Twin Rivers Rehabilitation and Healthcare Center

Name: Twin Rivers Rehabilitation and Healthcare Center
Address: 3021 TWIN RIVERS DRIVE, Arkadelphia, AR, 71923, US
Telephone: 8702466337

3021 Twin Rivers Drive, Arkadelphia, AR 71923 · Clark County · 112 certified beds · avg 71 residents/day · certified since Sep 1, 1993

Part of chain: SOUTHERN ADMINISTRATIVE SERVICES (35 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

$12,335

Fines, last 3 years

4.03

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 12, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Aug 28, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 29, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 29, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 29, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Oct 20, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 20, 2023	E · Potential for harm, repeated	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Oct 20, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 20, 2023	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 20, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 20, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Oct 20, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 20, 2023	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Oct 20, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2023	9	F
2024	3	E
2025	1	D
2026	2	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $12,335.

Date	Type	Amount / length
Aug 28, 2025	Fine	$12,335

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Arkansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.03	4.71	3.95	bottom 13% in Arkansas; top 38% in the U.S.
Registered Nurse hours	0.54	0.48	0.69	top 29% in Arkansas; bottom 43% in the U.S.
Weekend total nurse staffing	3.40	4.04	3.50	bottom 13% in Arkansas; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.28	0.48	top 29% in Arkansas; bottom 41% in the U.S.
Total nursing staff turnover (%)	47.1	49.5	45.8	top 44% in Arkansas; bottom 44% in the U.S.
RN turnover (%)	25.0	44.8	42.9	top 20% in Arkansas; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.74, RN 0.50, weekend 3.16. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
4p2t1 Ops Holding LP	Organization	5% or Greater Direct Ownership Interest	100%	05/16/2022
Jej Assets LP	Organization	5% or Greater Indirect Ownership Interest	—	01/14/2022
Ponthie, Sharlot	Individual	5% or Greater Indirect Ownership Interest	—	01/14/2022
Alexark1 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/14/2022
Avery, Christina	Individual	W-2 Managing Employee	NOT APPLICABLE	09/12/2023
Jej Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/14/2022
Ponthie, John	Individual	Corporate Director	NOT APPLICABLE	01/14/2022
Ponthie, John	Individual	Corporate Officer	NOT APPLICABLE	08/15/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Nightingale at Arkadelphia	0.3 mi	Arkadelphia, AR	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Arkadelphia →

Facility data as of CMS processing date 2026-08-01. CCN 045216.

The Care File

Visit checklist — Twin Rivers Rehabilitation and Healthcare Center

3021 Twin Rivers Drive, Arkadelphia, AR 71923 · 8702466337

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $12,335

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 045216 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)