All citations for Twin Rivers Nursing and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Twin Rivers Nursing and Rehabilitation Center

Last standard health inspection on record

July 18, 2025

Showing 1 to 18 of 18 citations

  1. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Widespread (many residents). CMS level F.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  3. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  4. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  5. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  6. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0659, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  7. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  8. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  9. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  10. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 26, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  13. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  14. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  16. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0810, Nutrition and Dietary Deficiencies. Inspection of March 26, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.