Nursing home
Three Rivers Health and Rehabilitation Center
33904 Highway 63 E, Marked Tree, AR 72365 · Map
For profit - Limited Liability company · Part of Southern Administrative Services (35 facilities) · 112 certified beds
Three Rivers Health and Rehabilitation Center is a Medicare-certified nursing home in Marked Tree, Arkansas. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.57 hours per resident per day, below the Arkansas average of 4.07. Its most recent inspection on Aug 29, 2024 cited 4 deficiencies.
- 2 fines totaling $37,106In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Three Rivers Health and Rehabilitation Center compares
This facility vs. the Arkansas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Arkansas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.57 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.37 | 0.40 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.19 | 2.72 | 2.34 | below avg |
| Nursing staff turnover | 35.3% | 50.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 4.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $37,106, 2 total penalties.
What inspectors found at Three Rivers Health and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 29, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 29, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Aug 29, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 29, 2024 · Full report (PDF) - Immediate jeopardy
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 18, 2023
Show all 12 deficiencies
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Aug 18, 2023 - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Aug 18, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Aug 18, 2023 - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Aug 18, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 18, 2023 - Potential for 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.
Resident Rights Deficiencies · Aug 18, 2023 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 18, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 33904 Highway 63 E
Marked Tree, AR 72365 - CMS certification #
- 045391
- Ownership
- For profit - Limited Liability company
- Certified beds
- 112
- Avg residents/day
- 86.6
- Provider type
- Medicare and Medicaid
- First certified
- 2003-11-29
- Chain
- Southern Administrative Services (35 facilities)
- Setting
- Urban
Part of Southern Administrative Services
Southern Administrative Services operates 35 nursing facilities across the United States. View all Southern Administrative Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Three Rivers Health and Rehabilitation Center using Google Maps.
Other public records
- Website says Pets allowed
- Staff pay 1 federal wage case with violations found, since 2024
Full public records, with dates and sources
Care and services
From the community’s website
What Three Rivers Health and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Pets allowed.
Pet-Friendly; pets with proof of vaccination are welcome to visit
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 1, 2024 to Dec 31, 2025. Violations found: Overtime. Back wages: $1,991 owed to 14 employees. Employer as DOL recorded it: Three Rivers Health and Rehabilitation Center (Three Rivers SNF Operations, LLC). Case 5107718.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Memorial Hospital Jonesboro, Inc., Jonesboro. 26.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Quail Run Health and Rehab, Trumann. 11.3 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Jonesboro. 22.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Southern Pharmacy. 7.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 72365 as rural (rural area).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 72365.
Elite Hospice, office in Jonesboro, 22.5 miles away, straight line (CMS family survey rating 2 of 5 stars)
Home Health Professional & Hospice, office in Jonesboro, 24.1 miles away, straight line
St Bernards Regional Med Ctr H, office in Jonesboro, 24.5 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- St Bernards Hospital Inc., Jonesboro. 25.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: Area protected by a levee from the 1% annual chance flood (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado very high, heat wave relatively high, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Three Rivers Health and Rehabilitation Center a good nursing home?
CMS gives Three Rivers Health and Rehabilitation Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Three Rivers Health and Rehabilitation Center staffed?
Three Rivers Health and Rehabilitation Center reports 3.57 total nurse hours per resident per day, compared with the Arkansas average of 4.07.
Has Three Rivers Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Three Rivers Health and Rehabilitation Center have?
Three Rivers Health and Rehabilitation Center is certified for 112 beds.