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Nursing homeFAID #437

Twin Rivers Rehabilitation and Healthcare Center

3021 TWIN RIVERS DRIVE, ARKADELPHIA, AR, 71923
(870) 246-6337
www.twinrivershr.com
112 licensed beds

CMS rates Twin Rivers Rehabilitation and Healthcare Center 4 out of 5 overall. Federal inspectors issued 30 citations across 8 inspections in the last three years, with $12,335 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER
Photo via Google · Twin Rivers Health & Rehabilitation

Address

3021 Twin Rivers Drive
Arkadelphia, AR 71923
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Public record summary

What we can show you for free.
Bed capacity
112
CMS facility ID
045216
Care type
Nursing home
County
Clark
Facility name
Twin Rivers Rehabilitation and Healthcare Center
Street address
3021 TWIN RIVERS DRIVE
City / state / ZIP
Arkadelphia, AR 71923
Phone
(870) 246-6337
Website
www.twinrivershr.com

About this facility — Twin Rivers Rehabilitation and Healthcare Center

Twin Rivers Rehabilitation and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Arkadelphia, Arkansas. It is licensed for 112 beds — close to the median for skilled nursing facilities in Arkansas (106 beds).

It is one of 5 senior care facilities in Arkadelphia and 222 skilled nursing facilities across Arkansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Southern Administrative Services, a group of 35 facilities on this site.

Federal inspectors have cited Twin Rivers Rehabilitation and Healthcare Center 30 times across 8 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $12,335 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Southern Administrative Services
Ownership type
For profit - Limited Liability company

Registered owners & officers

4p2t1 Ops Holding Lp
Direct owner — 100% stake — since 2022
Alexark1 Llc
Operational control — since 2022
Avery, Christina
Managing employee — since 2023
Jej Assets Lp
Indirect owner — since 2022
Jej Management, Llc
Operational control — since 2022
Ponthie, John
Director · Officer — since 2022
Ponthie, Sharlot
Indirect owner — since 2022

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1993-09-01
CMS overall rating
4 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$12,335 total
Last standard inspection
2026-02-12
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$332 per day (≈ $10,090/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
52% Medicaid · 16% Medicare · 32% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
1% above the AR median of $329/day — full state cost breakdown

Services & coverage

Licensed beds
112
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Monday: 9:00 AM – 5:00 PM · Tuesday: 9:00 AM – 5:00 PM · Wednesday: 9:00 AM – 5:00 PM · Thursday: 9:00 AM – 5:00 PM · Friday: 9:00 AM – 5:00 PM · Saturday: Closed · Sunday: Closed
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-12Health inspection2 citations
F-0801
D · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2026-03-03
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-13
2025-08-28Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-15
5 earlier / fire-safety inspections (27 citations)
2024-08-29Health inspectionComplaint-triggered3 citations
F-0690
D · No harm found
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 2024-09-20
F-0758
D · No harm foundFrom a complaint
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 2024-09-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-20
2023-10-20Health inspection9 citations
F-0554
E · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-11-19
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-19
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-19
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-19
F-0761
E · No harm found
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 2023-11-19
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-11-19
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-19
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-11-19
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-19
2026-02-12Fire-safety inspection7 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-03-09
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-03-09
K-0325
F · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2026-02-13
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-03-12
K-0344
E · No harm found
Have an alternate power supply for its alarm system.
Corrected 2026-02-18
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-03-13
K-0781
F · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2026-02-13
2024-08-29Fire-safety inspection5 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-09-20
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-09-20
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-09-20
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-09-20
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-20
2023-10-20Fire-safety inspection3 citations
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-19
K-0344
F · No harm found
Have an alternate power supply for its alarm system.
Corrected 2023-11-19
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-11-19

Federal penalties

2025-08-28Fine$12,335
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 045216.

Quality of care & staffing

How it compares in Arkansas.
Inspection citations, 3 years
30
More than 73% of nursing homes in the state
State median: 22
Federal fines, 3 years
$12,335
More than 76% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.7
Higher than 31% of nursing homes in the state
State median: 4.0
Nursing staff turnover, annual
46%
Higher than 40% of nursing homes in the state
State median: 49%

Resident outcomes

On 21 federal quality measures, this facility does better than the Arkansas average on 15 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased5.6%9.1%13.5%Better than state
Lose too much weight3.9%4.1%5.1%Near state average
With a catheter inserted and left in their bladder0.0%0.5%0.7%Better than state
With a urinary tract infection0.4%1.1%1.5%Better than state
Have depressive symptoms0.4%1.4%13.5%Better than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury0.4%3.9%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%95.1%93.7%Near state average
Ability to walk independently worsened9.0%9.2%12.7%Near state average
Received an antianxiety or hypnotic medication10.0%21.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%95.3%95.3%Near state average
With pressure ulcers2.3%4.2%4.5%Better than state
With new or worsened bowel or bladder incontinence24.9%12.9%18.3%Worse than state
Received an antipsychotic medication0.0%10.9%15.4%Better than state
Hospitalizations per 1000 long-stay resident days0.991.941.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.482.031.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine93.6%81.9%82.3%Better than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine94.0%75.9%80.1%Better than state
Were rehospitalized after a nursing home admission18.9%23.4%23.4%Better than state
Had an outpatient emergency department visit17.8%11.7%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • K-0324 2 inspections. Provide properly protected cooking facilities.
  • K-0341 2 inspections. Install a fire alarm system that can be heard throughout the facility.
  • K-0344 2 inspections. Have an alternate power supply for its alarm system.
  • K-0355 2 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What its owners also hold

  • Jej Assets Lp has an ownership stake on file at 34 nursing homes, averaging 3.9 of 5 on CMS's overall rating.
  • 4p2t1 Ops Holding Lp has an ownership stake on file at 34 nursing homes, averaging 3.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Arkansas

  • Licensing: Arkansas Department of Human Services, DPSQA, Office of Long Term Care
  • File a complaint: 800-582-4887 · Online
  • Adult Protective Services: 800-482-8049. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Baptist Health Medical Center-arkadelphia, less than 0.1 miles.
  • Chi St. Vincent Hospital Hot Springs, about 24 miles. CMS rating 3 of 5.
  • Baptist Health Medical Center-hot Springs County, about 24 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.413 ratings on Google
★★★★★Dean B · 2025-12-14 · via Google

“In September, my elderly mother was moved from The Plaza Assisted Living to Twin Rivers. She had come to the point where she required a great deal of daily care. We knew she didn't have much time left, and she passed three months later. During that time I was very impressed with the entire staff at Twin Rivers. The situation was complicated by my living half way across the country, but the sta…”

★★★★★David Peters · 2026-07-06 · via Google

“it was exactly what i needed and their coffee is teh best Ive definately found a new spot for good conversations”

★★★★★Ashley Gray · 2025-05-25 · via Google

“When I walked into the facility I was pleasantly surprised at how well it smelled. It was extremely clean and the residents seemed to be very happy. I was able to see a few interactions with staff and residents and you can tell they genuinely care about them. I was greeted by every staff member that saw me and made to feel welcome there.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered