Twin Rivers Nursing and Rehabilitation Center in Owensboro, KY was fined $9,440 by CMS following 18 deficiency citations identified during federal surveys.

Twin Rivers Nursing and Rehabilitation Center (Owensboro, KY) — $9,440 in CMS Fines

Outcome: Twin Rivers Nursing and Rehabilitation Center in Owensboro, KY was fined $9,440 by CMS following 18 deficiency citations identified during federal surveys.

Deficiency areas cited:

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


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


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


• 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.


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


• 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.


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


• Provide and implement an infection prevention and control program.