Twin Rivers Nursing and Rehabilitation Center
2420 WEST THIRD STREET, Owensboro, KY 42301
Owensboro, Kentucky · CMS verdict
Twin Rivers Nursing and Rehabilitation Center reflects above-average quality on the federal five-star scale, above the Kentucky state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Twin Rivers Nursing and Rehabilitation Center in Owensboro, Kentucky holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 54 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (larger bed book)
Its certified bed capacity sits in the upper U.S. bed tercile (>120). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 54 is built
Each segment is a dimension's weighted points toward the score, summing to 54.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Twin Rivers Nursing and Rehabilitation Center's larger certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Twin Rivers Nursing and Rehabilitation Center on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Kentucky average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Owensboro, Kentucky. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 74% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Kentucky, Twin Rivers Nursing and Rehabilitation Center is one of 115 for profit - limited liability company nursing homes CMS rates. Its 4-star overall rating sits above the for profit - limited liability company-segment average of 2.7 stars, ahead of roughly 69% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Twin Rivers Nursing and Rehabilitation Center compares to Kentucky
CMS five-star sub-ratings (0–5) for this facility against the Kentucky facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Kentucky state average. Higher is better on all four CMS measures.
Where Twin Rivers Nursing and Rehabilitation Center ranks in Kentucky
Among the 266 CMS-rated nursing homes in Kentucky, Twin Rivers Nursing and Rehabilitation Center’s 4-star overall rating is higher than 61% of them. The bars show how all Kentucky homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
61 Kentucky homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 132 |
| Residents | 98 |
| Ownership | For profit - Limited Liability company |
| County | Daviess |
| Penalties | 1 |
| Deficiencies | 18 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Twin Rivers Nursing and Rehabilitation Center's larger facility
What is the quality rating for Twin Rivers Nursing and Rehabilitation Center? ▾
CMS rates Twin Rivers Nursing and Rehabilitation Center at 4 out of 5 stars overall. How its three sub-ratings compare with the Kentucky average is charted above.
How much does a nursing home cost per month in Kentucky? ▾
In Kentucky, a semi-private nursing home room runs a median $9,718/month ($116,618/year) per the CareScout 2025 survey; private rooms average $11,254/month.
What services does Twin Rivers Nursing and Rehabilitation Center offer? ▾
CMS classifies Twin Rivers Nursing and Rehabilitation Center as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Twin Rivers Nursing and Rehabilitation Center have any deficiencies or penalties? ▾
Twin Rivers Nursing and Rehabilitation Center has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Kentucky? ▾
In Kentucky, alternatives include assisted living ($5,528/mo), home health aides ($6,197/mo), and adult day care ($1,907/mo).
Keep reading
Also see the Kentucky elder-care overview and highest-rated states. Provider ID: 185087.
Read our methodology - how this data is sourced, computed, and verified.