Nursing Home Alerts

Three Rivers Health and Rehabilitation Center

33904 Highway 63 E, Marked Tree, AR 72365

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Three Rivers Health and Rehabilitation Center is a nursing home in Marked Tree, Arkansas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(870) 358-2432
Last standard health inspection
April 16, 2026 (6 months ago)
Certified beds
112
Residents per day, on average
86.2
Ownership type
For profit - Limited Liability company
Legal business name
Three Rivers SNF Operations LLC
Chain
Southern Administrative Services
Takes part in
Medicare and Medicaid

Fewer health citations than the Arkansas average (15 vs 18).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of June 24, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 3 of 5.

  2. CMS update of May 27, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  3. 1 citation

    Health inspection on April 16, 2026

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on May 8, 2026.

      CMS has cited this home for F0812 3 times since 2023.

    See this home on CMS Care Compare

  4. 4 citations

    Fire safety inspection on April 16, 2026

    CMS lists this as a standard inspection.

    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on May 8, 2026.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on May 8, 2026.

    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on May 8, 2026.

    • Citation K0919. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on May 8, 2026.

    See this home on CMS Care Compare

  5. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  6. CMS update of November 20, 2025

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

  8. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  9. CMS update of December 20, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  10. CMS update of September 26, 2024

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  11. 4 citations

    Health inspection on August 29, 2024

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on September 16, 2024.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 16, 2024.

    • Citation F0687. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate foot care.

      CMS lists it as corrected on September 16, 2024.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 16, 2024.

    See this home on CMS Care Compare

  12. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  13. CMS update of April 25, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  14. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from May 20, 2021 from $9,750 to $10,688.

    • Fine

      CMS changed the fine from August 18, 2023 from $37,625 to $24,456.

  15. 10 citations

    Health inspection on August 18, 2023

    CMS lists this as a standard inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    9 of 222 Arkansas homes (4%) got a citation at the immediate jeopardy level in 2023.

    • Citation F0812. Severity J: immediate jeopardy, isolated.

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

      CMS lists it as corrected on September 15, 2023.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on September 15, 2023.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 15, 2023.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 15, 2023.

    • Citation F0692. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on September 15, 2023.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 15, 2023.

    • Citation F0867. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on September 15, 2023.

    • Citation F0925. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on September 15, 2023.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on September 15, 2023.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on September 15, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Three Rivers Health and Rehabilitation Center last inspected?

CMS lists April 16, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Three Rivers Health and Rehabilitation Center have?

CMS lists 15 health citations since August 18, 2023. CMS also calls these deficiencies.

Has Three Rivers Health and Rehabilitation Center been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Three Rivers Health and Rehabilitation Center?

Its CMS overall star rating is 4 of 5.

Is Three Rivers Health and Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.