Arbor Oaks Healthcare And Rehabilitation Center
955 Division, Malvern, AR 72104 · For profit - Limited Liability company · 94 certified beds · (501) 332-5251 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0569)
- it has 1 actual-harm citation
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,018 in federal fines (most recent 2024-06-27)
- about 61% 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.7% | 9.5% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.2% | 4.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.0% | 0.6% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.0% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 1.4% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 9.0% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 7.4% | 10.1% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 19.4% | 21.7% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.9% | 4.2% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 13.2% | 13.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 6.1% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.0% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.8% | 24.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 12.4% | 12.5% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 2.65 | 2.01 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.34 | 2.13 | 1.80 | worse |
* 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.
45.2% 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.
Met the expected recovery: 75.8% 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 33 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 45.2%CMS range 32.8–56.7 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.9%CMS range 7.9–17.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 75.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 75.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 69.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 68.2% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 15.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.3%CMS range 4.0–12.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.18 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 94 beds and averages 65.3 residents a day — about 69% occupied, or roughly 29 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 is below 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 3.13 hrs/resident/day on weekends vs 3.96 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.42 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Actual harm · Gcited before2024-06-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure staff followed care planned intervention requiring two staff members to perform mechanical lift transfers to promote resident safety and prevent fall with injury for 1 (Resident #15) of 8 (Residents #3, #6, #10, #15, #20, #26, #33 and #46) sampled residents who required the mechanical lift for transfer. This failed practice resulted in actual harm for Resident #15, who fell and sustained a fracture, and had the potential to cause more than minimal harm for 13 residents who required transfers with a mechanical lift. The facility failed to ensure that chemicals were kept out of reach for 1 (Resident #49) sampled resident. The findings are: 1. The Significant Change in Condition Minimum Data Set (MDS) with an Assessment Reference Date of 06/05/2024 indicated Resident #15 had diagnoses of heart failure, diabetes mellitus, arthritis, and other fracture, and that the resident scored 15 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status (BIMS), was dependent for transfers, and had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-07-02 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 foods stored in the freezer, refrigerator, and dry storage area were covered; one of two ice scoop holders were maintained in a sanitary manner, expired food items were promptly removed and discarded on or before the expiration or use by date; and that dietary staff washed their hands between dirty and clean tasks and before handling clean equipment for two of two meals observed. The findings include: On 06/29/25 at 10:15 AM, during an observation, an opened bag of bread was on a rack on top of the food preparation counter, exposing it to air. The Dietary Manager (DM) stated it was supposed to be sealed to prevent something crawling in it. On 06/29/25 at 10:21 AM, during an observation, Dietary Aide (DA) #1 placed a mop in the Janitor's closet, contaminating her hands. Without washing her hands, she picked up the pans to use in transferring cooked food for lunch and placed them on the utility cart by the steam table, with her thumb inside the pan. On 06/29/25 at 10:24 AM, during an observation…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-02 · tag F0569 — isolatedNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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 interview and record review the facility failed to convey a resident's personal funds to the individual or representative administering the individual's estate within 30 days for two (Resident #212 and Resident #213) of three residents reviewed for whom the facility maintained trust accounts. The findings include: On [DATE] at 10:55 AM, the Business Office Manager (BOM) provided a document titled [Facility Name] Trust - Current Account Balance as of [DATE]. A review of the [Facility Name] Trust - Current Account Balance as of [DATE] document, indicated a closing trust account balance for Resident #212 of $914.06, and a closing trust account balance for Resident #213 of $893.91. On [DATE] at 12:03 PM, a review of the form titled “Notice of Transfer, indicated that Resident #212 was transferred to the hospital on [DATE]. On [DATE] at 12:05 PM, a review of Resident #212's Nursing Progress Notes dated [DATE], indicated the coroner called to notify the facility of the death of Resident #212, at 1:37AM. 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.
