TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER in ARKADELPHIA, AR was fined $12,335 by CMS following 21 deficiency citations identified during federal surveys.

TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER (ARKADELPHIA, AR) — $12,335 in CMS Fines

Outcome: TWIN RIVERS REHABILITATION AND HEALTHCARE CENTER in ARKADELPHIA, AR was fined $12,335 by CMS following 21 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


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


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


• 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.


• Allow residents to self-administer drugs if determined clinically appropriate.


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


• Provide enough food/fluids to maintain a resident's health.


• 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.