Southern Trace Rehabilitation And Care Center
22515 I 30, Bryant, AR 72022 · For profit - Limited Liability company · 116 certified beds · (501) 847-0777 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2025
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $46,053 in federal fines (most recent 2025-03-05)
- about 62% 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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 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 | 6.8% | 9.5% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.6% | 4.3% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 2.6% | 1.4% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.3% | 0.1% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 6.2% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 7.4% | 10.1% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 11.2% | 21.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.8% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.1% | 4.2% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 15.7% | 13.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 6.7% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.6% | 1.3% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 92.6% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 31.0% | 24.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 11.2% | 12.5% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.85 | 2.01 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.83 | 2.13 | 1.80 | typical |
‡ 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.
52.4% 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 74 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.7% 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 28 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 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 18% 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 | 52.4%CMS range 41.5–64.1 | 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 | 11.0%CMS range 7.1–14.8 | 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 | 60.7% | 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 | 67.9% | 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 | 50.0% | 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 | 96.0% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | 100.0% | 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 | 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 | 2.0% | 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 | 6.5%CMS range 3.6–12.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.10 | 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 87.3 residents a day — about 75% occupied, or roughly 29 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 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 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 3.37 hrs/resident/day on weekends vs 3.82 on weekdays — 12% thinner on weekends. RN hours go from 0.46 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 44% 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.
20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · G2025-03-05 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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, interviews, and record review, the facility failed to ensure residents were free from resident-to-resident abuse for 4 (Resident's #4, # 9, #13 and #14) of 14 sampled residents reviewed for abuse. The lack of effective behavior monitoring resulted in Resident #4 having resident to resident abuse that occurred on [DATE]; Resident #9 having resident to resident abuse that occurred on [DATE] and [DATE]; Resident #13 having resident to resident abuse that occurred on [DATE]; and Resident #14 having resident to resident abuse that occurred on [DATE] and [DATE]. Of these incidents, Resident #5 was the physical aggressor. The findings are: 1. A review of an Incident and Accident report dated [DATE] revealed Resident #5 shoved Resident #9 out into the hallway because Resident #9 was in Resident #5's room. The nurse caught Resident #9 to prevent a fall. 2. A review of an Incident and accident report dated [DATE] revealed Resident #5 was sitting in the dining room and struck Resident #13, who 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 · D2026-06-24 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, record reviews and facility policy review, the facility failed to ensure an injury of unknown origin was reported to the Office of Long-Term Care for one (Resident #1) of one resident with an unknown injury within two hours. The findings include: A review of an admission Record revealed the facility admitted Resident #1 on 09/03/2021 with diagnoses which included vascular dementia and contracture of an unspecified joint. A review of a quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/23/2026 revealed Resident #1 was comatose. Resident #1 was dependent on staff for care. A review of a Care Plan initiated on 09/05/2021 revealed that Resident #1 required transfer by mechanical lift with two staff. A review of a Care Plan initiated on 11/18/2025 revealed Resident #1 required two staff were required for bed mobility. A review of Hospital Records dated 10/22/2025 revealed that Resident #1 chest X-Ray revealed right second, third, fourth, fifth, sixth, and seventh rib fractures which are most likely recent. The X-Ray also 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.
- Potential for harm · Dcited before2024-11-21 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record reviews, the facility failed to ensure staff wore an isolation gown when providing care for 1 (Resident #5) of 1 (Resident #5) sampled residents that were on contact isolation, and the facility failed to ensure a contact isolation sign was put outside the door of 1 (Resident #5) of 1 (Resident #5) sampled resident to alert the staff to apply PPE before providing care. This failed practice had the potential to spread infections throughout the facility. The findings are: A review of Resident #5's Order Summery Report revealed a diagnosis of elevated white blood cell count, sepsis, unspecified open wound to right lower leg, unstageable pressure ulcer of left heel, pressure ulcer of sacral region, bacteremia, and extended spectrum beta lactamase (ESBL). The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/18/2024, revealed Resident #5 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. The MDS indicated that Resident #5 had a wound and a blood…
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 before2024-05-31 · 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 (1) sanitary procedures were followed when serving food to the residents to prevent a potential foodborne illnesses; failed to ensure food transported to patient in the second dining room which are not adjacent to the main dining room were covered to prevent the potential for cross contamination for 7 residents who received meals in the second dining room; (2) foods stored in the freezer, refrigerator and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of1 kitchen; (3) glasses contained beverages were fully covered to be protected from flies or other contamination, (4) dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 82 residents who received meals from the kitchen (total census:87). The findings are: 1. On 05/28/2024 at 12:30 PM, the Surveyor observed 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.
- Potential for harm · E2024-05-31 · 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, record review, and interview, the facility failed to ensure privacy for 2 (Residents #21, and #57) sampled residents to promote a dignified existence. The findings are: 1. On 05/28/2024 at 10:03 AM, while observing Resident #21's room, a visitor told the Surveyor the door does not stay shut, and staff stick the curtain in the door to keep it closed. The visitor said he visits almost every day. a. On 05/29/2024 at 01:37 PM, the Surveyor observed Certified Nursing Assistant (CNA) #5 come out of Resident #21's room and pull up on the doorknob and try to get the door to close. After several failed attempts to get the door to close, CNA #5 was observed pulling A-bed's privacy curtain out into the hallway and was able to get the door to stay shut. The Surveyor asked if having a door and a usable privacy curtain was important for privacy. CNA #5 told the Surveyor that they felt that everyone should have a door that closes and a privacy curtain, so yes, you should be able to close the door. CNA #5 said, The privacy curtain is in the door, but is being used right now…
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 before2024-05-31 · 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, record review, and interview, the facility failed to ensure foreign substances were not left in a cup in 1 (Resident #46) sampled resident's room to prevent possible ingestion to prevent injury or harm, and failed to ensure that a licensed nurse placed an eternal feeding pump on hold prior to staff laying the resident flat for 1 (Resident #57) sampled resident. The findings are: 1. Review of Medical Diagnoses revealed Resident #46 had diagnoses of chronic obstructive pulmonary disease, epilepsy, and dementia. a. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/27/2024 revealed a Brief Interview for Mental Status (BIMS) score of 14 (13-15 indicates cognitively intact). b. On 05/28/2024 at 02:20 PM, the Surveyor observed a cup containing a thick orange substance measuring 2 ounces sitting on the right side of the bathroom sink. The Surveyor asked Licensed Practical Nurse (LPN) #11 to identify the orange substance and asked if it was medication. LPN #11 told the Surveyor it looked like some kind of juice. The Surveyor told LPN #11…
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 · E2024-05-31 · 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 and interview, the facility failed to ensure that pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 6 residents who received pureed diets. The findings are: 1. On 05/30/2024 at 11:29 AM, Dietary Aide #20 used an 8 ounce spoon to place 8 servings of chicken dumpling into a blender, added 2 teaspoons of thickener then added 3 additional teaspoons of thickener and pureed. At 11:38 AM, the puree mixture was poured into a pan and placed in the oven. At 11:53 AM, the pan of pureed chicken and dumplings was placed on the steam table. The consistency was thick and gooey. 2. On 05/30/2024 at 12:21 PM, the Surveyor asked Certified Nursing Assistant (CNA) #7, who was assisting residents in the dinner room, to describe the consistency of food items served to the residents on pureed diets. She stirred the cake that had nectar thickened milk at the bottom of it with a fork and stated, I…
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 before2024-05-31 · 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 hand hygiene was performed during incontinence care to prevent cross contamination and infection for 1 (Resident #46) of 13 sampled residents that required assistance for incontinence care; ailed to ensure staff donned appropriate personal protective equipment (PPE) for 1 (Resident #57) sampled resident on enhanced barrier precautions to prevent cross contamination; and failed to provide a clean and sanitary environment. The findings are: 1. Per an Order Summary Report, Resident #46 had diagnoses of chronic obstructive pulmonary disease, epilepsy, and dementia. a. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/27/2024 revealed a Brief Interview for Mental Status (BIMS) score of 14 (13-15 indicates cognitively intact). b. A Care Plan for Resident #46, with a revision date of 12/29/2022, indicated the resident had an Activities of Daily Living (ADL) self-care performance deficit, activity…
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 · D2024-05-31 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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
Based on observation and interview, the facility failed to ensure 1 (Resident #20) sampled resident had an operational air conditioner to promote a comfortable home environment. The findings are: 1. Per the Medical Diagnoses, Resident #20 had diagnoses of cerebral palsy and epilepsy 2. Per the Quarterly Minimum Data Set with an Assessment Reference Date of 04/25/2024, Resident #20 scored a 5 (0-7 indicates severe cognitive impairment) on a Brief Interview for Mental Status. 3. On 05/28/2024 at 01:11 PM, the Surveyor observed Resident #20's air conditioner unit under the window, and noted the knob to adjust the heat to cool was broken off and sitting in the window. 4. On 05/29/2024 at 01:02 PM, the Surveyor observed Resident #20 adjusting the window blinds and touching the bottom of the window frame while waving hands. The Surveyor saw the knob to adjust the heat to cool was resting in the floor, under the window air conditioning unit. The Surveyor asked Resident #20 if the resident was having a problem with the window unit and Resident #20 waved both hands near his/her face saying,…
