Twin Rivers Nursing and Rehabilitation Center

2420 W. 3rd Street · Owensboro, KY · 42301 · 2706853141

132 certified beds For profit - Limited Liability company Chain: Benjamin Landa

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 78
Serious harm & abuse 20% 100
Staffing 20% 74
Federal penalties 15% 100
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.743.48 min · 4.1 strong
RN hours / resident-day0.740.55–0.75
Weekend hours / resident-day3.39≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)none

Inspection citations (18 in the current record)

  • Potential for harm · E July 26, 2024

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

    Corrected August 21, 2024 · Resident Rights

  • Potential for harm · F July 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 August 21, 2024 · Resident Rights

  • Potential for harm · D July 26, 2024

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

    Corrected August 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 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 August 21, 2024 · Quality of Life and Care

  • Potential for harm · D July 26, 2024

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

    Corrected August 21, 2024 · Quality of Life and Care

  • Potential for harm · D July 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 August 21, 2024 · Pharmacy Service

  • Potential for harm · F July 26, 2024

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

    Corrected August 21, 2024 · Nutrition and Dietary

  • Potential for harm · D July 26, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 21, 2024 · Infection Control

  • Potential for harm · D March 26, 2019

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

    Corrected April 24, 2019 · Resident Rights

  • Potential for harm · D March 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 April 24, 2019 · Resident Rights

  • Potential for harm · E March 26, 2019

    Ensure each resident receives an accurate assessment.

    Corrected April 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D March 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 April 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E March 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 April 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E March 26, 2019

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

    Corrected April 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D March 26, 2019

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

    Corrected April 24, 2019 · Quality of Life and Care

  • Potential for harm · D March 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 April 24, 2019 · Quality of Life and Care

  • Potential for harm · D March 26, 2019

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

    Corrected April 24, 2019 · Quality of Life and Care

  • Potential for harm · D March 26, 2019

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

    Corrected April 24, 2019 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185087 · certified since September 3, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.