Nursing Home Alerts

Twin Rivers Nursing and Rehabilitation Center

2420 W. 3rd Street, Owensboro, KY 42301

Open in mapsSee this home on CMS Care Compare

Twin Rivers Nursing and Rehabilitation Center is a nursing home in Owensboro, Kentucky. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

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.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

Email alerts for this home open soon.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

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 April 29, 2026

    • Star rating

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

    • Star rating

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

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 5 of 5.

  2. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

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

  3. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

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

  4. CMS update of April 30, 2025

    • Star rating

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

  5. CMS update of February 26, 2025

    • Star rating

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

  6. CMS update of October 30, 2024

    • Star rating

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

  7. Health inspection on July 26, 2024

    8 citations

    CMS lists this as a standard inspection.

    Show the 8 citations
    • Citation F0623. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on August 21, 2024.

    • 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 August 21, 2024.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

      CMS lists it as corrected on August 21, 2024.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on August 21, 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 21, 2024.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on August 21, 2024.

      CMS has cited this home for F0697 2 times since 2019.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 21, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 21, 2024.

    See this home on CMS Care Compare

  8. Fire safety inspection on July 26, 2024

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations
    • Citation K0372. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on August 21, 2024.

    • Citation K0916. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a battery powered remote alarm panel in a location accessible by operating personnel.

      CMS lists it as corrected on August 21, 2024.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on August 21, 2024.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on August 21, 2024.

    • Citation K0927. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

      CMS lists it as corrected on August 21, 2024.

    See this home on CMS Care Compare

  9. CMS update of March 28, 2024

    • Star rating

      The CMS quality measures star rating changed from not rated by CMS to 1 of 5.

    • Ownership

      CMS lists this home under a new chain.

  10. CMS update of February 29, 2024

    • Ownership

      CMS no longer lists a chain for this home.

  11. Health inspection on March 26, 2019

    10 citations

    CMS lists this as a standard inspection.

    Show the 10 citations
    • Citation F0641. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on April 24, 2019.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 24, 2019.

    • Citation F0659. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care by qualified persons according to each resident's written plan of care.

      CMS lists it as corrected on April 24, 2019.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      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 April 24, 2019.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      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 April 24, 2019.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 24, 2019.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      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 April 24, 2019.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 24, 2019.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on April 24, 2019.

    • Citation F0810. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide special eating equipment and utensils for residents who need them and appropriate assistance.

      CMS lists it as corrected on April 24, 2019.

    See this home on CMS Care Compare

  12. Fire safety inspection on March 26, 2019

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 24, 2019.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 24, 2019.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(270) 685-3141
Last standard health inspection
July 18, 2025 (1 year ago)
Certified beds
132
Residents per day, on average
101.7
Ownership type
For profit - Limited Liability company
Legal business name
Twin Rivers Operating Company LLC
Chain
Benjamin Landa
Takes part in
Medicare and Medicaid

More health citations than the Kentucky average (18 vs 12).

Owners and managers

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

Show 1 more
  • WHITLEDGE, ALICIAOperational/managerial control · not applicable · since 06/05/2023

Questions

When was Twin Rivers Nursing and Rehabilitation Center last inspected?

CMS lists July 18, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Twin Rivers Nursing and Rehabilitation Center have?

CMS lists 18 health citations since March 26, 2019. CMS also calls these deficiencies.

Has Twin Rivers Nursing and Rehabilitation Center been fined?

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

What is the CMS star rating of Twin Rivers Nursing and Rehabilitation Center?

Its CMS overall star rating is 5 of 5.

Is Twin Rivers Nursing and Rehabilitation Center a Special Focus Facility?

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

Other nursing homes in Owensboro