Twin Rivers Center is an average-sized nursing home in Defiance, Ohio. Featuring an overall grade of B, this looks like a good nursing home. This grade is right in line with the city grade in Defiance. While we were impressed with this facility overall, we did want to let you know that there was an ownership change in the last year. We will keep an eye on their inspections and quality scores to confirm they maintain their high marks in the future.

Please note our records indicate that Twin Rivers Center has changed ownership recently and while our data on this page is up-to-date there is a chance that the quality of this facility may change under new management.

Additional Details:

Accepts Medicare 1 :

Accepts Medicaid 1 : 93 Beds

CCRC :

For profit - Individual

Resident Council:

Family Council:

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
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May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

To go along with its strong overall grade, we awarded this nursing home a grade of A for our inspections rating. These inspection grades weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. Fortunately, although this facility had some minor dings on its government inspection report, it had zero severe deficiencies. Severe deficiencies are ones found in categories G through L. This means CMS didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. We should note that deficiency-free inspection reports are uncommon in the industry.

Short-term Care Quality

B+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

This facility also was given a favorable short-term care score. Indeed, we awarded it an above average score of B+ in this area. Our short-term care grade is generally employed to judge a facility's performance with rehabilitation. To offer high-end rehabilitation services, nursing homes generally must provide higher levels of skilled nursing. These types of services include registered nurses, physical therapists, speech therapists and other types of therapists. When we looked at this facility's physical therapist hours, we found it offered more hours of physical therapy per day to its residents than most nursing homes. Lastly, we looked at the number of patients who were able to return to the community from this facility. We found that it outperformed the vast majority of facilities in the country in this area with 61.6 percent of its patients returning home. This is a significantly higher rate than most nursing homes.

Long-term Care Quality

C
Oct 18: B+Nov 18: A-Dec 18: A-Jan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B-Mar 20: B-Apr 20: CMay 20: CJun 20: CJul 20: B-Aug 20: C
Historical

This nursing home's next best category is its long-term care score, where it was given a grade of C. For prospective patients looking for a permanent residence rather than rehabilitation, long-term care is an important category. Once we assessed the volume of care provided by nurses aids and other staff, we next considered the nursing home's vaccination record. We were concerned by the fact that this nursing home vaccinated just 85.85859 percent of its residents for pneumonia. Lastly, we looked at the facility's number of hospitalizations. Here we found that this nursing home had 2.08 hospitalizations per one thousand long-term resident days. Although this figure is quite a bit higher than the national average, this number may be skewed for some nursing homes based on the medical complexity of residents.

Nurse Quality

C
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: AFeb 19: AMay 19: A+Jun 19: A+Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: BMar 20: BApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

Moving on to our final category, this nursing home was awarded a C for nursing, which is a respectable grade. Our nursing score is based on many subcategories, many of which are tied to quantities of nurse staffing. This nursing home averages just 3 hours of nursing care per resident per day. This is a very low figure. Finally, we look at quality-based statistics, such as the percent of patients who suffered pressure ulcers and major falls. Sometimes these data points are decent measures of the quality of nursing care.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Twin Rivers Center Quality Metrics

Minimizes Pressure Ulcers

This is the percent of residents that sustained a pressure ulcer. Pressure ulcers are skin damage caused by remaining in the same position for too long.

Provider
C
9.35%
State
B+
6.81%
National
B
7.32%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This tells you the percent of residents who sustained a major fall. Falls leading to severe injuries are considered by many experts to be a measure of the quality of nursing care at a nursing home. Major falls leading to injury are routinely caused by poor nursing care.

Provider
A-
2.02%
State
B
3.52%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percentage of residents who suffered from a urinary tract infection. These infections are associated with poorer hygiene.

Provider
A-
1.01%
State
B+
2.04%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This tells you the percentage of patients who were given antipsychotic drugs. These medications may be used to treat several medical conditions, such as cognitive disorders.

Provider
B
13.13%
State
B
13.98%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is the percentage of patients prescribed antianxiety medications. These medications are commonly given to patients experiencing anxiety or depression.

Provider
B+
17.71%
State
B
21.49%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This tells you the percent of residents exhibiting signs of depression.

Provider
B+
1.2%
State
C
15.32%
National
B+
5.07%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint is a measure of the percentage of long-term stay residents that received the pneumonia and flu vaccines. Respiratory viruses can be deadly for seniors, making these types of vaccines critical to patient care.

Provider
C
91.95%
State
B
92.09%
National
B
92.05%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This is a measure of the percentage of long-term care residents who required additional assistance with activities of daily living over time. Activities of daily living include activities such as taking medications and continence.

Provider
D
22.58%
State
B
15.22%
National
B
14.45%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This tells you the percent of residents who maintained mobility over time. Optimizing mobility can be a good sign for residents' health.

Provider
A+
28.53%
State
B
17.92%
National
B
17.08%

Percentage of Residents
Higher is Better

Hospitalizations

Measures the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is critical to preserving the physical well-being of nursing home residents.

Provider
C
2.08
State
B+
1.5
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This indicates the number of times residents are rehospitalized per thousand days of short-term care.

Provider
F
28.53
State
B
17.92
National
B
17.08

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term care. There is a correlation between fewer emergency room visits and the overall quality of nursing home care.

Provider
F
21.18
State
B
10.51
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This metric is a measure of the percent of short-term stay residents who saw functional improvements, such as with activities of daily living. Some experts would argue this is a reliable measure of rehabilitation performance.

Provider
C
60.54%
State
B
67.21%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Defiance Regional Medical Center 0.26 mi
1200 Ralston Avenue Defiance Ohio 43512
(419) 783-6955
Critical Access Hospitals
Voluntary non-profit - Private
Mercy Health - Defiance Hospital 1.92 mi
1404 East Second Street Defiance Ohio 43512
(419) 782-8444
Acute Care Hospitals
Proprietary
Community Hospitals and Wellness Centers 15.58 mi
433 West High Street Bryan Ohio 43506
(419) 636-1131
Acute Care Hospitals
Voluntary non-profit - Other
Paulding County Hospital 16.28 mi
1035 West Wayne St. Paulding Ohio 45879
(419) 399-1103
Critical Access Hospitals
Government - Local
Henry County Hospital, Inc 16.75 mi
1600 East Riverview Avenue Napoleon Ohio 43545
(419) 592-4015
Critical Access Hospitals
Voluntary non-profit - Private
Community Memorial Hospital 19.83 mi
208 N Columbus St Hicksville Ohio 43526
(419) 542-6692
Critical Access Hospitals
Government - Hospital District or Authority

Nearby Dialysis

Defiance Dialysis Center, Ltd 0.97 mi
Dialysis Stations: 12
220 Stadium Drive Defiance Ohio 43512
(419) 784-2100
Fmc - Defiance 1.16 mi
Dialysis Stations: 12
1850 East Second Street, Suites 1850 & 1846 Defiance Ohio 43512
(419) 782-9090
Fmc - Regional Dialysis Ctr of Williams County 15.63 mi
Dialysis Stations: 13
537 West High Street Bryan Ohio 43506
(419) 636-0584