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Twin Rivers Nursing And Rehab Center

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About Twin Rivers Nursing And Rehab Center

General Information

Legal Business NameOwensboro Health Facilities Lp
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 3, 1969 ()
Capacity132
Residents100
Percent Occupied76%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Twin Rivers Nursing And Rehab Center

Twin Rivers Nursing And Rehab Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 20, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$314,990 fine
KSomeImmediate JeopardyHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
KSomeImmediate JeopardyHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
KSomeImmediate JeopardyHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
KSomeImmediate JeopardyHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyHealth InspectionEnsure that residents are safe from serious medication errors.
KSomeImmediate JeopardyHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
KSomeImmediate JeopardyHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
JFewImmediate JeopardyHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

August 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

June 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

April 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$39,845 fine
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
GFewActual HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
GFewActual HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.

October 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintKeep residents' personal and medical records private and confidential.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

August 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

April 16, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintTrain all employees on what to do in an emergency, and carry out unannounced staff drills.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Twin Rivers Nursing And Rehab Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 25min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
35min
1hr 20min
ReportedExpected
RN
3hr 45min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.3%
90.0%
90.0%
90.0%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
99.0%
99.0%
94.8%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
30.4%
38.3%
43.8%
46.9%
48.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
32.4%
32.3%
31.6%
33.0%
31.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.4%
22.0%
39.7%
27.8%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose ability to move independently worsened
17.6%
18.9%
20.2%
18.5%
20.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who received an antipsychotic medication
18.6%
13.3%
37.2%
27.5%
16.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents whose need for help with daily activities has increased
8.4%
19.8%
24.1%
13.2%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who self-report moderate to severe pain
5.9%
6.1%
5.2%
6.4%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who lose too much weight
3.9%
4.7%
6.6%
3.4%
6.2%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of high risk long-stay residents with pressure ulcers
1.1%
1.1%
1.1%
1.1%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who have depressive symptoms
5.0%
1.0%
4.2%
7.4%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a urinary tract infection
3.9%
2.0%
2.0%
1.0%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
1.0%
2.5%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.0%
2.0%
1.0%
1.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

78.6%
80.0%
72.1%
73.7%
84.7%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
60.0%
60.0%
60.0%
82.9%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
57.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
19.2%
28.0%
10.7%
33.3%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents who self-report moderate to severe pain
-
-
14.3%
10.3%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016KY
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
3.9%
0.0%
0.0%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016KY
Percentage of short-stay residents with pressure ulcers that are new or worsened