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 before2024-05-31 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to implement a comprehensive care plan addressing diuretic therapy for 1 (Resident #16) sampled resident to ensure the resident received appropriate care. The findings are: 1. Review of Resident #16's Medical Diagnoses revealed diagnoses of cerebral infarction, depressive disorders, and urinary tract infection. a. The Quarterly Minimum Data Set with an Assessment Reference Date of 03/15/2024 revealed a Brief Interview for Mental Status score of 12 (8-12 indicates moderate impairment). b. A Physician Order (Dated 09/08/2020) documented, .Furosemide Tablet 40 MG (milligram) Give 1 tablet by mouth one time a day for Edema . (Furosemide is a diuretic used to treat fluid retention (edema) and swelling caused by congestive heart failure, liver disease, kidney disease, and other medical conditions.) c. On 05/30/2024 at 02:25 PM, the Surveyor spoke with the MDS Nurse and the MDS Consultant and asked if they could find where diuretics were addressed…
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 · D2024-05-31 · 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 observation, record review, and interview, the facility failed to revise a care plan for 1 (Resident #57) sampled resident to reflect changes with enteral feeding. The findings include: 1. Per an Order Summary Report, Resident #57 had diagnoses of dysphagia oropharyngeal, dysphagia oral phase, and abnormal weight loss. a. Resident #57 had a Physician ' s Order for enteral feed every shift related to abnormal weight loss. b. A Significant Change Minimum Data Set with the Assessment Reference Date of 03/03/2024 documented that Resident #57 was unable to complete the Brief Interview of Mental Status and had a feeding tube (e.g., nasogastric, or abdominal Percutaneous Endoscopic Gastrostomy (PEG). c. A review of Resident #57's Care Plan revealed the resident required tube feeding via PEG tube with bolus feeding per Medical Doctor (MD) order related to dysphagia and swallowing problem. An intervention dated 03/04/2024 instructed staff to check tube placement prior to any feeding or flushes, to check for gastric contents/residual volume as ordered per physician, and for the head…
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 9 citations
- Potential for harm · E2023-08-29 · 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
Based on record review, observation and interview, the facility failed to provide appropriate size briefs for 3 (Residents #3, #4 and #5) of 3 sampled residents who were incontinent and used briefs. The findings are: 1. Resident #3's Care Plan with a revision date of 09/28/20 noted Resident #3 had bladder incontinence and will remain free from skin breakdown due to incontinence and brief use. a. On 08/27/23 at 9:28 AM, Resident #3 was in the hall sitting in a Geri chair. The Surveyor noted resident had on a white brief and it was waded up under the resident's stomach on the left side. Resident #3's brief was not fastened on the right side. The brief was waded up on the left side with part of the resident's buttock cheek not covered. b. On 08/27/23 at 9:30 AM, the Surveyor asked CNA #1 if they had run out of briefs. She said yes, they do run out of briefs in the ADL (Activities of Daily Living) closest. Observed in the closet there were no large or extra-large briefs. The Surveyor asked CNA #1 what she does when this occurs. She stated she has to wait until three before the closet is…
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 before2023-06-30 · 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 sanitary procedures were followed when serving food to the residents to prevent a potential foodborne illness and dietary staff washed their hands before handling clean equipment or food items to prevent a potential food borne illness for residents who received meals from 1 of 1 kitchen; and food and drinks were served using sanitary practices. These failed practices had the potential to affect 85 residents who received meals from the kitchen (total census: 87), as documented on a list provided by the Dietary Supervisor on 06/29/23 at 3:45 PM. The findings are: 1. On 06/27/23 at 11:43 AM, Certified Nursing Assistant (CNA) #5 served prefilled glasses of tea and water to Residents #2, #19, #50, and #55 with her fingertips on the rim, and her palm over the liquid. The Surveyor asked CNA #5 about the procedure for safely handling liquids served to residents, and why. CNA #5 said, We are supposed to hold them toward the bottom, because if they have something on their mouth, they could give me something. 2. On 06/27/23 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 · E2023-06-30 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, interview, and record review, the facility failed to provide dining assistance in a manner that protected and promoted the dignity of residents. The findings are: 1. On 06/27/23 at 12:17 PM, the Surveyor observed Certified Nursing Assistant (CNA) #3 assisting four residents with dining at a C- shaped dining table. CNA #3 was standing up to assist the residents with eating, leaning over the table and the resident's trays to reach them. The Surveyor asked CNA #3 why she was standing while assisting residents with dining. She stated, I couldn't reach them sitting down. The Surveyor asked if they had received training on dining assistance and the reason it was important to sit at the same level as the resident. She stated, I knew it, but I didn't think. 2. A document titled, Eating Support: Total Feeding, provided by the Director of Nursing (DON) on 06/29/23 at 9:33 AM documented, Basic Responsibility Licensed Nurse, Nursing Assistant . Procedure . 11.Sit so you are at the same level as the resident when possible .
