Evergreen Living Center At Stagecoach
6907 Highway 5 North, Bryant, AR 72022 · For profit - Corporation · 116 certified beds · (501) 213-0547 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (65%) runs well above the national median (45%)
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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 2 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 | 8.8% | 9.5% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.8% | 4.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 2.1% | 1.2% | 2.0% | typical |
| Long-stay residents with depressive symptoms | 0.4% | 1.4% | 6.5% | better than state‡ — see note marked double-dagger 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 | 3.6% | 3.9% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 7.7% | 10.1% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 3.7% | 21.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.9% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.9% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 13.8% | 13.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 1.5% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 79.5% | 77.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 25.7% | 24.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 9.4% | 12.5% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.92 | 2.01 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.96 | 2.13 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ 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.
43.8% 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 92 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 74.6% 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 63 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 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% 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.
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 | 43.8%CMS range 36.7–57.0 | 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 | 13.3%CMS range 9.7–18.2 | 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 | 74.6% | 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 | 69.8% | 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 | 68.2% | 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 | 97.8% | 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 | 98.0% | 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 | 95.0% | 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 | 1.1% | 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 | 1.1% | 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 | 8.0%CMS range 4.3–12.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.07 | 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 116 beds and averages 97.1 residents a day — about 84% 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 3.96 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 2.68 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 3.50 hrs/resident/day on weekends vs 4.15 on weekdays — 16% thinner on weekends. RN hours go from 0.34 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 65% 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 unchanged from the previous inspection. 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 · F2026-06-04 · tag F0814 — failed to dispose of garbage properly — widespreadDispose of garbage and refuse properly.
What the surveyor found here — an excerpt from the official record, may be distressing
Number of residents sampled: Number of residents cited: Based on observation, interview and facility document review, the facility failed to ensure that the waste was properly contained in the dumpsters, and the area was free from debris. During a concurrent observation and interview on 06/03/2026 at 10:32 AM of the dumpster area with Dietary Manager (DM) the following was observed:-The dumpster lid was open-A clear bag of trash was lying on the ground in front of the dumpster-The fencing around the dumpster was open- Approximately fourteen pallets were stacked and leaning on the fencing. The DM indicated the lid and gates to the dumpster area were to be closed and the trash needed to be in the dumpster. The DM also stated the area needed to be clean to prevent pests and rodents that would spread the trash. During a follow up interview on 06/04/2026 at 12:06 PM, the DM indicated the whole facility used the dumpsters. The DM also indicated it was on the maintenance rounds to check the area daily. During an interview on 06/04/2026 at 12:37 PM, the Maintenance Director indicated he was…
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 before2026-06-04 · 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
Number of residents sampled: Number of residents cited: Based on observation, interview and facility document review, the facility failed to ensure that the food preparation equipment and environment were maintained in a clean and sanitary condition to prevent contamination and the potential development of food borne pathogens, specifically, not cleaning the drip pans, conveyor toasting system and the oven. In one of one kitchen The findings include: During a concurrent observation of the kitchen and interview with Dietary Manager (DM), the following was observed: On 06/02/2026 at 2:00 PM, the drip pan was covered in thick crusty patches particularly in the center, much of the surface was coated in an amber to dark brown substance, brighter orange and yellow areas with dried peas and zucchini. The conveyor toasting system, fine, dry particulates are scattered throughout the internal chamber and resting on the front ledge with a dark residue on the conveyor mechanism. The exterior was covered in visible smudges and grease stains. DM states toaster is wiped down after ever use and 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 · Dcited before2025-01-31 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 Comprehensive Care Plan contained the necessary information to fully provide and coordinate care and services for a resident with physician's orders for Hospice Services for 1 (Resident #192) of 3 sampled residents that were reviewed for Hospice Services. The findings are: 1. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/29/2024 indicated Resident #192 had diagnoses of cancer of the colon, coronary artery disease, chronic obstructive pulmonary disease, scored 11 (8-12 indicated moderate impairment) on the Brief Interview for Mental Status (BIMS), required substantial to maximum assistance with activities of daily living (ADL's), and was on hospice services. a. A physician's order dated 01/05/2025 indicated Resident #192 was admitted to (Name of Hospice Company) hospice for malignant neoplasm (cancer) of colon. b. Review of the care plan with a revision date of 01/11/2025 revealed it did not address Resident #192 receiving hospice services. c. On 01/29/2025 at…
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 before2025-01-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, it was determined the facility failed to ensure staff followed a care planned intervention requiring two staff members to perform a mechanical lift transfer for 1 (Resident # 43) of 4 sampled residents reviewed for accidents. The findings are: 1. The quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/14/24 revealed the resident scored a 0 on a Brief Interview for Mental Status (BIMS) (0-7 indicates severe impairment) and was on hospice care. The MDS revealed diagnoses of Alzheimer's disease, Non-Alzheimer's dementia, and Parkinsonism. a. A Care Plan, dated 1/14/2025, indicated Resident #43 required a mechanical lift with 2 staff member ' s assistance for transfers. b. Review of Resident #43's Hospital records for hospital admission with a date of 1/27/2025 revealed an operation note with date of service of 1/28/2024 that indicated a preoperative diagnosis of right distal femur fracture, operative procedure open reduction and internal fixation of right distal femur. This patient with advanced dementia and…
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 · D2025-01-31 · tag F0732 — isolatedPost nurse staffing information every day.
