Facility profile · CCN 045216
Twin Rivers Rehabilitation And Healthcare Center
21 federal citations on record , and 1 federal enforcement actions totaling $12,335.
Record summary
Federal record · Q1 202621
Total citations
13
Last 3 years
1
Actual harm+
1
Federal penalties
$12,335
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
21 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 29, 2024 | F758 | 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. | D | Complaint |
| Aug 29, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 29, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Oct 20, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 20, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Oct 20, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 20, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Oct 20, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Oct 20, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Oct 20, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Oct 20, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 20, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard |
| Jul 15, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 15, 2022 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard |
| Jul 15, 2022 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Jul 15, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jul 15, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jul 15, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jul 15, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Jul 15, 2022 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $12,335 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 28, 2025 | Fine | $12,335 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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