Ashton Place Health And Rehab, LLC
318 Strozier Lane, Barling, AR 72923 · For profit - Limited Liability company · 122 certified beds · (479) 452-8181 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- about 22% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.5% | 9.5% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.3% | 4.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.4% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 1.4% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.5% | 3.9% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 4.9% | 10.1% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 16.4% | 21.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.4% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 9.7% | 13.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.8% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.9% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.2% | 24.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 17.9% | 12.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.03 | 2.01 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.05 | 2.13 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
49.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 231 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 61.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 134 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 49.0%CMS range 43.6–54.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.7%CMS range 7.2–12.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 61.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 53.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 55.2% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 26.7% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 81.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.8% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.7%CMS range 4.8–11.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.23 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 122 beds and averages 115.3 residents a day — about 95% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.28 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.14 hrs/resident/day on weekends vs 5.13 on weekdays — 19% thinner on weekends. RN hours go from 0.38 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · Ecited before2025-03-27 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, interview, and facility policy review, the facility failed to ensure manufacturer specifications were followed to maintain food quality; dietary staff washed their hands and changed their gloves before handling food items; hot food items were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service and cold food items were maintained at or below 41 degrees Fahrenheit for 1 of 1 meal observed. The findings are: 1. On 3/26/25 at 11:05 AM, this surveyor observed 7 bags of hamburger buns, each containing 12 buns. There was one bag that contained 5 hamburger buns. The buns had been left on the bread rack by the ice machine since they were received on 3/21/2025. The manufacturer's specification was to keep frozen when received. The Dietary Manager was interviewed and asked how long the hamburger buns had been out. The Dietary Manager stated since the time of purchase, and they have never been put in the freezer. 2. On 3/26/25 at 11:43 AM, Dietary [NAME] (DC) #3 removed a log of butter from the refrigerator and placed it…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-03-27 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, facility policy review, and facility document review, it was determined the facility failed to ensure staff performed hand hygiene while passing ice to residents to prevent the spread of infection and cross contamination. This failed practice had the potential spread of infection to all residents on the 400 Hall who received ice. The facility also failed to ensure residents were free from the risk of infection by providing a safe, sanitary environment related to flushing a feeding tube by not following enhanced barrier precautions, specifically ensuring the nurse wore a gown during 1 of 1 observation of flushing the feeding tube of 1 sampled (Resident #103) resident. The findings include: 1. A review of a facility policy titled, Ice/Scoop, Handling the, with a revision date 11/22/16, revealed staff should always wash their hands thoroughly before handling the ice scoop. a. A review of a facility policy titled, Handwashing and Glove usage in Food Service, revealed food handlers…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-03-27 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interview and facility policy review, the facility failed to ensure a client with a right hand contracture was receiving right hand splint treatments in line with Resident #103's physician orders and goals as outlined in the comprehensive care plan during 4 of 4 observations of 1 (Resident #103) of 1 sampled resident to prevent the risk of further reduction in range of motion. The findings include: A review of the Medical Diagnosis, revealed Resident #103 had diagnoses that included stroke, dysphasia, and aphasia. The quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/31/2024 revealed Resident #103 had short term and long term memory problems per a Staff Assessment for Mental Status (SAMS). Review of the Medication Administration Record (MAR), dated March 2025, revealed Resident #103 had an order dated 12/20/2024 for a right-hand resting splint to be worn and monitored by nursing staff daily for 6 to 8 hours. Nursing had initialed daily