No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Covington Court Health And Rehabilitation Center

4500 Old Greenwood Rd, Fort Smith, AR 72903 · For profit - Limited Liability company · 140 certified beds · (479) 646-5700 Medicare & Medicaid certified

Call the home — (479) 646-5700 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • 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

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3808 Gary St · (479) 709-7050 · Call to confirm hours
Pharmacy
4001 Phoenix Ave · (479) 709-8941 · Call to confirm hours
Grocery
5416 S 28th St · (479) 718-6620 · Call to confirm hours
Park
2920 S Zero St · (479) 222-6760 · Typically dawn to dusk
Place of worship
4933 Old Greenwood Rd · (479) 434-5320

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 3 of 5
Long-stay residentspeople who live here 4 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 1 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.5%9.5%15.4%better
Long-stay residents who lose too much weight5.3%4.3%5.4%typical
Long-stay residents with a catheter left in their bladder1.1%0.6%0.9%worse
Long-stay residents with a urinary tract infection0.2%1.2%2.0%better
Long-stay residents with depressive symptoms0.3%1.4%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.9%3.9%3.3%better
Long-stay residents whose ability to walk worsened12.2%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication27.6%21.7%18.9%worse
Long-stay residents given the seasonal flu vaccine98.2%96.1%95.3%typical
Long-stay residents with pressure ulcers7.1%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control18.8%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table9.3%10.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine85.6%77.7%79.4%typical
Short-stay residents rehospitalized after admission22.7%24.1%22.6%typical
Short-stay residents with an outpatient ER visit14.8%12.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.392.011.67worse
Long-stay outpatient ER visits per 1,000 resident days1.432.131.80better

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.

48.9% 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 188 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.9%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
60.0%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 60.0% 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 70 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF48.9%CMS range 41.2–56.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 8.6–14.410.7%Oct 2022–Sep 2024no 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 discharge60.0%56.6%Oct 2024–Sep 2025CMS 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 discharge52.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge42.9%50.0%Oct 2024–Sep 2025CMS 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 identified98.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge93.3%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 4.7–10.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 2022–Sep 2024CMS 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

0.37
RN hours/ resident / day
0.82
LPN hours/ resident / day
2.82
Aide hours/ resident / day
4.01
Total nurse hours/ resident / day
0.09
RN hoursweekends
44.1%
Total nursing turnover
25.0%
RN turnover

How full it usually is: this home is certified for 140 beds and averages 129.1 residents a day — about 92% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.82 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 3.31 hrs/resident/day on weekends vs 4.29 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.49 to 0.09 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

1
deficiencies at the latest standard inspection (2026-03-12)
1
at the previous standard inspection (2024-08-01)

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.

ABCDEFGHIJKL

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.

