Methodist Health And Rehab
7425 Euper Lane, Fort Smith, AR 72903 · Non profit - Corporation · 145 certified beds · (479) 452-1611 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)
- no federal fines or payment denials on record
- 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 Jun 2026
- 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
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
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 | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 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 | 13.1% | 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 | 0.5% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.1% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 2.7% | 1.4% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 6.2% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 11.4% | 10.1% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 24.0% | 21.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.9% | 4.2% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 22.0% | 13.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.2% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 95.2% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 19.0% | 24.1% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 17.2% | 12.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.41 | 2.01 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.30 | 2.13 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
44.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 65.5% 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 55 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 0.23 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 44.3%CMS range 35.4–53.6 | 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 | 10.2%CMS range 6.9–13.7 | 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 | 65.5% | 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 | 67.3% | 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 | 61.8% | 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 | 98.6% | 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 | 63.6% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.4% | 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 | 4.3% | 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 | 6.8%CMS range 3.5–11.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.14 | 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 145 beds and averages 126.7 residents a day — about 87% occupied, or roughly 18 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 4.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.63 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 3.75 hrs/resident/day on weekends vs 5.35 on weekdays — 30% thinner on weekends — a notable drop. RN hours go from 0.36 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · Fdisputed · IDR2026-06-11 · tag F0577 — widespreadAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and facility document review, it was determined that the facility failed to ensure the survey results were readily available for residents and families to easily view, with the potential to affect all 120 residents who resided in the facility. The findings include: Review of the facility admission Packet provided by the facility to residents and their representatives at admission did not reference the resident's right to ready access to survey results. Review of the Resident Council meeting minutes did not contain any record of the residents' right to survey being provided to the residents. During an observation on 06/11/2026 at 4:26 PM, this surveyor observed that the posted resident rights displayed on the wall of the facility did not include the right to see the results of previous surveys. During an interview while present in a resident council meeting on 06/10/2026 at 2:02 PM, Resident #71 indicated they did not know where the survey results were kept and had not seen it. Resident #61, Resident #86, Resident #88, Resident #92, Resident #106,…
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 · D2026-06-11 · 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
Based on observation, record review and interview, the facility failed to ensure one (Resident #101) of two residents reviewed was free from abuse that had the potential to cause mental anguish and/or physical harm. The findings include: Review of Medical Diagnosis Report revealed Resident #101 was admitted to the facility with diagnoses which included dementia, osteoporosis and epilepsy. Review of the annual Minimum Data Set [MDS] with an Assessment Reference Date [ARD] of 04/27/2026, and a Staff Assessment for Mental Status [SAMS] score of 3, which indicated the resident was severely impaired for daily decision making. Review of Resident #101's Care Plan revealed the resident was dependent on staff for intellectual, emotional and social needs related to cognitive impairment with an initiation date of 04/27/2022. The care plan included interventions to encourage Resident #101 to participate in activities: pets, parties, and to be one to one when Resident #101 became non-verbal or confused. Review of Resident #101's reportable with a discovery date of 04/04/2025 at 2:25 AM and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-11 · 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 observation, record review and interviews, the facility failed to ensure an allegation of abuse was reported in a timely manner to ensure accountability, preserve evidence, and prevent further harm for one (Resident #101) of two residents reviewed. The findings include: Review of Medical Diagnosis Report revealed Resident #101 was admitted to the facility with diagnoses that included dementia, osteoporosis and epilepsy. Review of an annual Minimum Data Set [MDS] with an Assessment Reference Date [ARD] of 04/27/2026, and Staff Assessment for Mental Status [SAMS] score of 3, which indicated the resident was severely impaired for daily decision making. Review of Resident #101's Care Plan revealed the resident was dependent on staff for intellectual, emotional, and social needs related to cognitive impairment with an initiation date of 04/27/2022. The care plan also included interventions to encourage Resident #101 to participate in activities: pets, parties. The care plan indicated Resident #101 was one to one (indicating one staff member should be designated to provide care…
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 · D2026-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure Resident #67 received the proper assistive device to prevent accidents and safely transfer from bed to wheelchair using a lift. Specifically, staff utilized a bariatric size sling to transfer Resident #67, when the resident required a medium sized sling, resulting in the resident sliding out of the sling and falling to the floor. The findings include: A review of admission Record revealed Resident #67 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation, type 2 diabetes mellitus, peripheral vascular disease, left knee osteoarthritis, severe protein calorie malnutrition and affective mood disorder. Review of the admission Minimum Data Set (MDS) with an Assessment Reference Date of 05/12/2026 revealed Resident #67 had a Brief Interview for Mental Status (BIMS) score of 15 which indicated the resident was independent in daily decision making. Further review indicated the resident had impairment 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.
