Bradford House Nursing and Rehab, LLC

Location & what’s nearby

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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

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.

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.

54.3% 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 41 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 67.6% 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 37 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

Staffing

How full it usually is: this home is certified for 97 beds and averages 78.4 residents a day — about 81% occupied, or roughly 19 beds typically open. It usually has some room. 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below 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 3.18 hrs/resident/day on weekends vs 3.77 on weekdays — 16% thinner on weekends. RN hours go from 0.50 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Fcited before2025-05-30 · tag F0842 — failed to keep accurate, complete medical records — widespread
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and policy review, it was determined that the facility failed to ensure archived medical records were stored in a secure location to safeguard resident health information against loss or unauthorized use for 1 of 1 medical records storage system reviewed. The findings include: During an observation on 05/27/2025 by a Life Safety Code (LSC) Surveyor, archived medical records dated 2016 through 2020 stored in cardboard boxes were observed on a shelf in the maintenance department garage. The LSC surveyor reported the incident to this surveyor for investigation. The Maintenance Supervisor (MS) stated it was the practice of the maintenance staff to open the garage door, and leave it open during their workday, with no authorized personnel present at the storage facility. During an observation on 05/27/2025 from 1:35 PM through 3:31 PM, the garage door was seen open. This surveyor called out for staff around the garage; no staff were located in the area. At 2:06 PM, a truck was seen backed up to the opened garage. At 2:11 PM, an unknown male was observed…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure 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, interview, and facility policy review, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, expired food items were promptly removed/discarded on or before the expiration or use by date, and dietary staff washed their hands between dirty and clean tasks and before handling clean equipment for 3 of 3 meals observed. The findings include: 1. On 5/27/25 at 11:07 AM, the following observations were made on a shelf in the refrigerator: a. An opened box of bacon. The box was not covered or sealed. b. An opened box of sausage. The box was not covered or sealed. The Dietary Manager (DM) stated he did not know they were supposed to be sealed. 2. On 5/27/25 at 11:12 AM, an opened box of chicken and cheese was on a shelf in the freezer. The box was not covered or sealed. The DM confirmed the finding and stated it could get freezer burned. 3. On 5/27/25 at 11:40 AM, a bag of flour tortillas was on a utility cart in the kitchen with an expiration date of 05/19/25. 4. On 5/27/25 at 11:48 AM, the area above the ice machine…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the interdisciplinary team determined it was clinically appropriate for a resident to self-administer medications before allowed to do so for 1 (Resident #9) of 1 resident reviewed for self-administration of medications. The findings are: The facility policy Medications, Self-Administration of dated May 1, 2016with a revision date of November 22, 2016, indicated general guidelines permit a resident to self-administer their medications if an assessment and approval had been completed by the interdisciplinary team. Review of Resident #9 ' s Medical Diagnoses report revealed Resident #9 had diagnoses which included anxiety disorder, obstructive sleep apnea, heart disease, congestive heart failure, cognitive communication deficit, and depression. Review of the quarterly Minimum Data Set with an Assessment Reference Date of 05/06/2025 revealed Resident #9 had a Brief Interview for Mental Status (BIMS) score of 11, which indicated the resident had moderate cognitive impairment. Review…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure 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, record review, interview and facility policy review, the facility failed to ensure residents requiring two-person assistance for transfers were transferred by the appropriate number of staff to prevent falls and/or injury for 2 (Resident #36 and #178) of 4 sampled residents reviewed for falls. Specifically, Certified Nursing Assistants (CNAs) attempted to transfer residents with 1 person assistance, resulting in falls on 11/06/24 and 03/31/25. The findings include: 1. Review of Medical Diagnosis revealed Resident #178 had diagnoses of closed left femur fracture, left heel pressure ulcer, and periorbital cellulitis. a. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/12/24 revealed a Brief Interview for Mental Status (BIMS) score of 13, which indicated the resident was cognitively intact. The MDS indicated Resident #178 required assistance with indoor mobility, used a motorized wheelchair/scooter and walker, was dependent with eating, toileting, bathing, personal care, and dressing. The MDS also indicated the resident fell…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-03 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure a resident's antianxiety medication was not used to sedate or contain the resident's movements for staff convenience when exhibiting exit seeking/wandering behaviors for 1 (Resident #3) of 1 resident reviewed for chemical restraints. Findings include: On 01/03/2025 at 11:51 AM, the Administrator stated the facility did not have a policy for chemical restraints because they did not use them. A review of the facility in-service titled Resident Rights, Civil Rights, Dignity dated 12/20/2024 showed the staff was reeducated on Resident Rights including the right to be free from restraints. A review of the admission Record, indicated the facility admitted Resident #3 with diagnoses that included dementia, malignant neoplasm of the frontal lobe (cancerous brain tumor which can cause