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 post and make readily accessible to residents and visitors daily nurse staffing in a clear and readable format to include the facility name, date, total census and total number and actual hours worked by nursing staff. This failed practice had the potential to affect all 98 residents residing in the facility. The findings are: During an interview on 01/28/2025 at 4:20 pm, the Director of Nursing (DON) was asked for the location the nurse staffing was posted, and stated it was on the wall over by the nurse's station in a display case. The posted schedule only showed the daily schedule. The title of staff scheduled was not included. The schedule did not show the hours worked, the total hours, the census, or the name of the facility. The DON was asked what kind of information should be included on the nursing staffing and stated, The date, number of hours actually worked, and the hours scheduled. The DON was asked if the facility name and the census be on the nurse staffing posting and stated, Yes, they should.…
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 before2024-01-12 · 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
Based on observation and interview, the facility failed to ensure clean dishes and glasses were stored in a manner to prevent cross contamination; thickened liquids were dated when opened to prevent the potential for food borne illness; refrigerator temperature was maintained at 41 degrees Fahrenheit or below to prevent the potential for food borne illness; foods stored in the refrigerator and freezer were covered or sealed prevent the potential for food borne illness and employees washed their hands and changed gloves when contaminated to decrease the potential for food borne illness for residents receiving food from 1 of 1kitchen. The failed practice had the potential to affect 85 residents who received meal trays from the kitchen (total census 89), as identified on the list received from the Dietary Supervisor on 01/11/2024 at 11:20 AM. The finding are: 1. On 01/08/2024 at 10:45 AM, the racks where clean dishes and coffee mugs were stored by the door leading to the dish machine were not covered, exposing them to dust particles. 2. On 01/10/24 at 09:57 AM, the following…
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 · E2024-01-12 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 meals were served in a method that maintained the appearance of food items that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 58 residents who had regular diets; 20 residents who received mechanical soft diets; and 7 residents who received pureed diets as documented on a list provided by the Dietary Supervisor on 01/11/2024 at 1:58 PM. The findings are: 1. On 01/08/2024 at 11:30 AM, Resident #44 told the Surveyors the food sucks, 90% is cold and 20% can't tell what you're eating. 2. The facility recipe for beef stroganoff for 100 residents documented, Used 20 ½ lb [pound] of beef stew meat, ¼ #10 can of mushroom pieces and stems, 11 oz [ounces] of yellow onion, 1 tablespoon of iodized salt, 3 cups of 2% reduced fat milk, 1¼ cups of sour cream, 3 cups of reconstituted beef base and 1 teaspoon of ground black pepper. a. [NAME] stew meat according to manufacturer's instructions.…
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 · E2024-01-12 · 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, interview, and record review, the facility failed to ensure Personal Protection Equipment (PPE) was available to prevent the spread of infection and staff sanitized their hands appropriately when assisting residents with meals. This failed practice had the potential to affect all 89 residents in the facility. The findings are: 1. On 01/08/2024 at 10:10 AM, the Administrator told the Surveyors there were 15 COVID residents, and mask were mandatory. The Surveyors observed surgical mask at the door, and the Administrator offered a N-95 mask if Surveyors wanted one, but everyone had a choice. a. On 01/08/2024 at 01:40 PM, the Surveyor was looking for personal protective equipment to don for interviews. Certified Nursing Assistant (CNA) #4 was asked to accompany the Surveyor to look at the isolation carts on the 400 Hall. The following PPE was missing: i) Cart outside room [ROOM NUMBER]: had food service hair protection, and two surgical mask, gowns, red and yellow bags. CNA #4 was asked should…
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 · D2024-01-12 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to coordinate with the State Agency for a Pre-admission Screening and Resident Review (PASARR) to ensure the resident received appropriate mental health services for 2 (Residents #59 and #40) of 2 sampled residents. The findings are: 1. Resident #59 had a diagnosis of Schizophrenia and was taking the medication Olanzapine 2.5 milligrams twice a day for psychotic disorder. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/16/23 documented Resident #59 had a Brief Interview for Mental Status (BIMS) of 13 (13-15 indicates cognitively intact) and had diagnosis of schizophrenia, and was not considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition. a. On 1/10/24 at 8:45 AM, the Surveyor requested Resident #59's PASARR. b. On 1/10/24 at 9:15 AM, the Administrator provided the Surveyor with the following forms: i) Arkansas Department of Health and Human Services Evaluation of Medical Need Criteria (703), submitted in October 2022.…
