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Twin Rivers Nursing And Rehabilitation Center is a 5-star rated nursing home in Owensboro, KY with 132 beds. CMS sub-ratings: health inspections 4/5, staffing 3/5, quality measures 5/5.

The facility has 61 health violations on record. Federal fines total $293,646 across 15 enforcement actions. Most recent inspection: July 26, 2024.

Data synthesized from CMS.gov and Kentucky public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.

Our Coverage of Twin Rivers Nursing And Rehabilitation Center

Twin Rivers Nursing: Pain Management Failures - KY Dec 14, 2025

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

Health Inspection

Fines and Penalties by Year

2021 7 penalties totaling $23,316

$2,293

Fine

$1,965

Fine

$1,625

Fine

$1,300

Fine

$975

Fine

$650

Fine

$14,508

Fine

2020 3 penalties totaling $42,875

$21,438

Fine

$21,437

Fine

$0

Payment Denial

2019 2 penalties totaling $17,983

$10,160

Fine

$7,823

Fine

2018 3 penalties totaling $209,472

$195,845

Fine

$13,627

Fine

$0

Payment Denial

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Health Violations by Year

2024 8 violations

Tag 0565 E Jul 26, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Aug 21, 2024
Tag 0623 F Jul 26, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Aug 21, 2024
Tag 0658 D Jul 26, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 21, 2024
Tag 0693 D Jul 26, 2024

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Aug 21, 2024
Tag 0697 D Jul 26, 2024

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Aug 21, 2024
Tag 0758 D Jul 26, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Aug 21, 2024
Tag 0812 F Jul 26, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 21, 2024
Tag 0880 D Jul 26, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 21, 2024

2022 2 violations

Tag 0656 G Aug 26, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 8, 2022
Tag 0689 G Aug 26, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 8, 2022

2021 15 violations

Tag 0580 D Jun 30, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 17, 2021
Tag 0584 E Jun 30, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 17, 2021
Tag 0656 J Jun 30, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 17, 2021
Tag 0657 D Jun 30, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 17, 2021
Tag 0684 D Jun 30, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 17, 2021
Tag 0689 J Jun 30, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 17, 2021
Tag 0656 D Jun 9, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag 0689 D Jun 9, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 17, 2021
Tag 0690 D Jun 9, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Tag 0880 D Jun 9, 2021

Provide and implement an infection prevention and control program.

Tag 0580 J Feb 5, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 6, 2021
Tag 0656 D Feb 5, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 6, 2021
Tag 0684 J Feb 5, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 6, 2021
Tag 0686 D Feb 5, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 6, 2021
Tag 0925 F Feb 5, 2021

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Feb 6, 2021

2020 4 violations

Tag 0655 G Sep 30, 2020

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Oct 28, 2020
Tag 0697 G Sep 30, 2020

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Oct 28, 2020
Tag 0656 D Feb 7, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 21, 2020
Tag 0688 D Feb 7, 2020

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Feb 21, 2020

2019 12 violations

Tag 0689 J Oct 3, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 8, 2019
Tag 0755 D Jul 19, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 27, 2019
Tag 0550 D Mar 26, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 24, 2019
Tag 0584 D Mar 26, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Apr 24, 2019
Tag 0641 E Mar 26, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 24, 2019
Tag 0656 D Mar 26, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 24, 2019
Tag 0657 E Mar 26, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 24, 2019
Tag 0659 E Mar 26, 2019

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Apr 24, 2019
Tag 0677 D Mar 26, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 24, 2019
Tag 0690 D Mar 26, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 24, 2019
Tag 0697 D Mar 26, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 24, 2019
Tag 0810 D Mar 26, 2019

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Apr 24, 2019

2018 20 violations

Tag 0656 D Sep 27, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 23, 2018
Tag 0657 D Sep 27, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 23, 2018
Tag 0690 D Sep 27, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 23, 2018
Tag 0698 D Sep 27, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Oct 23, 2018
Tag 0761 D Sep 27, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Oct 23, 2018
Tag 0812 F Sep 27, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 23, 2018
Tag 0880 D Sep 27, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 23, 2018
Tag 0580 J Jul 6, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 3, 2018
Tag 0600 E Jul 6, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 3, 2018
Tag 0607 E Jul 6, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 3, 2018
Tag 0656 J Jul 6, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 3, 2018
Tag 0658 J Jul 6, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 3, 2018
Tag 0695 J Jul 6, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 3, 2018
Tag 0842 D Jul 6, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 3, 2018
Tag 0689 J May 8, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 8, 2018
Tag 0576 C Apr 26, 2018

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: May 19, 2018
Tag 0658 J Apr 26, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 3, 2018
Tag 0695 J Apr 26, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 3, 2018
Tag 0744 D Apr 26, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: May 19, 2018
Tag 0758 D Apr 26, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: May 19, 2018

Frequently Asked Questions About Twin Rivers Nursing And Rehabilitation Center

What violations has Twin Rivers Nursing And Rehabilitation Center received?
Twin Rivers Nursing And Rehabilitation Center has 61 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Twin Rivers Nursing And Rehabilitation Center?
Twin Rivers Nursing And Rehabilitation Center has a 5-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
When was Twin Rivers Nursing And Rehabilitation Center last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Twin Rivers Nursing And Rehabilitation Center safe?
Safety at Twin Rivers Nursing And Rehabilitation Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Twin Rivers Nursing And Rehabilitation Center?
Phone: (270) 685-3141. Address: 2420 W. 3rd Street, Owensboro, KY. For visiting hours and admission information, call the facility directly.
What services does Twin Rivers Nursing And Rehabilitation Center offer?
Twin Rivers Nursing And Rehabilitation Center is a skilled nursing facility with 132 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Owensboro, KY?
Compare Twin Rivers Nursing And Rehabilitation Center with other nursing homes in Owensboro, KY on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Compare Nursing Homes in Owensboro, KY

Facility Rating Violations Beds
Twin Rivers Nursing And Rehabilitation Center (this facility) ★★★★★ 61 132
Hermitage Care And Rehabilitation Center ★★★★★ 10 92
The Transitional Care Center Of Owensboro ★★★★★ 6 30
Signature Healthcare At Hillcrest ★★★★☆ 14 156
Wellington Parc Of Owensboro ★★★★☆ 14 80
Carmel Home ★★★☆☆ 9 18
Chautauqua Health And Rehabilitation ★☆☆☆☆ 70 145

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: July 26, 2024 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Twin Rivers Nursing And Rehabilitation Center.

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