Hickory Heights Health And Rehab, Llc

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.

49.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 66 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 110 beds and averages 105.0 residents a day — about 95% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 4.25 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.90 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 3.49 hrs/resident/day on weekends vs 4.56 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

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

Inspection trend

Deficiencies are 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 · Fcited before2025-08-07 · 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 facility policy review, the facility failed to ensure proper storage of meats to prevent cross contamination, that stored foods were properly covered, and expired food items were promptly removed and discarded on or before the expiration or use by date, for one of one kitchen observed. The findings include: During a tour of the freezer on 08/04/2025 at 11:05 AM, this surveyor and the Dietary Manager (DM) observed the following: a. One box of frozen beef patties and one box of fish fillets, both unsealed and open. b. A metal container on a shelf with multiple bags of chopped greens. This surveyor observed an undated, open bag with two beef patties and an open bag with two pork chops stored in the same metal container. The metal container had a “7/5/25” discard date. The DM stated, “They (raw meats and vegetables) shouldn’t be stored together” and “The meats should have been thrown in the trash.” This surveyor observed the DM throw all food items from the metal container in the trash. c. Two boxes of chicken and four boxes of pork were stored 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-05-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure opened food items in the walk-in refrigerator and walk-in freezer were covered , sealed, and dated to maintain freshness and prevent potential cross-contamination, and lemon juice was stored in the dry storage area in accordance with the manufacturer's instructions for residents who receive meal from 1 of 1 kitchen, failed to ensure dietary staff practiced good and washing techniques to prevent potential cross-contamination of food and clean dishes, failed to ensure hot food items were maintained at the required temperatures on the steam table while awaiting service to prevent potential food borne illness for the residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 103 residents who received meals from the Kitchen. The findings are: 1. On 04/30/24 at 08:46 AM, the following observations were made in the walk-in refrigerator. a. The temperature of the walk-in refrigerator was 55…

  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 · E2024-05-03 · 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, interview and record review, the facility failed to ensure dignity was maintained for 2 (Residents #10 and #90) and privacy was maintained for 1 Resident #90 when caring for the Residents. The findings are: Resident #10 had a diagnosis of Spastic Quadriplegic Cerebral Palsy as documented on an Order Summary. An Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/19/24 documented the resident had a Brief Interview for Mental Status (BIMS) score of 15 (13-15= cognitively intact), had functional limitation in range of motion on both sides in upper and lower extremities and was dependent for upper and lower body dressing. A Care Plan, last dated 4/25/24, documented Resident #10 had an Activities of Daily Living (ADL) self-care performance deficit related to diagnosis process and contractures and was dependent on staff for personal hygiene. On 04/30/24 at 12:07 PM, Certified Nursing Assistant (CNA) #3 was in Resident #10's room and Resident had been put back to bed after receiving a shower. Resident #10 was in bed, awake and the privacy…

  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 · E2024-05-03 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure personal hygiene as related to proper nail care was provided for 3 of 3 Residents (Resident #2, #42, #73) reviewed for activities of daily living. A. Resident #2's Care Plan identifies Resident #2 to have an ADL (Activity of Daily Living) self-care performance deficit r/t Dementia, Limited Mobility, weakness Date Initiated: 03/13/2023. Intervention/task: Personal Hygiene: substantial/max. Date Initiated: 12/07/2023. B. Resident #2 has impaired cognitive function BIMS (Brief Interview for Mental Status) score related to dementia. Date Initiated: 03/13/2023. C. MDS (Minimum Data Set) dated March 07, 2024, reflects Resident's has a BIMS of 3. BIM scores of 00 - 07 Severely Impaired. The findings are: 1. On 04/30/24 at 02:20 PM, Resident #2's fingernails were partially painted, long, chipped, with dark brown substance under the nails, and brown substances smeared over and around 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
• Potential for harm · E2024-05-03 · 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, the facility failed to ensure a medication error rate of less than 5%. Observations revealed there were 5 of 26 medications not administered in accordance with physician's orders for 3 (Residents #3, #10 and #35) of 4 residents, resulting in a medication error rate of 19.23%. The findings are: 1. Resident #10 had a diagnosis of Spastic Quadriplegic Cerebral Palsy. a. An Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/19/24 documented the resident had a Brief Interview for Mental Status (BIMS) score of 15 (13-15= cognitively intact) and had functional limitation in range of motion on both sides in upper and lower extremities. b. An Order Summary documented resident #10 had the following medication orders: 1. 1. Polyethylene Glycol Powder 34 gram by mouth one time a day 2. Senna Tablet 8.6 mg (milligrams) give 2 tablets by mouth one time a day. c. On 5/2/24 at 09:07 AM, Licensed Practical Nurse (LPN) #2 was at the 300-hall medication cart and was observed preparing medications for Resident #10. She took out…