that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-01-05 · tag F0583 — failed to protect personal privacy — patternKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and policy review, the facility failed to ensure information regarding resident care was posted in a manner that protected the privacy of one 1 Resident (Resident #24) of 1 sampled resident who resided on 200 Hall. The findings are: On 1/4/2024 at 9:09 AM, Licensed Practical Nurse (LPN) #1 did not lock cart or close the screen down. At 9:19 AM, when LPN#1 was taking a medication to a resident the cart was unlocked and screen up. a. On 1-4-24 at 9:39 AM, the Surveyor asked the LPN #1 how should the nurse leave the med cart when out of your sight. LPN #1 stated, Locked and screen locked. The Surveyor asked, why? The LPN said, So no one can get in it. b. On 1-4-24 at 9:41 AM, the Surveyor asked the LPN #2 when a nurse is giving medication and leaves the cart to administer medication to the resident, how should the medication cart be left. LPN #2 stated, Medication cart to be locked and hide screen. The Surveyor asked, why? The LPN #2 stated, For resident security, Health Insurance Portability and Accountability Act (HIPAA) . Also, a resident could get in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-01-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review the facility failed to ensure that lotions, perfumes, and powder containers were not allowed in the facility for 5 Residents (R#4, #38, #46, #54, and #91) final sample residents. This failed practice had the potential to affect all residents in 100 and 200 hall. The findings are: a. On 1/2/2024 1:05 PM, R #91 is sitting up in the bed with 2 lotions on bedside table and 2 lip balm on the bedside table. On 1/3/2024 at 8:30 AM, R #91 is sitting up in the bed, drinking milk, breakfast was just delivered. There are 2 lotions and 2 balm on the bedside table. b. On 1/2/2024 at 1:09 PM, R #46 sitting in the recliner, with a visitor. Resident has 2 lotions and 2 perfumes laying out on bedside table. On 1/3/2024 at 8:30 AM, R #46 sitting up in the recliner, eating breakfast. The 2 lotions and 2 perfumes are still sitting out on bedside table. c. On 1/2/2024 at 1:25 PM, R #4 has a coffee table in room and has lotion sitting out on it. On 1/3/2024 at 8:38 AM, R #4 is sitting up in bed and eating breakfast. The lotion is still out on the card…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-01-05 · tag F0760 — failed to prevent significant medication errors — patternEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure physician's orders and the manufacturer's guidelines were followed to prevent a significant medication error, which could result in complications for 1 (Resident #104) of 1 sampled resident who had physician orders for NovoLog insulin. The findings are: A review of the Patient Information, NovoLog, revised on 4/2015, specified, NovoLog starts acting fast. You should eat a meal within 5 to 10 minutes after you take your dose of NovoLog. A review of an admission Record indicated the facility admitted Resident #104 with a diagnosis of sepsis and diabetes mellitus. The 5-day Minimum Data Set (MDS), dated [DATE], revealed Resident #104 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. The resident required moderate / supervision for activities of daily living (ADLs). Review of Resident #104's Care Plan, initiated on 12/21/2023, revealed the resident had diabetes mellitus.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-01-05 · tag F0761 — failed to label and store drugs safely — patternEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure medications were stored in accordance with state laws and accepted standards of pharmacy practice for 1 (Resident #85) of 1 sampled residents, to prevent the possible ingestion and or injury. The findings are: On 1/3/2024 at 10:23 AM, a card of Ondansetron HCL 4 milligram (mg) tablet containing 21 pills was located in the bottom drawer of the 100 Hall medication cart for Resident #85. The medication fill date was 12/30/22. The medication expiration date was 12/30/23. On 01/03/2024 at 10:30 AM, Licensed Practical Nurse (LPN) #6 was asked why should expired medications be pulled from the medication carts. LPN #6 stated, Because it's not safe to use anymore. LPN #6 was asked how often are the medication carts checked for expired medications. LPN #6 stated, I'm not sure, I know night shift does it. On 01/04/2024 at 11:36 AM, the Director of Nursing (DON) verbally confirmed the facility did not have a medication storage policy. On 01/05/2024 at 11:12 AM The DON was asked why should expired medications be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-01-05 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations, interview and record review, the facility failed to ensure foods in the dry pantry were properly sealed, dated and stored in 1 of 1 facility kitchens. This failed practice had the potential to affect 112 (total 114 in facility) residents who received their meals from the kitchen. The findings are: 1. On 01/02/24 at 12:13 PM, an initial tour was conducted. On 01/02/14 an individual open box of baking soda was observed sitting on the top shelf of open metal shelving. Baking soda in a plastic bag with no visible open date on the bag. The box of baking soda had a dark discolored line across the bottom of the box that appeared to be discolored due to some type of moisture. 2. On 01/02/24 at 12:15 PM, the Dietary Manager was asked if this box of baking soda was safe to use. The Dietary Manager stated No, I will throw that away. We don't know what caused the moisture.
