The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER
ARKADELPHIA, AR · Medicare-certified · 112 beds
In good standing
For-profitChain member
4 of 5 overall
4 out of 5 stars overall. Staffing is slightly above the federal benchmark (4.15 vs 4.1 hours per resident day), quality measures are 5 stars, health inspections are 3 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.1527 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1527.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.75
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1%Improving
Residents with a fall causing major injury
2.9%Improving
Residents with pressure ulcers (bedsores)
5.4%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
3.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.8%Worsening
Residents whose ability to walk got worse
6.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
9.1%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.2%Worsening
Residents with depressive symptoms
0.5%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Improving
Short-stay residents given the seasonal flu vaccine
87.9%Steady
Short-stay residents given the pneumonia vaccine
95.7%Worsening
What the inspectors found
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.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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.
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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.
View the original federal record
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.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SOUTHERN ADMINISTRATIVE SERVICES · 35 homes · 3.7 stars avg
- Occupancy
- 69.5 residents on an average day (62% of 112 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 32 years
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.