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Twin Rivers Nursing and Rehabilitation Center

All states › Kentucky › Owensboro › Twin Rivers Nursing and Rehabilitation Center

2420 W. 3rd Street Owensboro, KY 42301 · Daviess County

(270) 685-3141

All 7 nursing homes in Owensboro, KY (6 take Medicaid)

Accepts Medicare Accepts Medicaid 132 certified beds For profit

CMS certification number 185087 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Twin Rivers Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Twin Rivers Nursing and Rehabilitation Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Kentucky average of 3.0. Inspectors issued 18 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.49 hours per resident per day at Twin Rivers Nursing and Rehabilitation Center, below the Kentucky median of 3.75 (US median: 3.72). About 0.62 of those hours are from registered nurses. On weekends it falls to 3.19 hours, 9% below its all-week average. 38.3% of nursing staff left within a year (Kentucky median 44.3%).

Nursing care per resident per day 3.49 hours
Below the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.62 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.19 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 38.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 7.1% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds132
Residents per day 102 About 77% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1969
Part of a chainBenjamin Landa
Legal business nameTWIN RIVERS OPERATING COMPANY LLC

Paying for care at Twin Rivers Nursing and Rehabilitation Center: Medicare and Medicaid

Twin Rivers Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 18, 2025 and found 0 deficiencies. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 18 citations at Twin Rivers Nursing and Rehabilitation Center across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 18 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights" (tag F0623, level F, July 26, 2024).

July 26, 2024 · 8 citations

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Aug 21, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 21, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Aug 21, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Aug 21, 2024)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Aug 21, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Aug 21, 2024)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Aug 21, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 21, 2024)

March 26, 2019 · 10 citations

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0659 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Apr 24, 2019)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Apr 24, 2019)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0810 · Deficient, Provider has date of correction (Apr 24, 2019)

Questions to ask on a tour of Twin Rivers Nursing and Rehabilitation Center

  1. What do families most often ask you about before moving in?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 3/5 5/5
August 2026 5/5 4/5 3/5 5/5
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Location

Hospitals near Twin Rivers Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hermitage Care and Rehabilitation Center Owensboro · 1.1 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 92 beds · Medicaid
Chautauqua Health and Rehabilitation Owensboro · 2.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 145 beds · Medicaid
Carmel Home Owensboro · 2.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 18 beds · Medicaid
Wellington Parc of Owensboro Owensboro · 2.9 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 80 beds · Medicaid
Signature Healthcare at Hillcrest Owensboro · 3.8 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 156 beds · Medicaid

More nursing homes near Twin Rivers Nursing and Rehabilitation Center ›   All nursing homes in Owensboro ›

Compare Twin Rivers Nursing and Rehabilitation Center with the 3 closest homes side by side ›

Other Benjamin Landa nursing homes in Kentucky

Affiliation comes from CMS's affiliated-entity data, October 2026. All 48 Benjamin Landa nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/kentucky/owensboro/twin-rivers-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.