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Lonoke Health And Rehab Center, LLC

1501 Lincoln Street, Lonoke, AR 72086 · For profit - Limited Liability company · 80 certified beds · (501) 676-2600 Medicare & Medicaid certified

Call the home — (501) 676-2600 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0568)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0568)
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • nursing-staff turnover (60%) runs well above the national median (45%)
  • about 20% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

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

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
305 W Front St · (501) 676-7166 · Call to confirm hours
Pharmacy
115 W Front St · (501) 676-2247 · Call to confirm hours
Grocery
903 W Front St · (501) 676-2815 · Call to confirm hours
Park
401 Park St · (501) 676-6533 · Typically dawn to dusk
Place of worship

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 5 of 5
Long-stay residentspeople who live here 5 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 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased7.7%9.5%15.4%better
Long-stay residents who lose too much weight10.8%4.3%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.6%0.9%better
Long-stay residents with a urinary tract infection0.4%1.2%2.0%better
Long-stay residents with depressive symptoms0.0%1.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.8%3.9%3.3%better
Long-stay residents whose ability to walk worsened11.3%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication17.6%21.7%18.9%typical
Long-stay residents given the seasonal flu vaccine98.6%96.1%95.3%typical
Long-stay residents with pressure ulcers3.7%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control5.5%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table4.0%10.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine97.3%77.7%79.4%better
Short-stay residents rehospitalized after admission17.0%24.1%22.6%better
Short-stay residents with an outpatient ER visit10.9%12.5%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.432.011.67worse
Long-stay outpatient ER visits per 1,000 resident days2.152.131.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

42.2% 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 48 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

42.2%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
64.0%U.S. median 56.6%
Met the expected recovery
0.05U.S. median 0.31
Therapy hours / resident / day
0.02hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy

Met the expected recovery: 64.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 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 0.05 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF42.2%CMS range 28.8–54.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 8.6–18.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge64.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge64.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot 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 stay8.8%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.2%CMS range 5.0–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.051.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.31
RN hours/ resident / day
0.99
LPN hours/ resident / day
2.87
Aide hours/ resident / day
4.17
Total nurse hours/ resident / day
0.21
RN hoursweekends
60.2%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 80 beds and averages 65.5 residents a day — about 82% occupied, or roughly 14 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.17 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 2.87 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 3.50 hrs/resident/day on weekends vs 4.44 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% 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

0
deficiencies at the latest standard inspection (2026-01-08)
15
at the previous standard inspection (2024-07-25)

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.

ABCDEFGHIJKL

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

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

  • Potential for harm · E2024-07-25 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 record review and interview, it was determined the facility failed to ensure the minimum data set (MDS) accurately reflected on section A1500 the preadmission screening and assessment resident record (PASRR) a serious mental illness and/or intellectual disability affecting 2 (Residents #4 and #44) sampled residents with a level II PASRR. The findings are: 1. Review of the Medical Diagnosis revealed Resident #4 has a diagnoses of respiratory failure, schizophrenia, and psychotic disorder. a. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/19/2024 suggested a Brief Interview for Mental Status (BIMS) score of 15 (13-15 indicates cognitively intact). b. Per record review on 07/23/24 at 10:00 AM, the admission Minimum Data Set (MDS) from 02/19/2024, section A1500 revealed resident does not have a mental health or intellectual disability, and admission MDS with an ARD of 06/07/2016 showed Resident #4 has a level II PASRR. c. On 07/24/24 at 8:25 AM, LPN #14/ MDS Nurse…

    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 · E2024-07-25 · 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 record review and interview, the facility failed to develop a comprehensive care plan for 2 (Resident #26 and #44) of 3 sampled residents to ensure residents received appropriate care. The findings are: 1. A review of medical diagnosis revealed Resident #44 had diagnoses of major depressive disorder, bipolar, and schizophrenia. a. The Quarterly minimum data set (MDS) with an assessment reference date (ARD) of 05/11/2024 suggested a brief interview for mental status (BIMs) score of 4 (0-7 indicates severe cognitive impairment). b. A review of a Physicians Order dated, 02/06/2024 Novolin R Injection Solution 100 UNIT/ML (Insulin Regular (Human) Inject subcutaneously before meals and at bedtime related to type II diabetes mellitus with hyperglycemia c. A review of a Physicians Order dated, 03/04/2024 Trulicity Subcutaneous Solution Pen-injector 1.5 MG/0.5 ML (Dulaglutide) Inject 1 dose subcutaneously one time a day every Monday related to type II diabetes mellitus with hyperglycemia. Leave needle inserted for 5 to 10 seconds until hear 2nd click. d. During an interview with…

