Lake Hamilton Health And Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.7% 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 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 32.4% 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 71 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 84 beds and averages 75.4 residents a day — about 90% occupied, or roughly 9 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 4.20 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.75 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 3.23 hrs/resident/day on weekends vs 4.59 on weekdays — 30% thinner on weekends — a notable drop. RN hours go from 0.32 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · Ecited before2025-05-21 · 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 observations, interviews, record review, and facility policy review, it was determined that the facility failed to ensure that privacy was provided while providing care to maintain dignity for 2 (Resident #8 and #57) of 2 sampled residents observed for personal care. The findings include: 1. A review of the modified admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/24/2025, revealed Resident #8 had a Brief Interview of Mental Status (BIMS) score of 05, which indicated severely impaired cognition. a. A review of a Care Plan Report (initiated date 05/19/2025), revealed Resident #8 had an Activities of Daily Living (ADL) self-care performance deficit related to impaired balance and limited mobility. b. During an observation on 05/19/2025 at 6:25 PM, this surveyor observed Licensed Practical Nurse (LPN) #6 pull Resident #8 ' s covers back, pull the resident ' s underwear down, and place the resident on a bedpan, with the door to the resident ' s room open, the privacy curtain was not drawn. The exposed resident was visible to passersby in the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure 1 of 1 ice machine was maintained in a sanitary condition; expired food items were promptly removed / discarded on or before the expiration or use by date; food stored in the freezer was covered; the refrigerator temperature and cold dairy products were maintained at 41 degrees Fahrenheit or below; and dietary staff washed their hands between tasks for 1 of 1 meal observed. The findings are: 1. On 05/20/2025 at 9:29 AM, the ice machine was checked. The area of the ice machine where ice formed, before dropping into the ice collector, had a grayish residue on the left side, and a black residue on the right side. The area was pointed out to the Dietary Manager (DM), who wiped the substance away. During an interview with the DM, she was asked to describe the appearance of what she had wiped off, on the left and the right sides of the ice machine. She stated, It was mold. She was asked how often the ice machine was cleaned and who used ice from the ice machine. The DM stated she cleaned the ice…

  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 · E2025-05-21 · tag F0880 — failed to prevent and control infections — pattern
  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 observations, interviews, record review, and facility policy review, it was determined that the facility did not ensure Enhance Barrier Precautions (EBP) were implemented and followed; that staff used proper hand hygiene during incontinence care; and/or that staff wore proper Personal Protective Equipment (PPE) when care was provided, for 3 (Resident #8, #42, and #226) of 3 residents reviewed for EBP or Transmission Based Precautions (TBP). The findings include: 1. A review of the modified admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/24/2025, revealed Resident #8 had a Brief Interview of Mental Status (BIMS) score of 05, which indicated the resident had severely impaired cognition. The MDS also indicated Resident #8 had one or more unhealed pressure ulcers/injuries. a. A review of Care Plan Report (revision date 05/19/2025) indicated Resident #8 had an unstageable pressure injury to the sacrum, and Resident #8 (revision date 05/14/2025) had Vancomycin-Resistant Enterococci in their urine and was on strict contact isolation. (Vancomycin…

  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 · D2025-05-21 · 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, interview, record review, and facility policy review, it was determined that the facility did not ensure there was a device in place to prevent further contracture and/or skin breakdown for 1 (Resident #59) of 1 resident sampled for mobility. The findings include: A review of the quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/20/2025, revealed Resident #59 had a Staff Assessment of Mental Status (SAMS) that indicated the resident had short-term and long-term memory problems. The MDS also revealed Resident #59 had bilateral impairment to upper and lower extremities. A review of the Care Plan Report (initiated date 11/16/2023) revealed Resident #59 had contractures to bilateral hands. The interventions included to apply a finger separator to bilateral hands continuously as tolerated. Resident #59 had the potential for pressure ulcer development related to immobility, severe contracture of hands, and being non-verbal. The Care Plan also revealed Resident #59 had a stage 3 wound to the left ring finger, which was resolved on…

  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 · Fcited before2024-04-12 · 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, interview and policy review, the facility failed to ensure food items stored in the freezer were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, manufacturer specification was followed to prevent the potential for borne illness for residents who received meals from 1 of 1 kitchen, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; These failed practices had the potential to affect 73 residents who received. meals from the kitchen, (total census:74). The findings are: 1. On 04/10/2024 at 11:10 AM, the following food items on a shelf in the walk-in freezer did not have an open date on them: a. An opened box of biscuits. b. An opened box of cheese omelet. c. An opened box of chocolate chip cookies. d. An opened box of bread sticks. The box was not covered or sealed. e. An opened box of chicken and cheese tortillas filling. f. An opened box of breaded beef. g.…

  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 · Ecited before2024-04-12 · tag F0656 — failed to write and follow a full care plan — pattern
  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