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 before2024-01-12 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure the comprehensive resident centered care plan for 1 (Resident #22) of 1 sampled resident addressed generalized anxiety, and major depression diagnoses and medications. The findings are: 1. Resident #22 had diagnoses of transient cerebral ischemic attack, anxiety disorder, and major depressive disorder. The Quarterly Minimum Data set (MDS) with an Assessment Reference Date (ARD) of 12/14/2023 documented a Brief Interview for Mental Status (BIMS) of 13 (13-15 indicates cognitively intact) and had received antianxiety and antidepressant medication during the 7 day lookback period. b. A Physician Order dated 08/16/2023 documented, Sertraline HCl [Hydrochloride] Oral Tablet 100 MG [milligram] .Give 1 tablet by mouth one time a day related to MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED . c. A Physician Order Dated 06/16/2023 documented, busPIRone HCl Oral Tablet 15 MG .Give 15 mg by mouth two times a day related to GENERALIZED ANXIETY DISORDER . d. On 01/12/2023 at 09:05 AM, the Surveyor asked Licensed…
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 5 citations
- Potential for harm · D2024-01-12 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 plan of care was reviewed and revised to address tube feedings for 1 (Resident 43) of 1 sampled resident who had a physician's order for tube feedings. The findings are: 1. Resident #43 had a diagnosis of Alzheimer's Dementia, Malnutrition, and Dysphagia. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/22/23 documented the resident scored 2 (0-7 indicates severe cognitive impairment) on a Brief Interview for Mental Status (BIMS), and received a mechanically altered diet and had a feeding tube. a. A Physician's Order dated 8/23/23 documented, .Enteral Feed: in the afternoon [Nutritional Supplement] 1.5 Cal 237 cc [cubic centimeters] with 60cc H2O [Water] flush before and after . b. The Care Plan with a revision date of 07/28/23 did not address the Resident #43 received tube feedings. c. On 01/11/24 at 2:15PM, the MDS Coordinator was asked, Does [Resident #43] have a feeding tube? The MDS Coordinator stated, Yes. The MDS Coordinator was asked, Does [Resident #43's] care plan…
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 · D2024-01-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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, the facility failed to ensure fingernails were trimmed, cleaned, and free of jagged edges to promote good personal hygiene and grooming for 1 (Resident #18) of 7 (Residents #11, #18, #24, #41, #78, #83 and #191) sampled residents who were dependent on staff for nail care on the 100 Hall according to a list provided by Assistant Director of Nursing on 01/12/2024 at 3:40 PM. The findings are: 1. Resident #18 had diagnoses of Stroke, Dysphagia, and Pain in Right Shoulder. The Significant Change in Condition Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/16/23 documented that the resident scored 3 (indicating severely cognitively impaired) on a Staff Assessment for Mental Status (SAMS). a. The care plan with a revision date of 12/12/23 documented, .Focus: The resident has an ADL [Activities of Daily Living] self-care performance deficit r/t [related to] Activity Intolerance, Limited Mobility, Pain to right shoulder, Stroke . Intervention/Task: BATHING/SHOWERING: Check nail length and trim and clean on bath day and…
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 before2024-01-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 the shower door on the 400 Hall was locked and a cabinet on the 100 was locked to prevent accidental ingestion harmful chemicals contained in both areas. The findings are: 1. On 1/8/2023 at 11:00 AM, the Surveyor touched the handle to the shower door on the 400 Hall. The shower door opened. a. Upon entering the Shower Room a bottle of Ammonia Lactate 12% lotion was left in the chair by the door. b. An open bottle of (Brand) Professional Hair and Body wash was left on the floor in Shower #2. c. On 1/8/23 at 11:12 AM, Registered Nurse (RN) #2 was overheard telling a staff member the shower door was left unlocked. The Surveyor asked RN #2 what the procedure was for the shower room. RN #2 said that the door was supposed to remain locked. The Surveyor asked why do they keep the shower room locked? RN #2 said that not all residents are allowed in the shower room. The Surveyor asked are there any residents allowed in the shower room by themselves? RN #2 said that no residents were allowed in the shower room by…
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 · D2024-01-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 residents oxygen tubing was dated for 1 (Resident #10) of 4 sampled residents who required oxygen to reduce the risk of infection. The findings are: 1. Resident #10 had diagnoses of chronic obstructive pulmonary disease (COPD). The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/25/2023, documented a Brief Interview of Mental Status (BIMS) of 15 (13-15 indicates cognitively intact). a. A Care Plan with a revision date of 03/13/2022 documented Resident #10 was to receive .OXYGEN SETTINGS: O2 [oxygen] @ [at] 2L/min [liters per minute] via nasal cannula PRN [as needed] . Physician Orders dated 10/16/23 noted Resident #10 was to have the oxygen tubing changed every Sunday on night shift and the CPAP cleaned daily on day shift. b. On 01/08/24 at 11:36 AM, Resident #10 was lying in bed with Continuous Positive Airway Pressure (CPAP) in place with 3 liters of oxygen via nasal cannula. The oxygen tubing was not dated and was sticky. c. On 01/08/24 at 02:30 AM, Resident #10 was…
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 · D2024-01-12 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 only licensed staff had access to keys to the medication room to prevent the potential of misappropriation of resident property. This failed practice had the potential to affect all 89 residents in the facility that get medications from the medication room. The findings are: a. On [DATE] at 02:09 PM, the Surveyor asked to see the medication room. Staff at the nursing station pointed to the medication room, and Licensed Practical Nurse (LPN) #1 handed the medication room keys to Certified Nursing Assistant (CNA) #4. The Surveyors observed CNA #4 unlock the door, and stand holding the door open. The Surveyors did not enter the medication room and stood waiting for licensed staff while the door was being held open. b. On [DATE] at 02:11 PM, LPN #2 came to the medication room, and entered with the Surveyors. c. On [DATE] at 02:50 PM, the Surveyor asked the Director of Nursing (DON) if unlicensed personnel are supposed to be given keys to 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.
“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 ANTHONY & BRYAN ADAMS — 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 | 3.8 | +0.2 vs chain |
| Health inspection | 3 of 5 | 3.5 | -0.5 vs chain |
| Staffing | 2 of 5 | 3.0 | -1.0 vs chain |
| Quality measures | 5 of 5 | 4.3 | +0.7 vs chain |
The other 37 homes this chain runs (chain average 3.8★, 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 | Share | Since |
|---|---|---|---|---|
| OVATION HEALTH SYSTEMS, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 04/25/2016 |
| HANNA, TONI | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 08/28/2024 |
| MCGUIRE, STEPHEN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; ADP OF THE SNF | — | since 07/02/2016 |
| ROECK, AMANDA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/25/2024 |
| ADAMS, ANTHONY | Individual | CORPORATE OFFICER | — | since 07/02/2016 |
| ADAMS, BRYAN | Individual | CORPORATE OFFICER | — | since 07/02/2016 |
| ELLIS, JOHN | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 07/02/2016 |
| KOEHLER, TOBEY | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 07/02/2016 |
| EDALA, ARPANA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/28/2024 |
| H & S BRYANT, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| INCITE REHAB, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| LTC SYSTEMS/RX, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| M&M HATHORN, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| PHARMACY CONSULTS, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| RELIANCE HEALTH CARE, INC. | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| RHS NURSING, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| SCHAAP, LLC | Organization | ADP OF THE SNF | — | since 07/02/2016 |
| HATHORN, MICHAEL | Individual | ADP OF THE SNF | — | since 07/02/2016 |
| MAINORD, WILLIAM | Individual | ADP OF THE SNF | — | since 07/02/2016 |
| MCGINNIS, LARRY | Individual | ADP OF THE SNF | — | since 07/02/2016 |
| PEDIGO, RITA | Individual | ADP OF THE SNF | — | since 07/02/2016 |
| SCHAAP, DON | Individual | ADP OF THE SNF | — | since 07/02/2016 |
| SCHAAP, KIMBERLY | Individual | ADP OF THE SNF | — | since 07/02/2016 |
CMS files one row per role, so the 31 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted.
9 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 71% 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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 045457. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-04, 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.