- Potential for harm · Ecited before2024-01-05 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure infection control precautions were implemented and followed, as evidenced by failure to implement universal source control by wearing face shields/goggles and failed to ensure staff implemented hand hygiene before entering a COVID-19 positive resident room, for 1 (Resident #56) of 1 sampled resident, to prevent the transmission of COVID-19 and or other respiratory diseases. This failed practice had the potential to affect 114 residents. , according to the Roster Matrix provided by the Administrator on 1/2/2024 at 12:15 p.m. The findings are: A review of an admission Record indicated the facility admitted Resident #56 with diagnoses that included COVID-19 and dementia. The quarterly Minimum Data Set (MDS), dated [DATE], revealed Resident #56 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. The resident was dependent for toileting and showers and required maximum…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-01-05 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure a safe, functional, sanitary, and comfortable environment for residents and staff. This failed practice had the potential to affect 3 residents. The findings are: a. On 1/2/2024 at 1:13 PM, Resident #72 is in the dining room in an electric wheelchair with bilateral arms are cracked and torn. On 1/3/2024 at 8:32 AM Resident is up in electric wheelchair with bilateral cracked arm. b. On 1/2/2024 at 1:17 PM, Resident #84 is sitting up in bed eating lunch. The right arm on the wheelchair is cracked. c. On 1/2/2024 2:25 PM, Resident #24 is in wheelchair with bilateral arms that are torn with padding showing. d. On 1-4-2023 at 3:41 PM, the Surveyor asked the Maintenance Supervisor (MS) is there a protocol of how the employee's let you know that something in the facility needs attention. The MS said, yes, they write it in the Maintenance Log or page me and I will come check it out. The Surveyor asked, how long does it take to care for the issue. The MS stated, Typically, the same day. The Surveyor asked, how…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 7 citations
- Potential for harm · Dcited before2023-09-21 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure the resident received care/urinalysis with culture ordered by the physician for 1 (Resident #1) of the 3 sample residents (Resident #1, Resident #2, and Resident #3). The findings included: Review of Resident #1 ' s physician ' s Order Summary Report showed the following: a. A physicans order dated 08/03/2023 for a UA (urinalysis) with culture. b. A physicans order dated 08/07/2023 for a UA with culture. c. A physicans order dated 07/32/2023 for a UA with culture. On 09/20/2023 at 10:26 AM review of Resident #1 ' s progress notes and laboratory notes showed no documentation of obtaining the UA or the results for the UA ordered on 08/03/2023 or 08/07/2023. During interview on 09/20/2023 at 1:20 PM, the Director of Nursing (DON) said Resident #1 had a UA with culture ordered, but it was not completed because the Resident was unable to urinate. Review of Resident #1 ' s nursing progress note dated 08/07/2023 at 6:11 PM showed unable to get UA thus far. During interview on 09/21/2023 at 9:00 AM, the DON…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2022-09-15 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure foods stored in the freezer, refrigerator, dry storage area, and nutrition rooms were dated, failed to discard spoiled fresh fruits and vegetables, failed to ensure nutrition room refrigerators and freezers had thermometers, and failed to ensure dietary employees wore masks over both mouth and nose while preparing foods to minimize the potential for food borne illness and the spread of COVID-19 for residents who received meals from 1 of 1 kitchen and failed to ensure 1 of 2 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals and beverages from 1 of 1 kitchen. These failed practices had the potential to affect 94 residents who receive meals from the kitchen as documented by list stating facility had no residents NPO (no food by mouth) provided by Director of Nursing (DON) on 09/12/22. The findings are: 1. On 09/12/22 at 11:58 AM,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-09-15 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, facility failed to ensure residents' fingernails were cleaned and trimmed to promote good personal hygiene and grooming for 1 (Residents #43) of 18 (#43, 27, 39, 197, 18, 24, 7, 81, 83, 68, 52, 86, 93, 45, 40, 54, 8, and 58) sampled residents who were dependent on staff for nail care as documented on a list provided by the Director of Nursing (DON) on 9/15/22 at 8:47 AM. The findings are: 1. Resident (R) #43 had diagnoses of Type II Diabetes, Cerebral Infarction, Osteoarthritis, Long term use of Anticoagulation's, Seizures, and Venous Insufficiency. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) 7/18/22 documented a Brief Interview for Mental Status (BIMS) score of 12 (8-12 moderate cognitive impairment), required extensive assist with 1-person physical assistance with personal hygiene and 2-person assist for bed mobility, transfers, and toilet use. a. The Plan of Care with a revised date 07/22/22 documented, . BATHING/SHOWERING: Check nail length and trim and clean on bath day and as necessary. Report…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-09-15 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — patternProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure foley catheter drainage bags were secured to prevent the catheter bag from touching the floor to prevent the potential for infection for two (Resident #52, Resident #83) of nine (Resident #21, #39, #42, #52, #83, #85, #87, #93, and #199) sample selected residents reviewed who required indwelling Foley catheters according to a list provided the DON on 09/14/22 at 4:35 pm. The findings are: 1. Resident #52 was admitted to the facility on [DATE] with Diagnoses of Chronic Kidney Disease Stage 5, Retention of Urine, and Hydronephrosis. The Medicare Five Day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/25/22 documented the resident scored 11 (8-12 indicates moderately cognitively impaired) on a Brief Interview for Mental Status (BIMS) and required extensive two plus person assistance for bed mobility, transfers, and toilet use. Section H0100 documented urinary incontinence not rated resident had an indwelling…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-09-15 · tag F0805 — failed to prepare food in a form residents can eat — patternEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for residents who required a pureed diet for 1 of 1 meal observed. The failed practice had the potential to affect 3 residents who received pureed diets as documented on list provided by Director of Nursing on 09/14/22. The findings are: 1. On 09/14/22 at 11:34 AM, Dietary Employee (DE) #5 processed 6 pieces of pork loin for 4 residents' pureed lunch. DE #5 added approximately 1 cup of liquid from the pork loin pan to the pork loin and continued processing. DE #5 took the stainless cutter bowl of the Robo coupe food processer and scraped the pureed pork loin into a greased stainless pan. DE #5 began to walk pan to prep counter. The Surveyor asked DE #5 to bring the container to the surveyor. Surveyor dipped plastic spoon into puree. Puree looked like canned tuna meat consistency. The Surveyor rubbed puree between fingers and felt pieces of meat not pureed and the texture was not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-09-15 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure the opening between the clean and dirty side of the laundry room had negative air pressure from the clean side to the dirty side to help prevent the potential from cross contamination for 94 residents who had their linens laundered by the facility per resident census received from Director of Nursing (DON) 09/12/22 and 91 residents who had their personal belongings laundered by the facility per list received from DON on 09/15/22. The findings are: 1. On 09/14/22 at 10:39 AM, The Surveyor performed Laundry Infection Control tour with the Laundry Supervisor. The Surveyor noted that there was no barrier between clean and dirty sides of the laundry room. The Surveyor grabbed tissue from tissue box on desk in laundry room and tore it in half. The Laundry Supervisor stated, You are going to do a tissue test. I can't reach up there. (Looking up at opening between rooms. The Surveyor held tissue at top of opening between clean and dirty sides and tissue swayed from straight down to the clean side. The Surveyor…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2022-09-15 · tag F0850 — failed to provide social-work services — widespreadHire a qualified full-time social worker in a facility with more than 120 beds.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews the facility failed to employ a qualified social worker with a minimum of a bachelor's degree to meet the needs of the residents. This failed practice had the potential to affect all 94 residents who resided in the facility per resident Census provided by the Director of Nursing on 09/12/22. The findings are: 1. On 09/15/22 at 09:10 AM, The Surveyor asked Administrator, for a copy of Social Service Director's (SSD) social worker degree and/or license. 2. On 09/15/22 at 09:20 AM, The Administrator stated, I lost my social worker in May. Usually, I have two in this building. The one I lost had the degree. [Social Service Director's name] does not have a degree. It is hard to find anyone nowadays. I am in the process of trying to hire one for the compliance side of social work. Surveyor asked, Are you licensed for more than 120 beds? Administrator stated, Yes. The Administrator asked, Does a staff being in school for a degree count? Surveyor stated, No 3. On 09/15/22 at 09:42 AM, a signed SSD Job Description handed to surveyor by Administrator in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to CENTRAL ARKANSAS NURSING CENTERS — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.6 | +0.4 vs chain |
| Health inspection | 4 of 5 | 3.2 | +0.8 vs chain |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 4 of 5 | 4.2 | -0.2 vs chain |
The other 37 homes this chain runs (chain average 3.6★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| NORSWORTHY, DAVID | Individual | DIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNF | since 08/01/2025 |
| BUSH, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/20/2004 |
| ASHTON PLACE ESTATES, LLC | Organization | ADP OF THE SNF | since 12/12/2024 |
| NURSING CONSULTANTS INC | Organization | ADP OF THE SNF | since 11/07/2025 |
| LE, THANH | Individual | ADP OF THE SNF | since 12/10/2024 |
CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $3.2M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in AR
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arkansas Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045419. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-27, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.