  • Immediate jeopardy · Jcited before2023-08-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure that adequate visual supervision was provided by staff to prevent a severely cognitively impaired resident from eloping from the facility undetected for 1 (Resident #2) of 4 sampled residents. The situation resulted in a finding of Immediate Jeopardy, Past Non-compliance. The facility's Administrator was notified of the findings of Immediate Jeopardy on 8/17/23 at 12:41 PM. The findings include: Review of Resident #2 Significant Change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/14/2023 noted a score of 4, on the Brief Interview for Mental Status (BIMS), which indicates severely impaired cognitive function. Review of Resident #2 care plan for Behavior Management with a start date of 2/6/23 noted the resident had exit seeking behaviors. The care plan for wandering with a start date of 1/14/2023, noted Resident #2 wanders and noted a monitoring device was placed on the resident, for exit seeking behavior. The care plan noted the resident should be in an area where frequent observation 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2026-03-12 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop 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 Number of residents sampled: Number of residents cited: Based on record review, observation and interview, the facility failed to ensure a Bilevel Positive Airway Pressure (BiPAP) mask [used to assist with breathing], and oxygen use was care planned for one (Resident #178) of two residents reviewed for oxygen. The findings include: Review of Resident #178's Active Orders with a start date of 03/01/2026, revealed Resident #178 had a Physician Order for BiPAP at bedtime and when napping. The physician order also indicated to administer oxygen at three to five liters per minute by nasal cannula, as needed for shortness of breath. Review of Resident #178's five-day Minimum Data Set (MDS) with an Assessment Reference Date of 03/03/2026, revealed that Resident #178 had a Brief interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. The MDS also indicated that Resident #178 was on intermittent oxygen therapy and used a BiPAP on admission and while a resident at the facility.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure oxygen was administered only when ordered by a physician to prevent potential respiratory complications for 1 (Resident #17) sampled resident reviewed for oxygen therapy. Findings include: A review of a facility policy titled, Verbal and Facsimile Orders, dated October 1, 2010, indicated, I.Verbal orders are those given to the nurse by the physician in person or be telephone, however, are not written by the physician in the medical record. a) Enter the verbal orders into the medical record.e) Follow through with orders by contacting the pharmacy and lab as appropriate . A review of the Face Sheet, indicated the facility admitted Resident #17 with diagnoses that included hypertensive chronic kidney disease; chronic kidney disease, stage 3; and generalized anxiety disorder. The annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/25/2024, revealed Resident #17 had special treatments procedures and programs which…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-18 · tag F0557 — pattern
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and policy review, it was determined that the facility failed to ensure dignity while dining for Resident #1 of 13 sampled residents. This failed practice had the potential to affect all sampled residents who are dependent while dining to maintain dignity. Findings include: A review of a facility policy titled, Resident/Rights dated 11/28/2016, under Respect and Dignity read in part .the resident has a right to be treated with respect and dignity including: the right to reside and receive services in the facility with reasonable accommodations of resident/guest preferences . Resident #1, diagnosis included Osteoarthritis, Pain, 2nd, and 3rd Spondylosis of Cervical Vertebra. The Resident is to always have on a cervical collar. The Minimum Data Set (MDS)- dated 01/25/2024, under section titled Cognitive Patterns listed a Brief Interview for Mental Status (BIMS) with a summary score of thirteen (13), which suggests a score of 13 to 15 the resident is cognitively intact. a. On 04/17/2024, at 8:35 AM to 9:35 AM the Surveyor observed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-07-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure 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 of 1 kitchen; expired dairy products and food items were promptly removed / discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 121 residents who receive meals from the kitchen (total census:124) as documented on a list provided by Dietary Supervisor. The findings are: 1. On 07/12/23 at 12:38 PM Dietary Employee (DE) #1 removed a carton of tomatoes from the refrigerator and placed it on the counter. She placed a cutting board on the counter. She transferred a few tomatoes inside a colander. She turned on the 3-compartment sink…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-07-14 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure that a licensed administrator was responsible for the overall operation of the facility. The failed practice had the ability to affect all 124 residents who currently reside in the facility according to the census list which was provided by the Assistant Administrator on 7/10/23 at 11:04 AM. The findings are: On 7/10/23 at 10:45 AM the survey team entered the building and was greeted by Assistant Administrator. The surveyor asked for administrator and was told that the new administrator would be starting on Wednesday. The Assistant Administrator reported that she was in charge. When asked if she held a current license in the state of Arkansas, she stated, No, but its ok because we are within our 14 days. The surveyor then asked again, if there was anyone in the building who held a current administrator license. The Assistant Administrator affirmed, No. On 7/13/23 at approximately 2:00 PM the Assistant Administrator was asked to identify the last day the former Administrator was in charge. She stated,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-07-14 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and observation the facility failed to ensure that laundry was processed in a manner that minimized the risk cross contamination. The failed practice has the ability to affect all 124 residents whose clothing and linen are processed by the facility laundry according to the census list which was provided by the Assistant Administrator on 7/10/22 AT 11:04 AM. The findings are: On 7/13/23 at 8:13 AM this surveyor approached the laundry facility. Doors to the dirty side and clean side of the room were open to the outside. Multiple flies were observed on both sides of the facility, having landed on the clean linen. An oscillating fan observed to be covered in lint and dust. Upon entrance to the clean side of the facility the folding table observed to be against the wall. On top of the table is a personal drink cup, multiple clip boards, a mini refrigerator, an electric fan and snack items. Under the table, scattered on the floor there were approximately 10 tennis shoes of varying sizes and colors which are reported to be residents items which have no name. To the right…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 staff promptly assisted a resident who required assistance with incontinent care and failed to maintain privacy and dignity for 1 (Resident #51) of 3 (Residents #50, #51, and #103) sampled residents who required assistance with incontinent care on Southwest Hall and failed to ensure a catheter bag was covered to maintain dignity for one resident (Resident #110) of four (Residents #50, #51, #103, and #110) sampled residents who have an indwelling catheter. The findings are: 1. On 07/10/23 at 11:37 AM observed Resident #51 sitting up in a motorized chair in the room. The bed did not have sheets, was elevated, and had a strong odor of human waste. The surveyor asked Resident #51 why the bed was elevated so high and had no sheets. Resident # 51 answered, there has been a problem with flies because I have to have BM's [Bowel Movements] in bed and they don't want to change me or clean me up. a. On 07/11/23 at 3:08 PM the surveyor observed Resident # 51 lying naked and uncovered on his left side in bed facing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-07-14 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide 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 observations, interview and record review, the facility failed to administer medications as ordered by the physician, and failed to accurately document the medications provided for 1 (Resident #106) of 11 (Residents #7, 9, 20, 44, 55, 67, 79, 98, 104, 118, 333) sampled residents that were administered medications by Licensed Practical Nurse (LPN)#1 and failed to provide appropriate hygiene care for for 1 (Resident #333) of 2 (Residents #5, 333) sampled residents. The findings are: 1. On 07/10/2023 at 3:11 PM Resident #106 stated he had not been receiving his afternoon medications. The surveyor asked if there were any specific medications, he was not receiving. He stated, none of the ones I'm supposed to get in the middle of the day. If I do get them, they add them to my morning dose so I'm getting twice as much as I'm supposed to at a time. I know I'm not getting my Gabapentin. I just want to get my medications when I'm supposed to get it. a. On 07/12/2023 at 1:10 PM the surveyor asked Resident #106 if he received his mid-day medications. The resident stated, no, I haven't…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide 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 oxygen flow rates were administered per physician orders, and humidifier bottles were present according to physician's order for 2 (Resident #3 and #51) of 11 (Residents #2, #3, #5, #9, #11, #44, #51, #52, #100, #106, & #333) sampled residents who received respiratory therapy. The findings are: 1. Resident #3 had diagnoses of chronic obstructive pulmonary disease, acute chronic respiratory failure with hypoxia. a. On 07/11/23 at 09:58 AM observed Resident #3 lying in bed with oxygen (O2) flow rate set at 1 Liter via nasal cannula. There was no humidifier bottle in place. The Resident stated, It should be set on 2. b. On 07/11/23 at 03:05 PM observed Resident #3 lying in bed with oxygen via nasal cannula connected to a concentrator with no humidifier bottle; the O2 flow rate setting was at less than 1.5 Liters. c. On 07/12/23 at 02:20 PM observed Resident #3 Lying in bed with eyes open receiving oxygen via nasal cannula. The O2 setting was at 1 Liter and there was no humidifier bottle. d. On 07/13/23 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 store medications being administered to residents in a safe, secure, and sanitary manner. The findings are: On 07/12/23 at 9:10 AM the Surveyor accompanied Licensed Practical Nurse (LPN) #5 to the medication room to look for two medications not found on the medication cart. LPN #5 looked through the cabinets in the medication room and commented, What a mess. She looked through the slot of the locked medication box and stated the potassium was in the waste bin. The surveyor asked how it got in the waste bin. LPN #5 answered, I couldn't tell you. Observed LPN #5 attempt to remove the medication from the waste bin. She stated, This is clean, as she attempted to reach in and get the medication which was out of her reach. She left the medication storage room and asked the Assistant Director of Nursing (ADON) to get a key to unlock the medication waste bin. On 07/12/23 at 9:37 AM the ADON returned to the medication room and unlocked the medication waste bin. LPN #5 reached in with ungloved hands and removed a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · E2023-07-14 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    F761 Based on observation, interview, and record review, the facility failed to date and store over the counter medications being administered to residents in a manner following currently accepted professional principles in 1 (Central) of 5 (Northeast, Southeast, Central, Rehab S, Rehab N) medication carts used in the administration of prescribed medications in the facility. The findings are: On 07/12/23 at 7:10 AM the Surveyor inspected the medication cart while observing medication administration with Licensed Practical Nurse #5 (LPN#5). The Surveyor observed that two of the medications being administered, Acidophilus Probiotic and Sodium Chloride, were sourced from containers that had not been dated when opened. On 07/12/23 at 9:10 AM the Surveyor accompanied LPN#5 to the medication room to look for two medications not found on the medication cart, Finasteride and Potassium. LPN#5 looked through cabinets and commented, What a mess. They looked through the slot of the locked medication waste bin and commented, I see it. The Surveyor asked what they were referring to. They…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure 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 at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. The failed practices had the potential to affect 24 residents who received their meal trays in their room, on Southeast Hall, 20 residents who receive trays in their room on North East Hall, 15 residents who receive trays in their room on North [NAME] hall, 10 residents who receive their meal trays in their room on South [NAME] Hall, and 10 residents who receive their meal trays in their room on Central Hall, as documented on a list provided by the Dietary Supervisor on 7/13/2023 at PM. The findings are: 1. On 07/10/2023 at 12:15 PM, The Surveyor asked resident #333 if she was satisfied with the quality of food in the facility. The resident stated, It's usually pretty good, but it's cold by the time it gets here. Th surveyor asked if cold food was a frequent occurrence. The resident stated, Yes, probably half the time. 2. 07/13/23 at 08:12 AM,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure 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 pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 9 residents who received pureed diets as documented on the List Dietary Supervisor provided by the Food Service Supervisor on 7/13/2023. The findings are: 1. On 07/13/2023 at 8:50 AM The pureed sausage served to the residents on pureed diets was runny and not formed. At 08:53 AM the Surveyor asked Dietary Supervisor to describe the consistency of the pureed food items served to the residents on pureed diets for breakfast. She stated, It was runny. I think they are afraid of making it too thick making sure they are smooth. 2. On 07/13/23 at 1:00 PM The following was observed during the noon meal observation in the dining room. a. The residents on pureed diets were served pureed dessert. The consistency was lumpy and not smooth. There were pieces of cherry visible in the mixture. b. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure residents' meals were consistently served at regularly scheduled times to provide residents with a dependable eating schedule for 2 of 2 meal services observed. The failed practice had the potential to affect all 121 residents who received meals from the kitchen (total census: 124), According to the list provided by the Dietary Supervisor dated 7/13/2023. The findings are: 1. On 07/11/2023 at 8:54 AM, the last resident was served breakfast in the dining room. This was a period of 1 hour and 54 minutes after the scheduled mealtime. 2. On 7/13/2023 at 8:50 AM, the last resident on the Northwest Hall was served breakfast. This was a period of 1 hour and 50 minutes after the scheduled mealtime. 4. The facility mealtime provided by the Dietary Supervisor dated 7/13/2023 documented, Breakfast .7 AM, Lunch .12 PM and Supper 5 PM

