TWIN RIVERS NURSING AND REHAB CENTER

Nursing Home Inspector

2420 W. 3RD STREET
OWENSBORO, KY 42301
Daviess County
Phone: 270-685-3141
Provider Number: 185087
Last Inspection: 06/30/2017

About the Nursing Home

Number of Beds: 132
Number of Residents: 121
Beds Available: 11
Percent Occupancy: 92%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Partnership
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

26

Facility
11

County
12

KY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

26

2017
55

2016
38

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/30/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 7/27/2017
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 7/27/2017
 
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 7/27/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 7/27/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/27/2017
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 7/27/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/27/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/27/2017
 

5/20/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Immediate 6 7/4/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Immediate 6 7/4/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Immediate 5 7/4/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/4/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Immediate 6 7/4/2016
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Immediate 6 7/4/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/4/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Immediate 6 7/4/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Immediate 6 7/4/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Immediate 6 7/4/2016
 

4/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 6/5/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Actual 4 7/22/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 8/27/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Actual 4 8/27/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/5/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 7/22/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/27/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/27/2015
 
Failed To: Provide routine and 24-hour emergency dental care for each resident. Isolated : Minimal 3 6/5/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 8/27/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/5/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

2/23/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 3/21/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/21/2017
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 3/21/2017
 

8/6/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/27/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/27/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/27/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/27/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 8/27/2015
 

6/12/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Actual 4 7/22/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/27/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Actual 4 8/27/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 7/22/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/27/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/27/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 8/27/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KY State Avg
Number of Residents 121 75.00 79.68
Registered Nurses 0.70 1.52 0.86
Licensed Practical / Vocational Nurses 0.63 0.64 0.87
Certified Nursing Assistants 2.25 2.23 2.40
Total Staff Hours 3.59 4.38 4.13

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KY State Avg%
of high risk long-stay residents with pressure ulcers 7 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 95 96 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90 96 95
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 1 2 2
of long-stay residents who lose too much weight 10 7 7
of long-stay residents who received an antianxiety or hypnotic medication 33 26 31
of long-stay residents who received an antipsychotic medication 26 13 19
of long-stay residents who self-report moderate to severe pain 6 3 6
of long-stay residents who were physically restrained 1 4 0
of long-stay residents whose ability to move independently worsened 24 23 21
of long-stay residents whose need for help with daily activities has increased 19 17 16
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 2 4 4
of low risk long-stay residents who lose control of their bowels or bladder 52 52 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 82 90 84
of short-stay residents who had an outpatient emergency department visit 13 10 14
of short-stay residents who made improvements in function 70 63 59
of short-stay residents who newly received an antipsychotic medication 3 1 2
of short-stay residents who self-report moderate to severe pain 19 19 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 67 88 83
of short-stay residents who were rehospitalized after a nursing home admission 25 20 22
of short-stay residents who were successfully discharged to the community 32 44 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 1