    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 · E2024-07-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, it was determined the facility failed to properly lift and lower residents with the legs open on a mechanical lift for 1 (Resident #28). The findings are: 1. Record review of Medical Diagnosis for Resident #28 revealed diagnoses of polyneuropathy, heart failure, and major depression disorder. a. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/18/2024 suggested a Brief Interview for Mental Status score of 14 (13-14 indicates cognitively intact). Section GG0110 does not indicate resident requires a mechanical lift, and the Quarterly MDS with an ARD of 07/19/2024 is not complete. b. A review of Care Plan for Resident #28 indicated, .Resident #28 has an ADL self-care performance deficit related to unsteadiness on feet (Revised, 05/06/2024) . TRANSFER: The resident requires Mechanical Lift .with 2 staff assistance for transfers . c. On 07/22/2024 at 12:31 PM, Resident #28 was observed resting in a lift pad hoovering above the bed in a mechanical lift with the lift's legs in the closed position. Certified…

    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 · E2024-07-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide 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 observations, interviews, and record reviews the facility failed to ensure that 2 (Resident #14 and #17) sampled resident received peri care in a manner that was sanitary to promote good hygiene and/or prevent infection. The findings include: 1. A review of Medical Diagnosis revealed Resident #17 had a diagnosis of dehydration and Methicillin Resistant Staphylococcus Aureus Infection. a. A review of Resident #17's Care Plan (revision date 03/30/2023) revealed the resident had bowel and bladder incontinence related (r/t) immobility. b. A review of Annual Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 02/24/2024 revealed Resident #17 scored 15 indicating cognitive intact and Resident frequently had urinary incontinence and always incontinence of bowel. c. On 07/23/2024 at 1:05 PM, the Surveyor observed Certified Nursing Assistant (CNA) #1 and #2 did not use proper technique while providing perineal care to Resident #17 and did not use supplies in the correct manner to promote cleanliness. d. On 07/23/2024 at 1:50 PM, CNA #2 voiced she did not know if she…

    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 · E2024-07-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, it was determined that the facility failed to ensure oxygen was administered at the physician ordered rate for 2 (Resident #26 and #50) residents to prevent respiratory complications. The findings include: 1. A review of Medical Diagnosis for Resident #26 reveals diagnoses of stroke, metabolic encephalopathy, and anxiety. a. The significant Minimum Data Set (MDS) with an assessment reference (ARD) date of 06/18/2024 with a brief interview for mental status (BIMS) score of 00 (0-7 suggest severe cognitive impairment). Section O0110 showed resident is on oxygen. b. A review of the Order Summary reveals .dated, 06/28/2024 Oxygen at 2 liters via nasal cannula as needed for shortness of breath. c. On 07/22/2024 at 12:11 PM, Resident #26 was observed on 3 liters of oxygen. d. On 07/22/2024 at 2:45 PM, Resident #26 observed resting quietly on 3 liters nasal cannula. e. On 07/23/2024 at 11:48 AM, the Surveyor observed oxygen concentrator was set on 3 liters. f. On 07/23/2024 at 11:54 AM, Licensed Practical Nurse (LPN) #17 accompanied 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 · E2024-07-25 · 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 record review and interviews, the facility failed ensure the system used for records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation was implemented for one (Resident #33) sampled resident. The findings include: A review of diagnosis Resident #33 had a diagnosis of chronic pain. A review of the physician's orders Resident #33 had an order for Hydrocodone-Acetaminophen 10-325 milligram (MG) an opioid used to manage pain. A review of Resident #33's Care Plan (revision date 11/23/2020) revealed Resident #33 had a diagnosis of chronic pain, and behaviors were potentially present when the resident has a higher level of pain. A review of an annual Minimum Data Set (MDS) with the Assessment Reference Date (ARD) 05/18/2024 revealed Resident #33 scored 11 on Brief Interview of Mental Status (BIMS) indicating moderately impaired cognition, and Resident #33 was taking a medication classified as an opioid. On 07/23/24 at 10:06 AM, the Surveyor completed a random reconciliation of controlled medications with Licensed Practical…