- Potential for harm · Ecited before2023-06-30 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop a Care Plan that accurately described a resident's physical needs for 1 (Resident #244) sampled resident admitted to the facility in the past thirty days, and failed to implement interventions of a comprehensive person-centered Care Plan to provide diversional activities to prevent wandering, taking other resident belongings, and elopement for 1 (Resident #13) of 20 residents (Residents #3, #4, #7, #8, #10, #11, #13, #20, #31, #32, #39, #48, #50, #53, #65, #67, #69, #83, #140 and #244) whose Care Plans were reviewed. This failed practice had the potential to affect 87 residents who required a Care Plan according to the Resident Census and Conditions of Residents provided by the Director of Nursing (DON) on 06/30/23 at 10:40 AM. The findings are: 1. Resident #244's Care Plan with an initiated date of 06/21/23 documented, .Bed Mobility: The resident requires assistance by staff to turn and re-position in bed. Bed Mobility: 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.
- Potential for harm · E2023-06-30 · 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, the facility failed to ensure nail care was provided for 1 (Resident #244) of 36 (Residents #2, #3, #4, #7, #8, #10, #11, #13, #19, #20, #22, #24, #26, #31, #32, #35, #37, #39, #43, #48, #50, #51, #53, #55, #56, #65, #67, #69, #73, #74, #75, #83, #140, #240, #242 and #244) sampled residents who relied on the facility for assistance with nail care as documented on a list provided by the Director of Nursing (DON) on 06/29/23 at 3:47 PM. The findings are: 1. Resident #244's Care Plan with an initiated date of 06/21/23 documented, .[Resident #244] has an ADL [activities of daily living] self-care performance deficit . [Resident #244] requires the assistance of staff with personal hygiene . 2. On 06/27/23 at 8:24 AM, the Surveyor observed Resident #244 lying in bed. The resident was not wearing socks and his feet were not covered. The resident ' s toenails were long and jagged. The left great toenail was curling under itself while the other toenails on the left foot extended 3/8th of an inch past the tips of his toes with uneven, jagged…
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 · E2023-06-30 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide 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 provide a bed that properly fit for 1 (Resident #69) of 20 (Residents #3, #4, #7, #8, #10, #11, #13, #20, #31, #32, #39, #48, #59, #53, #65, #67, #69, #83, #140 and #244) sampled residents. The findings are: 1. Resident #69's Physician Orders dated 04/11/23 documented, Left Lateral Malleolus [ankle] Stage 3 Pressure Injury: Cleanse with wound cleanser, pat dry, apply Collagen Square to wound bed with Anasept Gel then cover with dry dressing . Right Lateral Malleolus Preventative Dressing: Cleanse with wound cleanser, pat dry, apply skin prep, cover with dry dressing M [Monday],W [Wednesday], F [Friday], and as needed . 2. The 5-Day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/15/23 documented the resident required extensive physical assistance of two plus persons with bed mobility. 3. On 06/27/29 at 9:01 AM, the Surveyor observed Resident #69 lying flat in bed. The resident's feet protruded from the end of the bed by six inches, with his ankles resting against the edge of the mattress.…
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 before2023-06-30 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow a care planned intervention of maintaining a resident's bed at the lowest position for 1 (Resident #3) of 20 (Residents #3, #4, #7, #8, #10, #11, #13, #20, #31, #32, #39, #48, #50, #53, #65, #67, #69, #83, #140 and #244) sampled residents at risk of falls as documented on a list provided by the Director of Nursing (DON) on 06/29/23 at 3:47 PM, and failed to ensure residents received adequate supervision while smoking to prevent injury or accidents for 1 (Resident #31) of 2 (Residents #31 and #77) sampled residents who smoked according to a list provided by the DON on 06/29/23 at 3:47 PM. The findings are: 1. Resident #3 had diagnoses of Paranoid Schizophrenia, Repeated Falls, Acquired Absence of Right Leg above Knee, and Unspecified Abnormalities of Gait and Mobility. a. The Quarterly Fall Risk assessment dated [DATE] documented Resident #3 scored 14 (If the total score is 12 or greater, then the resident is considered to be 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 · E2023-06-30 · tag F0908 — failed to keep essential equipment working — patternKeep all essential