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make 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 maintain a clean, well maintained, homelike environment. The failed practice has the ability to affect 6 of 6 sampled residents (R#9, #81, #79, #385, #55, #41) with rooms in need of cleaning or repair. The findings are: On 7/10/23 at 12:13 PM in room SE3, the wall adjacent to the middle and foot of the resident's bed is observed to have paint and plaster which is missing. The area is discolored ranging from white to tan to gray. The surface is rough to the touch. On 7/10/23 at 12:18 PM in room SE5, the wall adjacent to the head of the bed is observed to be patched and unpainted with a series of black marks and soiled areas. The wall behind the bed has paint and plaster missing. On 7/10/23 at 12:25 PM in room NE 21, the curtain which is adjacent to the resident's bed and at times protrudes over her bed rail contains a large stain, discoloring the fabric. On 7/10/23 at 2:49 PM in room SE10, the ceiling tile in front of the vent is observed to contain a large area covered with dust and debris. The wall adjacent to the side of…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-14 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to ensure the kitchen was free of pests and failed to ensure the room meal experience was free from pest for 4 (Resident #333, #104, #63 and#51) of 4 residents who had flies in their room or in their food items or their body during the noon meal in 1 of 1 facility. The failed practice had the potential to affect 121 residents who received food from the kitchen, according to the list provided by the Dietary Supervisor on 7/13/2023 at 9:49 A.M. The findings are: 1. On 07/10/23 at 12:08 PM the surveyor interviewed Resident #9 in their room. Three large black flies were flying around and landing on the resident. The resident was continually trying to dissuade the flies from landing on their face by waving their arms. 2. On 07/10/23 at 12:15 PM the surveyor interviewed Resident #333 in their room. The resident was lying in bed. There were six large black flies flying around the resident and crawling about the resident's bed and body. The Surveyor asked if they frequently had issues with flies or other pests. The resident stated,…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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, record review and interview, the facility failed to ensure devices were put into place to prevent worsening of contracture for 1 (Resident #11) of 5 (Residents #5, #11, #52, #55, and #76) sampled residents with contractures. The findings are: Resident #11 had diagnoses of chronic kidney disease, stage 5, and dialysis dependent. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/19/23 revealed the Resident had no impairment for Range of Motion (ROM)/ limitation on the upper and lower extremity. On 07/10/23 at 1:41 PM observed Resident #11 with a contracture of the left hand. Observed gauze wrapped in and around two fingers and inside the left-hand. The gauze was dirty. On 7/11/23 at 1:47 PM observed Resident #11 lying in bed awake. The left hand still has gauze in it and wrapped around two fingers. The gauze was dirty. On 0712/23 at 2:21 PM Resident #11was lying in bed with a rolled piece of gauze in the left hand, the resident's hand is dirty. Review of Resident #11 care plan with a start date of 5/4/23 noted the resident had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 devices were put into place to prevent worsening of contracture for 1 (Resident #11) of 5 (Residents #5, #11, #52, #55, and #76) sampled residents with contractures. The findings are: Resident #11 had diagnoses of chronic kidney disease, stage 5, and dialysis dependent. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 4/19/23 revealed the Resident had no impairment for Range of Motion (ROM)/ limitation on the upper and lower extremity. On 07/10/23 at 1:41 PM observed Resident #11 with a contracture of the left hand. Observed gauze wrapped in and around two fingers and inside the left-hand. The gauze was dirty. On 7/11/23 at 1:47 PM observed Resident #11 lying in bed awake. The left hand still has gauze in it and wrapped around two fingers. The gauze was dirty. On 0712/23 at 2:21 PM Resident #11was lying in bed with a rolled piece of gauze in the left hand, the resident's hand is dirty. Review of Resident #11 care plan with a start date of 5/4/23 noted the resident had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure residents who smoke were assessed for smoking safety upon admission to determine interventions necessary to maintain their safety for 1 (#52) of 5 (#6, #44, #52, #103 and #104] sampled residents who smoke. On 07/11/23 at 8:51 AM Resident #52 was lying in bed asleep. The resident's cigarettes and lighter were lying on the bedside table. The resident had oxygen in place in his room. On 07/11/23 at 1:46 PM observed a cigarette lighter on top of the bedside table in Resident #52 room. The resident was not in his room. Review of the physician orders summary for July 2023, revealed a wound care order for a left abdominal burn and wound care orders for a left 3rd finger burn. Review of Resident #52 care plan, Nicotine Addiction, with a start date of 1/3/23 noted the staff are to explain smoking schedule and rules, and to observe for the need for one-on-one smoking supervision. Review of Resident #52 Safe Smoking evaluation dated 7/10/23 revealed the resident had an admit date of 6/12/23. The document noted 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NHS MANAGEMENT — 43 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 →