    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 before2024-07-25 · 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 meals were prepared and served according to the planned written quantified recipe and menu to meet the nutritional needs of the residents for 2 of 2 meals observed. This failed practice had the potential to affect 10 residents who received pureed diets and 17 residents who received enhanced food diets from 1 of 1 kitchen according to a list provided by the Dietary Manager on 07/23/2024 at 1:33 pm. The findings are: 1. The menu for lunch documented the residents who received pureed diets were to receive 1 #8 scoops (1/2 cup) of vegetable blend, #16 scoop (1/4 cup) of pureed bread, #8 scoop (1/2 cup) of pureed cake, #8 scoop (1/2 cup) of strawberry topping. 2. The menu for breakfast 07/23/2024 documented that residents who received pureed diets were to receive pureed purred hot cereal, #16 scoop (1/4 cup) of pureed biscuit/toast. 3. On 07/22/2024, the facility recipe for angel food cake puree documented for 10 residents: use 10 squares 2/3 inches, 1.25 cup 2% milk, 2 tablespoons and 1.5 teaspoons of food…

    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 · E2024-07-25 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained the nutritive value and flavor 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 9 residents who receive pureed meal trays from 1 of 1 kitchen. The findings are: 1. On 07/22/2024 the facility recipe for angel food cake puree documented for 10 residents: use 10 squares 2/3 inches, 1.25 cup 2% milk, 2 tablespoons and 1.5 teaspoons of food thickener. Note states: amount of thickener required may vary relative to liquid content of cooked product. For best results, alternate adding thickener with processing, checking product consistency periodically. A) On 7/22/2024 at 11:18 AM, Dietary [NAME] #3 placed 13 pieces of angel food cake into blender. Dietary [NAME] #3 added half and half to the angel food cake in blender, without measuring half and half. Recipe calls for 1.25 cup of 2 milk and 2 tablespoons + 1.5 teaspoons of thickener. When…

    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 · E2024-07-25 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for 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 diet. The findings are: The following observations were made during lunch and breakfast meal services. 1. On 07/22/24 at 11:18 AM, Dietary [NAME] #3 placed 13 small pieces of cake (1 inch each) and added 6 spoons of strawberries, 1/2 cup of thickener and purred. At 11:20 AM, another 1/2 cup of thickener was added and pureed. At 11:22 AM, Dietary [NAME] #3 used number 10 scoop to scoop pureed desert into 11 bowls. The consistency of pureed desert was thick with pieces of strawberries throughout. 2. On 07/22/24 at 11:53 AM, Dietary [NAME] #3 used #10 to place 6 servings of vegetable blend with plenty of juice into blender, added two cups of tap water, added 1/4 cup of thickener, pureed. Added another 1/4 cup of thickener and pureed. At 11:55 AM, she…

    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 before2024-07-25 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure dirty trash cans were stored away from the food storage racks to prevent potential cross contamination, to ensure the ice machine and ice scoop were maintained in clean and sanitary condition to prevent potential growth of harmful bacteria that could be transferred to the residents food, failed to ensure opened food items in the refrigerator, freezer, and storage room were covered, sealed, and dated to maintain freshness and prevent potential cross contamination, that expired food items foods were promptly removed from stock to maintain freshness and prevent potential cross contamination, failed to ensure dietary staff practiced good hand washing techniques to potential cross contamination of food and clean dishes, and failed to ensure hot food item was maintained at the required temperature on the stove and serving line to prevent potential foodborne illness. This failed practice had the potential to affect 71 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · Ecited before2024-07-25 · 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 and record reviews, the facility failed to ensure staff used proper hand hygiene while providing peri care to 1 (Resident #17) sampled resident. The facility failed to provide hand hygiene during meal service to prevent cross contamination for 3 sampled (Residents #16, #24, #66). The findings include: A review of medical diagnosis revealed Resident #17 had diagnoses of dehydration and methicillin resistant staphylococcus aureus infection. A review of Resident #17's Care Plan (revision date 03/30/2023) revealed bowel and bladder incontinence related to immobility. A review of the Annual Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 02/24/2024 revealed Resident #17 scored 15 on a Brief Interview for Mental Status (BIMS) indicating cognitively intact and that Resident #17 frequently had urinary incontinence and always incontinence of bowel. On 07/23/24 at 01:05 PM, the Surveyor observed Certified Nursing Assistant (CNA) #2 did not use proper hand hygiene while providing perineal care to Resident #17 and contaminated furniture 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-25 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record reviews the facility failed to ensure quarterly statements were provided to residents who are their own trust account representative and to properly record each transaction for one (Resident #28) sampled resident. This practice has the potential to affect 20 sampled residents. The findings are: On 07/22/2024 at 2:18 PM, Resident #28 informed the surveyor that quarterly bank statements are not provided, and the facility handles Resident #28's funds. On 7/24/2024 at 7:43 AM, the Administrator provided trust transaction history for dates of 4/4/2024 through 7/17/2024 which shows 4/16/2024 Cash Withdrawal (for) $50.00 dollars The Administrator was unable to provide a receipt for the transaction. On 7/24/2024 at 10:30 AM, the Administrator provided receipts for Resident #28 which shows 5/31/2024 Receipt #314463 was written to Resident #28 for $20.00. This withdrawal was not on the trust transaction history. On 07/24/2024 at 2:43 PM, the Director of Nursing (DON) confirmed the Business Office Manager does not keep individually acknowledged quarterly…

    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 · D2024-07-25 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews the facility failed to ensure resident's personal and medical records were protected. This failed practice had the potential to affect all 75 residents. The findings include: On 07/24/24 at 10:00 AM, the Surveyor observed an unattended laptop computer with the screen unlocked with the resident's profile. The Surveyor was able to see the resident's name, room number, date of birth , age, physician's name, allergies, code status, vital signs including weight, and orders on the screen. On 07/24/24 at 10:14 AM, Licensed Practical Nurse (LPN) #15 voiced the resident's name and date of birth was displayed on the screen. LPN #15 confirmed someone obtain the resident's information, such as the date of birth . On 07/24/24 at 2:30 PM, the Director of Nursing (DON) said nurses should make sure the medication carts are locked, computer screen are locked, and there is no medications left on top of the cart prior to walking away. DON confirmed if the computer screens are left unlocked information can be seen by other residents, family members,…

    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 · D2024-07-25 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, it was determined that the facility failed to incorporate the PASRR level II evaluation into the care plan of 2 of 2 sampled (Resident #4, and Resident #44) to ensure residents received any recommended services. The findings are: 1. Per review of the Medical Diagnosis revealed Resident #4 has a diagnoses of respiratory failure, schizophrenia, and psychotic disorder. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/19/2024 suggested a Brief Interview for Mental Status (BIMS) score of 15 (13-15 indicates cognitively intact). a. On 07/24/24 at 8:35 AM, during an interview the Administrator confirmed that Resident #4 has a level II PASRR. b. During an interview on 07/24/2024 at 11:45 AM, the MDS Nurse was asked to check the care plan and she confirmed Resident #4's Level II PASRR was not documented on the care plan, and confirmed she cannot find the level II evaluation. The MDS Nurse confirmed she is responsible for coding to the MDS, but the Business Office Manager (BOM) receives the Level II…

    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 · D2024-07-25 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviews, the facility failed to implement interventions put in place to prevent weight loss. The findings include: A review of physician's orders for Resident #14 revealed an order for thickened vegetable juice, creamed soup, and fortified potatoes with lunch and dinner. A review of Resident #14 Care Plan (initiate date 11/02/2023) revealed that Resident#14 had an unplanned/unexpected weight loss related to acute illness and diuretic use. Resident #14 (revision on: 03/28/2024) had nutritional problem or potential nutritional problem related to acute illness. A review of nutrition assessment (completed date 07/10/2024) noted Resident #14 was to have the following supplements: creamed soup, vegetable juice, boost and fortified potatoes. A review of Quarterly Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 07/05/2024 revealed Resident #14 scored 08 indicating severe cognitive impairment and Resident #14 was a loss of 5% or more in the last month or loss of 10% or more in last 6 months not on physician-prescribed weight-loss…

    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 before2023-06-29 · 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 and interview, the facility failed to ensure food items stored in the refrigerator and freezer were covered and sealed; leftover food items were prepared and used to maintain food quality; dietary staff washed their hands when contaminated to decrease the potential for food borne illness for residents receiving food from 1 of 1 kitchen; 1 of 2 ice scoop holders and 1 of 2 ice machines were maintained in a clean and sanitary condition 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. The failed practices had the potential to affect 64 residents who received meals from the kitchen (total census: 69) as documented on a list provided by the Dietary Supervisor on 06/29/23 at 8:33 AM. The findings are: 1. On 06/27/23 at 9:28 AM, the following observations were made on a shelf in the walk-in refrigerator. a. An opened box of sausage was not covered or sealed. b. A ziplock bag that contained a leftover mixture of ground sausage and whole…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-29 · tag F0693 — failed to provide proper feeding-tube care — pattern
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 the enteral feeding bag and the water flush bag were dated and timed for 2 Residents, (Residents #4 and #25) and failed to ensure proper procedure was followed when attempting to resolve clogging prior to water flush and medication administration for 1 (Resident #22) of 3 (Residents #4, #22 and #25) sampled residents who received tube feedings according to a list provided by the Director of Nursing (DON) on 06/28/23 at 1:06 PM. The findings are: 1. On 06/27/23 at 10:01 AM, observed Resident #25 lying in bed with the head of bed elevated. A feeding pump was running at 85 milliliters (ml) per hour with a water flush at 45 ml every hour. Neither bag was labeled with the date or time when started. a. On 06/28/22 at 3:00 PM, a review of the Medical Record revealed Resident #25 had a Physicians Order dated 06/15/23 which documented the resident was to receive Diabetisource AC @ (at) 85 ml/hr (milliliters per hour) continuous via peg (percutaneous endoscopic gastrostomy) tube x (times) 8 hours from 2200-0600…

    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 · Ecited before2023-06-29 · 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 meals were prepared and served according to the planned written quantified recipe and menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 10 residents who received pureed diets from 1 of 1 kitchen according to a list provided by the Dietary Supervisor on 06/28/23. The findings are: 1. The menu for lunch documented the residents who received pureed diets were to receive 2 #8 scoops (1 cup) of pureed spaghetti with a tablespoon of parmesan cheese and for all residents to receive a slice of bread each. 2. The facility quantified recipe documented for 10, 8 ounce, servings of spaghetti with meat sauce the following: 1. Prepare according to regular recipe. Food thickener bulk 2 tablespoon plus 1½ teaspoon. Stock beef/soup base 1¼ cup. 2. Prepare slurry. 3. Process until smooth adding 1 oz slurry per portion. 3. On 06/27/23 at 11:44 AM, during the noon meal preparation Dietary Employee (DE) #2 used a #8 scoop (4-ounce or 1/2 cup) to…

    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 · D2023-06-29 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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 call light was within reach for 1 (Resident #25) of 5 (Residents #4, #25, #46, #49 and #62) sampled residents who resided on the 100 Hall and had the ability to utilize their call lights according to a list provided by the Administrator on 06/29/23 at 9:50 AM. The findings are: 1. On 06/27/23 at 10:50 AM, observed Resident #25 lying in bed. The Surveyor asked if she could locate her call light. She began to move her hand around on top of the blanket attempting to locate the call light. At this time her roommate stated, I told them that since she can only use one hand, to tie the call light to the string hanging from the light so she could find it, but they never did do it. The call light cord extended from the wall connection down below the edge of the bed. The call light was located between the wall and the bed that prevented the resident from accessing it. 2. On 06/28/23 at 2:55 PM, observed Resident #25 sitting up in her bed. The Surveyor asked her to locate her call light. Resident #25 used her…

    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 · Dcited before2023-06-29 · tag F0880 — failed to prevent and control infections — isolated
    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, record review and interview, the facility failed to ensure staff followed standard precautions for infection control during medication administration via peg tube to prevent potential spread of infection for 1 (Resident #22) of 3 (Residents #4, #22, and #25) sampled residents who received medications via peg tube according to a list provided by the Director of Nursing (DON) on 06/28/23 at 1:06 PM. The findings are: a. On 06/27/23 at 12:33 PM, observed Licensed Practical Nurse (LPN) #1 enter Resident #22's room holding two clear cups, one with clear liquid, the other with light yellow colored liquid substance. LPN #1 spoke to Resident #22 about giving her medications. The Surveyor asked LPN #1 what medications were mixed in the clear cup. LPN #1 answered, Acidopihilus, Metoprolol, Lactulose, and Reglan are mixed in the water. That's why it's that yellowish color. The Surveyor observed LPN #1 place the 2 cups, onto the floor at the head of the resident's bed. There was no bedside table on Resident #22's side of the room. b. The Surveyor observed LPN#1 pick up 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to 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 →