equipment working 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, interview, and record review, the facility failed to maintain essential resident care equipment in safe operating condition for residents residing on the 200 and 400 halls in the facility. The findings are: 1. On 06/27/23 at 8:50 AM, the Surveyor entered Resident room [ROOM NUMBER] and observed the air conditioning unit was damaged. A large crack was in the cover and the knobs to adjust the fan speed and temperature were absent. The Surveyor entered the restroom and observed the cover for the toilet reservoir resting ajar. The toilet was unable to flush with the reservoir cover in place. a. On 06/27/23 at 2:57 PM, in Resident room [ROOM NUMBER], the Surveyor observed the air conditioning controls were still absent, and the toilet was not able to flush with the reservoir cover in place. The air conditioning unit was set on high, and the resident in Bed B was lying in bed under three blankets. The Surveyor asked the resident if the room was too cold. The Resident stated, I can't turn it [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.
- Potential for harm · D2023-06-30 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake 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, and interview the facility failed to ensure a home like environment was provided, as evidenced by, not making a bed for 1 (Resident #10) of 20 (Residents #3, #4, #7, #8, #10, #11, #13, #20, #31, #32, #39, #48, #59, #53, #65, #67, #69, #83, #140 and #244) sampled residents. The findings are: 1. Resident #10's Care Plan with a revision date of 04/18/23 documented, [Resident #10] doesn't take naps . Request that staff place extra linens in the bed and wants them arranged in specific ways . 2. On 06/27/23 at 10:02 AM, Resident #10 was sitting in her wheelchair beside her bed looking out into the hallway. She stated, One thing that I hate about this place is that they don't make up the beds. I really hate that. The Surveyor asked, What time did you get up this morning? She stated At 8:00 AM, and I sent the Certified Nursing Assistant (CNA) down to get me some towels this morning and some clean sheets. I sent her to get them before 9:00 AM, and she still hasn't got them. If I was at home my bed wouldn't be looking like this, and it shouldn't be looking like this…
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
$46,053 in federal fines across 1 penalty. 1 Medicare payment denial on record.
- $46,053 — penalty dated 2025-03-05
- Medicare payment denial — starting 2025-04-03 for 5 days
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 SOUTHERN ADMINISTRATIVE SERVICES — 35 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 | 3 of 5 | 3.8 | -0.8 vs chain |
| Health inspection | 3 of 5 | 3.2 | -0.2 vs chain |
| Staffing | 4 of 5 | 3.9 | +0.1 vs chain |
| Quality measures | 4 of 5 | 4.7 | -0.7 vs chain |
The other 34 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 |
|---|---|---|---|---|
| 4P2T1 OPS HOLDING LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST | 100% | since 07/01/2020 |
| ALEXARK1 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; GENERAL PARTNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/01/2022 |
| JEJ ASSETS LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 01/01/2022 |
| JEJ MANAGEMENT, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/01/2022 |
| PONTHIE, SHARLOT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 01/01/2022 |
| PONTHIE, JOHN | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 07/01/2020 |
| BHARANY, NEERAJ | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2020 |
| BROWN, NANCY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2020 |
| PROCARE THERAPY SERVICES LLC | Organization | ADP OF THE SNF | — | since 07/01/2020 |
| PROFESSIONAL NURSING SOLUTIONS, LLC | Organization | ADP OF THE SNF | — | since 07/01/2020 |
| SOUTHERN ADMINISTRATIVE SERVICES, LLC | Organization | ADP OF THE SNF | — | since 07/01/2020 |
| SOUTHERN TRACE ASSETS, LLC | Organization | ADP OF THE SNF | — | since 07/01/2025 |
| TEAMS STAFFING LLC | Organization | ADP OF THE SNF | — | since 07/01/2020 |
CMS files one row per role, so the 21 rows in the source record cover these 13 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 75% 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 $4.9M paid to related parties — landlords or management companies under common ownership — equal to about 62% 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 045305. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-21, 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.