personality changes and difficulty with concentration, communication, and controlling emotions), anxiety disorder, cognitive communication deficit, depression, muscle…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-03 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 interviews, record review, facility document review, facility policy review, it was determined that the facility failed to accurately assess the use of a chair/bed alarm restraint on Resident #3's Quarterly Minimum Data Set (MDS) dated [DATE] for 1 (Resident #3) of 5 residents reviewed for accuracy of assessments. Findings include: On 01/03/2025 at 11:51 AM, the Administrator stated the facility did not have a policy for MDS/Assessments, the facility followed the Resident Assessment Instrument (RAI) Manual. A review of the admission Record, indicated the facility admitted Resident #3 with diagnoses that included dementia, malignant neoplasm of the frontal lobe (cancerous brain tumor which can cause personality changes and difficulty with concentration, communication, and controlling emotions), anxiety disorder, cognitive communication deficit, depression, muscle wasting, lack of coordination, and were unsteady on their feet. A review of Resident #3's care plan with revisions, as of 01/03/2025, revealed…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-23 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  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 the resident's wheelchairs were in good condition for 1 (Resident #30) of 1 sampled resident; and the environment was safe for 1 (Resident #69) of 1 sampled resident to ensure a safe, homelike environment. The findings are: 1. A review of Resident #30's admission Record indicated Resident #30 was admitted with a diagnosis of Metabolic encephalopathy. The admission Minimum Data Set (MDS), dated [DATE], revealed Resident #30 had a Brief Interview for Mental Status (BIMS) score of 11, (8-12 indicates moderately cognitively impaired), and required maximum assistance for transferring. On 02/21/24 at 12:13 PM, observed Resident #30 in a wheelchair. The vinyl on the right arm of the wheelchair was cracked, torn, and ripped with foam exposed. On 2/22/2024 at 2:02 PM, observed Resident #30 sitting in a wheelchair . The vinyl on the right arm of the wheelchair was cracked and torn, with foam exposed. The vinyl of the left arm of the…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-23 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  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 and interview, the facility failed to ensure fiber-fortified therapeutic malnutrition feedings and liquid supplements had been discarded by the expiration date. The findings are: 1. On [DATE] at 2:53 PM, during a tour of the additional Storage Room with the Director of Nursing (DON) the following observations were made: a. On bottom shelf of shelving unit there was a box of nutritional supplement with four plastic bottles with a brown colored thick liquid with an expiration date of February 1, 2024. b. On the bottom shelf of the shelving unit there was a box of 47, four-ounce sealed containers labeled Honey Water with pale yellow liquid, with an expiration date of [DATE]. c. On the bottom shelf of shelving unit there were two boxes of nutritional formula 1.4 calorie/milliliter with 12 cartons in each box. There were two cartons of the nutritional formula 1.4 calorie/milliliter sitting in front of the boxes, with an expiration date of [DATE]. The Surveyor asked the DON, What would happen if…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-23 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure 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 observation and interview, the facility failed to ensure food items were stored to prevent potential food borne illness as evidenced by individual milk cartons stored on top of raw meat. The findings are: On 2/20/2024 at 11:15 AM, during a kitchen tour, next to the employee entrance, the second freezer on the right, on the lower shelf was observed: a. An unopened package of 10 pounds of ground-up beef, with leaking pink, greyish thick semi-thick fluid and brown patches draining in a clear plastic tub in the bottom of the freezer. In addition, a smaller plastic tub of 8 (eight) closed cartons of milk products was stored on top of the raw meat. b. On 2/20/2024 at 11:20 AM, the Dietary Manager was asked, How and where should raw meat be stored? The Dietary Manager stated, Raw meat should be stored away from all other food and in the bottom of the freezer. The Surveyor asked, Why should milk products not be stored on top of the raw meat. The Dietary Manager responded, We should avoid cross contamination from any dripping liquids, with other items.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-23 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program [QAPI] Committee developed and implemented appropriate plans of action to prevent repeated deficiencies for Food Procurement, Store/Prepare/Serve and Label/Store Drugs and Biologicals. This failed practice had the potential to affect 69 residents. The findings are: 1. A Recertification survey was conducted on 11/17/2022 at the facility. During this survey, the team identified concerns with food storage and medication storage. a. A review of the facility's Plan of Correction, with a completion date of 12/9/2022 indicated the Administrator/Designee will monitor to ensure that staff are sanitizing their hands after each meal tray is delivered by observation and documentation of varying meal services on a flowsheet 5 X weekly for 4 weeks. Any negative findings will be corrected immediately, and Administrator notified. Administrator/ Designee will present all findings to the monthly/quarterly QA committee for further review and recommendations. b. A review of the…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

$77,315 in federal fines across 1 penalty.

• $77,315 — penalty dated 2026-07-09

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 →

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

CMS files one row per role, so the 8 rows in the source record cover these 7 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.

3 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.

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 23% 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