RatingThis homeChain avg
Overall 5 of 53.6+1.4 vs chain
Health inspection 4 of 53.2+0.8 vs chain
Staffing 3 of 53.3-0.3 vs chain
Quality measures 5 of 54.2+0.8 vs chain
The other 37 homes this chain runs (chain average 3.6★, per CMS)
1 of 5Alma Nursing and RehabAlma, AR 1 of 5Jamestown Nursing And Rehab, LLCRogers, AR 2 of 5Apple Creek Health And Rehab, LLCCenterton, AR 2 of 5Belvedere Nursing And Rehabilitation Center, LLCHot Springs, AR 2 of 5Colonel Glenn Health And Rehab, LLCLittle Rock, AR 2 of 5Highlands Of Bella Vista Health & Rehab, LLCBella Vista, AR 2 of 5Innisfree Health And Rehab, LLCRogers, AR 2 of 5Robinson Nursing And Rehabilitation Center LLCNorth Little Rock, AR 3 of 5Aspen Health and RehabBroken Arrow, OK 3 of 5Bradford House Nursing and Rehab, LLCBentonville, AR 3 of 5Briarwood Nursing And Rehabilitation Center, INCLittle Rock, AR 3 of 5Brooken Hill Health And Rehab, LlcFort Smith, AR 3 of 5Eufaula Manor Nursing And Rehabilitation CenterEufaula, OK 3 of 5Hickory Heights Health And Rehab, LlcLittle Rock, AR 3 of 5Lake Hamilton Health And RehabHot Springs, AR 3 of 5Quapaw Care And Rehabilitation Center LLCHot Springs, AR 3 of 5Russellville Nursing And Rehabilitation CenterRussellville, AR 3 of 5Sherwood Nursing & Rehabilitation Center, IncSherwood, AR 4 of 5Ashton Place Health And Rehab, LLCBarling, AR 4 of 5Cabot Health And Rehab, LLCCabot, AR 4 of 5Chapel Ridge Health And RehabFort Smith, AR 4 of 5Cherokee County Nursing CenterTahlequah, OK 4 of 5Dardanelle Nursing And Rehabilitation Center,incDardanelle, AR 4 of 5Heather Manor Nursing And Rehabilitation CenterHope, AR 4 of 5Johnson County Health And Rehab, LLCClarksville, AR 4 of 5Lakewood Health And Rehab, LLCNorth Little Rock, AR 5 of 5Atkins Nursing And Rehabilitation CenterAtkins, AR 5 of 5Greenbrier Nursing And Rehabilitation CenterGreenbrier, AR 5 of 5Greystone Nursing And Rehab, LLCCabot, AR 5 of 5Hampton Place Healthcare, LLCRogers, AR 5 of 5Legacy Heights Nursing And Rehab, LLCRussellville, AR 5 of 5Nursing And Rehabilitation Center At Good ShepherdLittle Rock, AR 5 of 5Oak Manor Nursing And Rehabilitation Center INCBooneville, AR 5 of 5Perry County Nursing And Rehabilitation CenterPerryville, AR 5 of 5Salem Place Nursing And Rehabilitation Center, INCConway, AR 5 of 5Shiloh Nursing And Rehab, LLCSpringdale, AR 5 of 5Superior Health & Rehab, LLCConway, AR

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

Who owns this facility

Owner / managerTypeRoleShareSince
HURSH, PARALEAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST10%since 11/01/2014
SAMS, JERRYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 12/12/2024
THOMLEY, ASHLEYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/20/2024
NORSWORTHY, DAVIDIndividualLIMITED PARTNERSHIP INTEREST; ADP OF THE SNFsince 11/01/2014
CENTRAL ARKANSAS NURSING CENTERS INCOrganizationADP OF THE SNFsince 01/01/2025
LONOKE HEALTH AND REHAB CENTER LLCOrganizationADP OF THE SNFsince 12/12/2024
NURSING CONSULTANTS INCOrganizationADP OF THE SNFsince 01/01/2025
HARRIS, JOHNIndividualADP OF THE SNFsince 12/10/2024
MORTON, MICHAELIndividualADP OF THE SNFsince 12/12/2024

CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$8.0M
Net patient revenuemost recent cost report
+11.2%
Operating marginrevenue minus expenses
$1.4M
Related-party expense20% of expenses
Who pays — share of resident-days
Medicaid 81%Medicare 5%Other / private 15%

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M 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

$276per resident / day
operating cost
$8,379per month
≈ monthly operating cost
$310per day
avg. revenue, all payers

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

What families pay in AR

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arkansas Medicaid page.

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

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045289. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-08, 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.

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