- Potential for harm · Dcited before2025-06-19 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review the facility failed to report an allegation of sexual abuse to the State Survey Agency within the required 2-hour time period for one (Resident #2) of three sampled residents reviewed for abuse. The findings include: Review of the Medical Diagnosis portion of Resident #2 ' s electronic health record revealed diagnoses which included right hip fracture, anxiety, and depressive disorder. The discharge Minimum Data Set (MDS) with an Assessment Reference Date of 12/26/24, revealed Resident #2 had a Staff Assessment for Mental Status assessment score of 0, which indicated memory was okay, and was independent. The MDS also indicated no behaviors were exhibited, and that Resident #2 was occasionally incontinent of bladder. Review of a, OLTC [Office of Long-Term Care] Incident and Accident Report, dated and with a discovery date of 12/26/2024 at 3:03 AM, and submitted on 12/26/24 at 8:20 AM, indicated Resident #2 alleged Certified Nursing Assistant (CNA) #3…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-06-27 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure food items stored in the freezer were sealed or covered, food items stored in the storage room were stored in accordance with the manufacturer's instructions; failed to ensure dietary staff washed their hands between dirty and clean tasks and before handling clean dishes or food items; expired products were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria, failed to ensure hot foods was maintained at or above 135 degrees Fahrenheit (F.) while awaiting to be served to prevent potential food borne illness, and failed to ensure leftover food items were not used for residents who received meals from 1 of 1 kitchen to maintain food quality and prevent the growth of bacteria. These failed practices had the potential to affect 62 residents who received meals from the 1 of 1 kitchen. The findings are: 1. On 06/24/24 at 9:40 AM, the following observations were made in the kitchen. a. Dietary [NAME] (DC)#1 picked a spatula from the edge of the grill she had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-06-27 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review, the facility failed to ensure residents who required extensive assistance with personal hygiene were regularly offered trimming or shaving of facial hair to maintain good grooming and hygiene for 3 (Resident #23, #49, and #53) of 3 sampled residents reviewed for activities of daily living (ADLs), and the facility failed to provide continent care every 2 hours for 1 (Resident #53) reviewed for continent care. The findings are: 1. Review of the Medical Diagnosis portion of Resident #23 ' s electronic health record revealed diagnoses of legal blindness, obsessive compulsive disorder, and anxiety disorder. a. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/05/2024 documented Resident #23 scored 13 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status (BIMS). b. The Care Plan with revision date of 04/16/2024 indicated that Resident #23 (R #23) will be clean and well-groomed daily. c. On 06/24/2024 at 10:21 AM, surveyor observed R#23 up in wheelchair with 1/4-inch white hair 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.
- Potential for harm · E2024-06-27 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of residents for 1 of 1 meal observed. This failed practice had the potential to affect 36 residents who received regular diets, 23 mechanical soft diets, and 2 residents who received pureed diets from 1 of 1 kitchen. The findings are: 1. The menu for the 06/24/2024 noon meal documented all diets were to receive cake, residents who received pureed diets were to receive 6 ounces of pureed chicken fajita (2/3 cup) and all residents were to receive sour cream pound cake. 2. On 06/24/2024 at 11:25 AM, Dietary [NAME] (DC) #1 used a #16 scoop (2 ounces) (1/4 cup) to place 6 servings of chicken fajita into a blender, with no tortilla or bread, (DC)#1 added chicken broth and pureed. At 11:27 AM, DC #1 poured the pureed chicken fajita into a pan and placed it in the oven. 3. On 06/24/2024 at 12:30 PM, DC #1 used a #8 scoop (1/2 cup) to serve a single portion of pureed chicken fajita with no tortilla or bread 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.
- Potential for harm · Ecited before2024-06-27 · tag F0805 — failed to prepare food in a form residents can eat — patternEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 2 residents who received pureed diets. The findings are: 1. On 06/24/2024 at 10:36 AM, Dietary [NAME] (DC)#1 used a #8 scoop to place 6 servings of refried rice into a blender, added beef broth and pureed. DC #1 poured the pureed refried rice into a pan and placed it in the oven. The consistency of the pureed refried rice was runny. At 11:35 AM, DC #1 added thickener into a pan of pureed rice that was on the steam table and mixed it with a spoon, which created lumps of thickener that were not completely dissolved in the mixture. 2. On 06/24/24 10:50 AM, DC #1 used a #8 scoop to place 4 servings of refried beans into a blender and pureed. DC #1 poured the pureed refried beans into a pan and placed it in the oven. The consistency of the pureed refried was thick. 