hrs/resident/day
Direct care aides
LPN HPRD
0.7483hrs/resident/day
Licensed practical nurses
Consistency
0.5382std 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. Clark County Average+0.03 HPRD
3.89
03.92 HPRD
vs. Arkansas State Average-0.17 HPRD
4.09
03.92 HPRD
vs. National Average+0.02 HPRD
3.90
03.92 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
TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER ★
ARKADELPHIA · This facility
—
B
3.91690.5634★★★☆☆
NIGHTINGALE AT ARKADELPHIA
ARKADELPHIA
0.3 mi
C
3.85830.5184★★★★★
QUAPAW CARE AND REHABILITATION CENTER LLC
HOT SPRINGS
22.4 mi
F
4.91250.2078★★★★☆
THE SPRINGS OF RED OAK
HOT SPRINGS
22.7 mi
C
4.26830.4838★★★☆☆
LAKE HAMILTON HEALTH AND REHAB
HOT SPRINGS
23.1 mi
D
4.16270.288★★★★☆
ENCORE HEALTHCARE AND REHABI OF MALVERN
MALVERN
23.1 mi
D
3.67980.3556★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
21
Total Deficiencies
$12,335
Fines Assessed
Aug 28, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 29, 2024Health
3 deficiencies cited
▼
Oct 20, 2023Health
9 deficiencies cited
▼
Jul 15, 2022Health
8 deficiencies cited
▼

Penalty History

Aug 28, 2025Fine
$12,335
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.