- Potential for harm · Fcited before2024-10-24 · 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, interview, record review, and facility policy review, the facility failed to ensure foods were covered or sealed in the freezer and or refrigerator; dietary staff thoroughly washed their hands and changed gloves when contaminated and dietary staff and visitors wear hair restraints when in the kitchen. The findings: 1. On 10/22/24 at 11:12 AM, Dietary Aide (DA) #1 used a rag to clean the top of the food cart and then pushed it to the clean side of the dish washing machine. Without washing her hands, she picked up plates and bowls to be used in portioning the lunch meal and placed them on the cart, using her fingers inside the bowls and plates. During an interview DA #1 stated she should have washed her hands. 2. On10/22/24 at 11:13 AM, DA #9, who was in the dish washing machine room, had hair on his chin with no beard restraint. 3. On 10/22/24 at 11:16 AM, DA #2 picked up cartons of ice cream from the refrigerator and placed them on the cart near the refrigerator. Without washing his hands, he picked up glasses by their rims and placed them on the cart to be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-24 · tag F0578 — failed to honor advance directives / code status — patternHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, and record review the facility failed to formulate an advance directive or have an acknowledgement of an advance directive on file for 2 (Resident # 108, Resident #10) of 8 sampled residents. The findings are: 1. Review of an Order Summary Report indicated, Resident #108 had a diagnosis of personal history of Transient Ischemic Attack. A review of Resident #108's electronic medical record revealed, there was not an advance directive or an acknowledgement of an advance directive on file. On 10/22/24 at 2:28 PM, the Admissions Director indicated Resident #108 did not have an advance directive, or an acknowledgement of an advance directive on file. He indicated that the advance directive should be formulated or acknowledged upon admission. Review of Resident #10 ' s quarterly Minimum Data Set with an Assessment Reference Data 08/29/2024 revealed a Brief Interview for Mental Status (BIMS) of 6 with medical diagnoses of dementia, Alzheimer's disease and post-traumatic stress disorder. On 10/22/24 at 10:38 AM, Resident #10's electronic medical records contained 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.
- Potential for harm · E2024-10-24 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure 2 (room [ROOM NUMBER], and room [ROOM NUMBER]) rooms were clean to maintain a homelike environment. The findings are: 1. On 10/21/24 at 11:30 AM, trash was observed behind the nightstand in room [ROOM NUMBER]. There was a white cup, an ice cream lid, peanuts, peanut container, pencils, and paper behind the nightstand. On 10/21/24 at 12:30 PM, trash was observed behind the nightstand in room [ROOM NUMBER]. There was a white cup, an ice cream lid, peanuts, peanut container, pencils, and paper behind the nightstand. On 10/21/24 at 2:15 PM, trash was observed behind the nightstand in room [ROOM NUMBER]. There was a white cup, an ice cream lid, peanuts, peanut container, pencils, and paper behind the nightstand. On 10/21/24 at 2:18 PM, Housekeeper #11 indicated there was trash, tissue, and other things behind the nightstand in room [ROOM NUMBER]. Housekeeper #11 indicated that rooms should be cleaned every day, and as needed. On 10/21/24 at 2:19 PM,…
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 · E2024-10-24 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 prepared and served according to the planned written menu to meet the nutritional needs of the residents for 2 of 2 meals observed. The findings are: 1. The menu for the lunch meal indicated the residents who received pureed diets were to receive 4 ounces (1/2 cup) of pureed shredded lettuce salad and two #8 scoops (1 cup) of chicken and dumpling. a. On 10/22/24 at 12:48 PM, Dietary Aide (DA) #4 used one #8 scoop (1/2 cup) to serve a single portion of pureed chicken and dumpling to the residents on pureed diets, instead of two #8 scoops which was equivalent to 1 cup. b. There was no pureed salad served to the residents on pureed diets for lunch, instead of 4 ounces (1/2 cup) of pureed salad. c. On 10/22/24 at 5:10 PM, DA #5 stated, a replacement should have been given for the pureed salad. d. On 10/22/24 at 5:23 PM, Food and Beverage Director also stated, something else should have been given to the residents in place of the salad. 2. The menu for the supper meal indicated the residents who…
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 before2024-10-24 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, facility document review, and facility policy review, it was determined the facility failed to ensure administration of correct medication to correct resident for 1 (Resident #76) of 1 sample mix residents for medication administration. The findings are: Review of Resident #76's Care Plan with an initiated date of 04/28/2024 noted the resident had an allergy to statin medications. Review of Resident #76's Medication Administration Records (MAR) dated June 2024 noted, the physician ordered the following medications: Amlodipine 5 (milligrams) mg for high blood pressure Fenofibrate 54mg for high cholesterol Aricept 5mg for dementia Melatonin 6mg for insomnia Namenda XR Extended Release (ER) 24- hour (HR) 28mg (memantine) for dementia Fenofibrate 54mg for cholesterol due to the allergy to statins. Review of the Medication Error Report dated June 1, 2024, revealed Certified Medication Assistant (CMA) #13 reported that both Resident #76 and Resident #47's medication were taken to the secured unit dining room where both residents had their dinner trays.…
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 · D2024-10-24 · tag F0805 — failed to prepare food in a form residents can eat — isolatedEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — the official record, unedited, 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 1 of 2 meals observed. The findings are: 1. On 10/22/24 at 11:58 AM, the following observations were made on the steam table: a. A pan of pureed, English peas had a soupy consistency and was gritty. b. A pan of gravy was lumpy and was not smooth 2. On 10/23/24 at 1:36 PM, during and interview the Dietary Manager stated the pureed English peas were a little thin, it is gritty because of the skin, it is hard to puree the skin and they should have pureed it a little longer. She further stated the gravy had been chunky. 3. On 10/23/24 at 1:36 PM, the Food and Beverage director stated the pureed English peas were a little thin, it is gritty because of the skin, it is hard to puree the skin and they should have pureed it a little longer.
Show the remaining 7 citations
- Potential for harm · Fcited before2023-08-04 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure foods stored in the 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, failed to ensure foods were dated the day received to assure first in, first out usage to prevent potential for food bone illness, expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of I kitchen, 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, failed to ensure 2 of 4 ice machines were maintained in clean and sanitary condition to prevent contamination of airborne particles. These failed practices had the potential to affect 112 residents who received meals from the kitchen and 20 residents who received ice from the ice machine on [NAME] Hall (total…
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 · E2023-08-04 · 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 to two (Resident #18, #75) of 23 sampled residents (Resident #34, #17, #81, #37, #9, #26, #3, #98, #93, #110, #8, #83, #86, #64, #74, #103, #5, #88, #70, #96, #44, #63) who are dependent for nail care according to a list provided by Licensed Practical Nurse (LPN) #4 on 3/3/23 at 2:42 PM. The findings are: 1. Resident #18 admission Minimum Data Set (MDS) noted the resident requires extensive assistance with personal hygiene. a. On 7/31/23 at 12:37 PM, Resident #18 family member stated the resident was concerned about his fingernails, and stated they needed to be cleaned. She continued to describe how the resident's nails were observed to have dirt underneath them. b. On 7/31/23 at 12:50 PM observed Resident #18 in bed with his hands on top of the blanket. Observed resident's nails to be approximately 1/4 inch beyond the fingertip. Several nails contained a blackish, brown substance underneath them. The Resident stated, yeah I need to get that out of there. c. On 8/3/23 at 9:45 AM 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.
- Potential for harm · E2023-08-04 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that medications were dated when opened, failed to ensure resident names were on an opened and used insulin pen, and failed to discard expired medication in 3 of 5 medication carts in the facility. The findings include: 1. On [DATE] at 09:14 a.m. observed the medication cart on the 200 hall with a vial of Levemir 100 units/mL (milliliter) vial noted without an opened date on the vial or packaging for Resident #9. Observed an opened and used Ozempic injection pen with no open date noted on the pen or packaging. 2. On [DATE] at 09:23 a.m. the surveyor asked Licensed Practical Nurse (LPN) #1, are insulin vials supposed to be labeled with an open date when opened, and why? Licensed Practical Nurse (LPN) #1 responded, It should have an open and an expiration date, so we know the expiration date, the receive date does not always match up when it was removed from the refrigerator. The surveyor asked, who is responsible for ensuring 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 · D2023-08-04 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure that privacy was maintained during incontinent care for 1 (Resident #105) of 18 (Resident #3, #9, #17, #18, #33, #44, #63, #64, #70, #74, #81, #86, #88, #90, #93, #103, #105, and #110) sampled residents that depended on staff to provide incontinent care. The findings are: On 8/01/23 at 10:57 AM the door opened to Resident #105 room. Observed Resident #105 roommate exiting the room in his wheelchair. Resident #105 was turned to the wall and his buttocks was exposed. Certified Nurse Aide (CNA) #4, and CNA #2 were in the room providing incontinent care. On 8/01/23 at 1:33 PM the surveyor asked CNA #2 can you tell me why the privacy curtain was not pulled while you were providing incontinent care for Resident #105? She stated, Honestly it was a mistake. The surveyor asked, should the privacy curtain be pulled so that Resident #105 was not exposed during incontinent care? She stated, Yes. On 8/01/23 at 1:49 PM the surveyor asked CNA #4, can you tell me why the privacy curtain was not pulled while you were…
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 before2023-08-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, and interview the facility failed to ensure 1 (Resident #70) of 1 sampled resident that depended on staff for positioning was properly positioned in bed. The findings are: Resident #70 had a diagnosis of Alzheimer's disease, and vascular dementia. A Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/25/23 documented that his cognitive skills for decision making were extremely impaired. He required extensive 2-plus persons physical assistance for bed mobility. A review of a care plan for Resident #70, last revised on 2/10/23 revealed the resident requires total assistance by 1 staff member to turn and reposition while in bed and may require assistance of two staff members to move up into bed. On 7/31/23 at 11:43 AM Resident #70 was in bed. His head was against the wall on the left side. On 8/04/23 at 8:49 AM the surveyor asked Certified Nurse Assistant (CNA) #2, Can you tell me how the staff keep Resident #70 head from leaning on the wall? She stated, we have a couple of pillows to help sit him up. We have one pillow under his 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.
- Potential for harm · D2023-08-04 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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 observation, interview, and record review the facility failed to ensure a catheter was secured to prevent the potential for trauma for 1 (Resident #3) of 4 (Resident #3, #17, #18, and #70) sampled residents. The findings are: Resident #3 had a diagnosis of neuromuscular dysfunction of the bladder. A review of a care plan, last revised on 1/20/23 noted a goal that the resident will be/remain free from catheter-related trauma through review date. On 8/03/23 at 8:18 AM Certified Nurse Aide (CNA) #1 provided catheter care for Resident #3. There was no anchor, or strap securing the catheter, to keep the catheter from pulling. On 8/03/23 at 8:19 AM the surveyor asked CNA #1, How do you ensure the catheter is secure, and is not pulled. She stated, The nurses sometimes have a Velcro type strap they put on. On 8/03/23 at 4:06 PM the surveyor asked the Assistant Administrator How is Resident #3 catheter securely anchored to prevent excessive tension on her catheter? She stated, leg strap, and further stated she was not sure why there was no anchor attached to the catheter to prevent…
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 · D2023-08-04 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to ensure a PRN (as needed) medication was reviewed every 14 days for 1 (Resident # 110) of 3 (Resident #26, #103, and 110) sampled residents. The findings are: A review of the mediation records indicated that Resident #110 had an order for Hydroxyzine HCl (an antihistamine) Tablet 10 MG Give 1 tablet by mouth every 4 hours as needed for anxiety. The Hydroxyzine was ordered 5/22/23. A review of Resident #110 Medication Regimen Review for February 2023 through July 2023 did not indicate that the PRN Hydroxyzine was reviewed and failed to reveal a rationale to indicate why she needed to continue the medication. On 8/02/23 03:28 PM the surveyor asked LPN #1, When was the last time did Resident #110 received her prn hydroxyzine? She stated, she hasn't gotten it this month so far. On 8/02/23 at 03:36 PM the surveyor asked Registered Nurse (RN) #1, How often is Resident #110 Hydroxyzine renewed? She stated, I would have to ask my DON I'm new and not sure of policy. On 8/3/23 at 4:00 PM the surveyor asked the Assistant Administrator,…
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.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| METHODIST NURSING HOME OF FORT SMITH, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | 100% | since 01/01/1966 |
| CURRY, MELISSA | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 11/01/2017 |
| DEVERO, SUSAN | Individual | CORPORATE OFFICER | — | since 06/01/2023 |
| DIMENT, BARBARA | Individual | CORPORATE OFFICER | — | since 06/01/2023 |
| DOOLY, BRYANT | Individual | CORPORATE OFFICER | — | since 06/01/2023 |
| SIEBENMORGEN, KENNETH | Individual | CORPORATE OFFICER | — | since 06/01/2023 |
| SHORT, BRADLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2023 |
| KIMBLE, TERRI | Individual | ADP OF THE SNF | — | since 06/01/2023 |
CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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 045413. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-11, 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.