  Based on observation, interview and record review, the facility failed to develop care plans to address a resident receiving antibiotics for prevention of recurring urinary tract infections for 1 (Resident #34) sampled resident, a resident was receiving anticoagulants for 1 (Resident #22) sampled resident, and a resident was receiving insulin for 1 (Resident #68) sampled resident to ensure appropriate coordination of care. This failed practice had the potential to affect 3 residents that were receiving antibiotics for prevention of recurring urinary tract infections, 27 residents that were receiving anticoagulant medication and 10 residents that received insulin. The findings are: 1. Resident #34 had diagnoses of Non-Alzheimer's dementia and Urinary tract infection. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/10/2023 documented that the resident scored 9 (8-12 indicates moderately cognitive impaired) on a Brief Interview for Mental Status (BIMS). a. On 04/11/2024 at 03:15 PM, the Surveyor reviewed the Care Plan with an initiation date 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-12 · 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 ensure stock narcotics were counted, and accurately documented when received from the pharmacy to ensure the correct count was on hand and to prevent misappropriation of resident medications and ensure accurate documentation in the narcotic book to prevent the potential for medication errors. This failed practice had the potential to affect 74 residents receiving medications in the facility. The findings are: a. On 04/10/2024 at 01:12 PM, the Surveyor asked what is kept in the refrigerated narcotic box and Licensed Practical Nurse (LPN) #2 confirmed the following stock medications were in the emergency kit. 1. 5 - Ativan 2mg/ml (milligram/milliliter) oral solution syringes 2. 1 - Ativan injectable 2mg/ml vial b. On 04/10/2024 at 02:02 PM, the Surveyor asked LPN #2 to locate the stock Ativan in the narcotic book. LPN #2 turned to page 7 and confirmed there were 5 syringes of 2mg/ml Ativan oral concentrate. The Surveyor asked LPN #2 to count the 2mg syringes and LPN #2 confirmed there were 5 syringes. 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-12 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, it was determined that the facility failed to ensure the medication error rate was less than 5%. Physician orders were not followed for 2 (Resident #67 and #229) of 3 residents reviewed for Medication Administration. Medications were observed with 2 errors in 34 opportunities, resulting in a medication error rate of 5.88%. The findings include: A review of a facility policy titled, Medications, Nose Drops, Instillation of, dated 11/22/2016, indicated, Instill medication in the amount ordered. A review of Medication Administration Record, revealed Resident #229 had an order for Calcium plus Vitamin D3 500-15 mg-mcg (milligram-microgram). Give one tablet by mouth one time a day. A review of the Medication Administration Record, revealed Resident #67 had an order for Fluticasone Propionate Nasal Suspension 50 mcg/act (microgram/action). One Spray in each nostril two times a day. During an observation on 04/11/2024 at 08:09 AM, Licensed Practical Nurse (LPN) #1 administered Calcium with Vitamin D 600 mg 10 mcg, 1 tablet by mouth. During…

  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 · E2024-04-12 · 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

  Based on observation, interview and record review, the facility failed to ensure medications were not stored at the bedside for residents without self-administration rights approved by the Interdisciplinary team. This failed practice had the potential to affect 3 (Residents #22, #26, #68) sampled residents and 23 residents that ambulate and/or self-propel on 100 and 200 Halls. The facility failed to ensure licensed staff remained at the bedside during updrafts to ensure residents received the complete dose affecting 1 (Resident #226) of 3 sampled on 100 Hall getting updrafts. The facility failed to ensure refrigerated narcotics were stored in a permanently affixed storage box to ensure no misappropriation of resident medications affecting all 74 residents in the facility. The findings are: 1.a. The order summary for Resident #226 (dated, 04/03/2024) documented, .Albuterol Sulfate HFA Inhalation Aerosol Solution 108 (90 Base) MCG/ACT (microgram/action) (Albuterol Sulfate) 2 puff inhale orally every 6 hours as needed for shortness of breath related to SHORTNESS OF BREATH . b. 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
• Potential for harm · E2024-04-12 · 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, interview and record review, the facility failed to ensure meals were served in a method that maintained the appearance of cold products and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 15 residents who received meal trays in their rooms on the 100 Hall, 25 residents who received meal trays on the 200 Hall, 17 residents who received meal trays in their room on the 300 Hall, and 17 residents who received meal trays on the 400 Hall. The findings are: 1. On 04/11/2024 at 07:39 AM, an unheated food cart that contained 25 trays for breakfast was delivered to the 200 Hall by Certified Nursing Assistant (CNA) #1. At 07:52 AM, immediately after the last resident was served in their room on the 200 Hall, the temperature of the food items on the tray used as a test tray were taken and read by the Dietary Supervisor with the following results. a. Ground sausage with gravy - 116 degrees Fahrenheit. b. Scrambled eggs - 109…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CENTRAL ARKANSAS NURSING CENTERS — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR