Nursing home report
ARKADELPHIA, AR · Medicare-certified · 112 beds
Twin Rivers Rehabilitation and Healthcare Center in Arkadelphia has an overall 4-star rating, with strong quality measures at 5 stars but middling health inspection and staffing ratings at 3 stars each. Reported nurse staffing is 3.74 hours per resident per day, below the 4.1-hour federal benchmark, and it had $12,335 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.7418 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7418.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — limited pattern, potential for harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited October 2023 — limited pattern, potential for harm.
F-Tag 554 — 42 CFR §483.10 — S/S: E
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2023 — limited pattern, potential for harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited October 2023 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
A federal fine of $12,335 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
On record with Medicare: 1 fine · $12,335 in total fines.
Federal fine
Aug 28, 2025
Now operated by Twin Rivers Rehabilitation and Healthcare Center, previously Twin Rivers Health & Rehabilitation.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