  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 · Ecited before2024-05-03 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure 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 that meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 9 residents who received pureed diets from 1 of 1 kitchen, according to a list provided by the Administrator on 04/30/2024 at 11:05 AM The findings are: 1. The menu for lunch documented that the residents who received pureed diets were to receive 2 #8 scoops (1 cup) of spaghetti with meat sauce, a #16 scoop (1/4 cup) of pureed bread, and a #8 scoop (1/2 cup) of pureed vegetable blend. 2. On 04/30 /2024 at 012:43 PM, the following observations were made during the noon meal service. a. On 04/30/24 at12:43 PM Dietary Employee (DE) #3 used a #8 scoop (1/2 cup) to serve a single portion of pureed spaghetti to 5 residents who are on a regular puree diet, instead of 2 #8 scoops (1 cup) and served 2#8 scoops of pureed spaghetti to 4 residents who are on double portion diets, instead of 4#8 scoops (2 cups) for being…

  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 before2024-05-03 · 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 that pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 9 residents who received pureed diets, as documented on the list provided by the Administrator on 05/01/2024 at 11:05 AM The findings are: 1. On 04/30/24 11:46 AM Dietary Employee (DE) #3 used #8 scoop to place 13 servings of cut green beans into a blender and pureed. At 11:49 AM Dietary Employee (DE) #3 poured the pureed cut green beans into a pan, added thickener, and stirred it with a spoon. The consistency was thick. 2. On 04/30/24 at 12:26 PM Dietary Employee (DE) #3 used #6 scoop to place 10 servings spaghetti with meat sauce into a blender and pureed. At 12:29 AM Dietary Employee (DE) #3 poured the pureed spaghetti with meat sauce into a pan and placed it on the steam table. The consistency was chunky. There were pieces of noodles and meat visible in the mixture. 3. 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-03 · 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 observation, interview and record review, the facility failed to ensure staff performed hand hygiene between changing gloves and before leaving a room after assisting with care for 1 (Resident #10) of 1 sampled resident who was reviewed for infection control; failed to ensure staff performed hand hygiene before and between passing meal trays to residents and before and between administering medications to residents. The findings are: 1. Resident #10 had a diagnosis of Spastic Quadriplegic Cerebral Palsy as documented on an Order Summary. a. An Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/19/24 documented the resident had a Brief Interview for Mental Status (BIMS) score of 15 (13-15 cognitively intact), had functional limitation in range of motion on both sides in upper and lower extremities and was dependent for upper and lower body dressing. b. A Care Plan, last dated 4/25/24, documented Resident #10 had an Activities of Daily Living (ADL) self-care performance deficit related to diagnosis process and contractures and was dependent on staff…

  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 · D2024-05-03 · 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 observations, interviews, and record review the facility failed to ensure resident with limited range of motion (ROM) received care and services to prevent any further decrease in ROM for one (Resident #19) who was reviewed for position/mobility. The findings are: On 4/30/24 at 9:56 AM, observed Resident #19 lying in bed with left hand contracted and no device in place. On 4/30/24 at 3:10 PM, observed Resident #19 up in chair with contracted left hand and no device in place. On 5/1/24 at 12:34 PM, observed Resident #19 up in dining room in chair with left hand contracted and no device in place. Resident #19's Care Plan identifies Resident #19 to have an ADL (Activity Daily Living) self-care performance deficit related to cardiovascular accident with hemiplegia Date Initiated: 12/23/2019. Resident #19 has impaired cognitive function BIMS (Brief Mental Status Score) score related to cardiovascular accident and schizophrenia. Date Initiated: 03/28/2024. MDS (Minimum Data Set) dated March 28, 2024, reflects Resident has a BIMS of 03. BIM scores of 00 - 07 Severely Impaired.…

  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 before2024-05-03 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  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 observations and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. The findings are: On 04/30/24 at 10:01 PM, observation rounds were made on the men's secured unit. The entire length of the wall, 15 feet, has peeling paint and gouged areas of drywall approximately 7 from the floor. The walls of the dining room, of the men's secured unit, has several areas with the paint chipping off and holes in the drywall of the walls. A large hole is in the drywall near the window where a resident dining table sits and where residents eat their meals. This hole measures 4 1/2 X 2; there is a second large hole beside a second dining table where the residents eat their meals which measures 6 X 4; on the wall where the med-room window is located is a large area of peeling paint just under the med-room window. This is a central area where the residents gather and sit for activities and meals. This area measures 23 X 17 in diameter; another area of dry wall has been gashed out measuring 2X 1.25 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.

  Environmental 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 8 rows in the source record cover these 7 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 $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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