RatingThis homeChain avg
Overall 4 of 52.9+1.1 vs chain
Health inspection 4 of 52.7+1.3 vs chain
Staffing 4 of 53.7+0.3 vs chain
Quality measures 3 of 53.5-0.5 vs chain
The other 42 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Aspire Physical Recovery Center At Cahaba RiverVestavia, AL 1 of 5Aspire Physical Recovery Center At Hoover, LLCHoover, AL 1 of 5Cordova Health And Rehabilitation, LLCCordova, AL 1 of 5Glen Haven Health And Rehabilitation, LLCNorthport, AL 1 of 5Huntsville Health & Rehabilitation, LLCHuntsville, AL 1 of 5Legacy Health And Rehabilitation Of Pleasant GrovePleasant Grove, AL 1 of 5Prattville Health And Rehabilitation, LLCPrattville, AL 1 of 5St Augustine Health And Rehabilitation CenterSaint Augustine, FL 1 of 5Wetumpka Health And Rehabilitation, LLCWetumpka, AL 2 of 5Civic Center Health And Rehabilitation, LLCBirmingham, AL 2 of 5Gulf Coast Health And Rehabilitation, LLCMobile, AL 2 of 5Legacy Health And Rehabilitation CenterFort Smith, AR 2 of 5South Health And Rehabilitation, LLCBirmingham, AL 2 of 5Springdale Health And Rehabilitation CenterSpringdale, AR 2 of 5Tallassee Health And Rehabilitation, LLCTallassee, AL 2 of 5West Melbourne Health & Rehabilitation CenterWest Melbourne, FL 3 of 5Ashland Place Health And Rehabilitation, LLCMobile, AL 3 of 5Fayetteville Health And Rehabilitation CenterFayetteville, AR 3 of 5Florala Health And Rehabilitation LLCFlorala, AL 3 of 5Hunter Creek Health And Rehabilitation, LLCNorthport, AL 3 of 5Jacksonville Health And Rehabilitation, LLCJacksonville, AL 3 of 5Northway Health And Rehabilitation, LLCBirmingham, AL 3 of 5Oak Knoll Health And Rehabilitation, LLCBirmingham, AL 3 of 5Opp Health And Rehabilitation, LLCOpp, AL 3 of 5Ozark Health And Rehabilitation, LLCOzark, AL 3 of 5Park Manor Health And Rehabilitation, LLCNorthport, AL 3 of 5South Haven Health And Rehabilitation, LLCBirmingham, AL 3 of 5Sumter Health And Rehabilitation, L L CYork, AL 4 of 5Aspire Physical Recovery Center Of West AlabamaNorthport, AL 4 of 5Columbiana Health And Rehabilitation, LLCColumbiana, AL 4 of 5Crystal River Health And Rehabilitation CenterCrystal River, FL 4 of 5Georgiana Health And Rehabilitation, LLCGeorgiana, AL 4 of 5Luverne Health And Rehabilitation, LLCLuverne, AL 4 of 5Moundville Health And Rehabilitation, LLCMoundville, AL 4 of 5Ocala Health And Rehabilitation CenterOcala, FL 4 of 5Paris Health And Rehabilitation CenterParis, AR 4 of 5Valley View Health And Rehabilitation, LLCMadison, AL 5 of 5Athens Health And Rehabilitation LLCAthens, AL 5 of 5Crossville Health And Rehabilitation, LLCCrossville, AL 5 of 5Daytona Beach Health And Rehabilitation CenterDaytona Beach, FL

Showing 40 of 42; lowest-rated first.

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 / managerTypeRoleShareSince
JAMES NORMAN ESTES JR TROrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/31/2006
JENNIFER LEE ESTES TR 031093Organization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/31/2006
ESTES, JAMESIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER92%since 09/29/1997
REGIONS BANKOrganization5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTsince 05/31/2007
MOORE, MARCIAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 08/05/2024
GALLAGHER, BEVERLYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 08/21/2023
RASCO, LYNNIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 07/01/2022
WHITE, HOLLYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 03/04/2022
LONG, PHILLIPIndividualCORPORATE OFFICERsince 10/01/2019
WILSON, DOWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/03/2025

CMS files one row per role, so the 17 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$14.6M
Net patient revenuemost recent cost report
+3.9%
Operating marginrevenue minus expenses
$2.0M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 8%Other / private 23%

This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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

$300per resident / day
operating cost
$9,123per month
≈ monthly operating cost
$312per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Arkansas
$7,452/mo
Nursing home (semi-private)
$8,060/mo
Nursing home (private)
$4,637/mo
Assisted living

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 045363. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, 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.

What to do next