3. On 06/24/2024 at 11:57…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-27 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to report to the State Survey Agency a fall from the mechanical lift that resulted in major injury for 1 (Resident #15) sampled resident that occurred when a staff member failed to follow care planned intervention requiring two people for lift transfers. The findings are: 1. The Significant Change in Condition Minimum Data Set (MDS) with an Assessment Reference Date of 6/5/24 indicated Resident #15 had a diagnoses of heart failure, Diabetes Mellitus, arthritis, and other fracture, the Resident scored 15 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status (BIMS), was dependent for transfers, and had one fall with major injury. a. The Care Plan with a revision date of 04/30/2024 indicated, .Problem: (Resident #15) has an ADL (Activities of Daily Living) self-care performance deficit .Approaches/Tasks .Transfer: (Resident) is dependent on total assist via Mechanical Lift with (2) staff assist for transfers with full blue sling . b. The Care Plan with a revision date of 06/03/2024 indicated,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-07-28 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure freezer temperature was maintained at 0 degrees Fahrenheit or below and all foods were frozen solid to prevent the potential for food bore illness; foods stored in the freezer were sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired products were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 30 residents who received meals from the kitchen (total census: 57) as documented on a list provided by Dietary Supervisor. The findings are: 1. On 07/24/23 at 10:10 AM, in the freezer was a box of Orange Cream Bars and a box of frozen orange/cherry/grape popsicles that were opened and undated. 2. On 07/24/23 at 10:10 AM, the Dietary…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-07-28 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure nail care was regularly provided to maintain good hygiene and prevent potential injuries or infections for 3 (Residents #13, #30 and #43) of 15 (Residents #2, #4, #8, #9, #13, #18, #30, #31, #36, #37, #38, #43, #44, #49 and #50) sampled residents who required assistance with nail care. This failed practice had the potential to affect 24 residents on the [NAME] Unit who were dependent for nail care as documented on a list provided by the Director of Nursing (DON) on 07/26/23 at 11:31 AM. The findings are: 1. Resident #13 had diagnoses of Alzheimer's Disease and Type 2 Diabetes Mellitus with Diabetic Polyneuropathy. a. A Care Plan with an initiated date of 12/06/21 and a revision date of 06/23/22 documented Resident #13 required maximum assistance with personal hygiene and staff were to keep his nails trimmed and filed. b. On 07/25/23 at 9:41 AM, Resident #13 was lying in bed watching TV. His fingernails were approximately 1/4 inch past his fingertips and uneven. The fingernail on his left little finger…
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.
Show the remaining 8 citations
- Potential for harm · Ecited before2023-07-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 of the Medication Pass, record review, and interview, the facility failed to ensure medications were removed from the top of the medication cart and the cart was locked when outside of the nurse's line of sight, to prevent the potential for accidents. This failed practice had the potential to affect 10 residents who received medications from the East Hall medication cart as documented on a list provided by the Administrator on 07/26/23 at 9:22 AM. The findings are: 1. On 07/26/23 at 8:00 AM, Licensed Practical Nurse (LPN) #2 retrieved a resident's medications from the medication cart and placed them in a clear plastic medication cup. Without locking the medication cart, LPN #2 knocked on the resident's door and entered the room, leaving the medication cart outside of the LPN's field of vision. 2. On 07/26/23 at 8:05 AM, LPN #2 removed another resident's medication from the cart and placed them in a clear plastic medication cup. Without locking the medication cart, LPN #2 knocked on the door and entered the resident's room, which was outside of the nurse's line…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-07-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide 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, the facility failed to ensure oxygen was administered at the prescribed rate for 2 (Residents #9 and #43) sampled residents and failed to follow the resident preference for no humidifier bottle for 1 (Resident #43) of 4 (Residents #8, #9, #18, #43) sampled residents who had a Physician's Order for oxygen. This failed practice had the potential to affect 11 residents who had a Physicians Orders for oxygen as documented on a list provided by the Administrator on 07/26/23 at 7:44 AM. The findings are: a. On 07/24/23 at 2:06 PM, Resident #9 was in bed with eyes closed with oxygen at 2.5 liters per minute (LPM) via nasal cannula. b. On 07/25/23 at 8:39 AM, Resident #9 had oxygen at 2.5 LPM via nasal cannula in use. Resident #9 stated, I do change the rate on occasion. I have not changed it lately. It's supposed to be set on 4 liters and I know it's not. I can tell when it's not right. c. A Physicians Order dated 06/25/23 documented Resident #9 was to receive oxygen at 4 LPM via nasal cannula as needed. d. A Care Plan with an initiated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-07-28 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure unauthorized personnel were monitored by a licensed nurse when in 1 (Nurses Station) of 2 (Nurses Station and Light House Unit) Medication Rooms. The findings are: 1. On 07/24/23 at 2:10 PM, the Maintenance Director and an outside vendor approached the Nurses Station and asked Licensed Practical Nurse (LPN) #5 to let them into the Medication Room for repairs. LPN #5 opened the door allowing outside vendor into the medication room and returned to her chair facing away from the medication room. The Maintenance Director was speaking through the door to the repairman and then walked over and propped himself in the open-door frame. The Surveyor did not observe LPN #5 checking on activity in the medication room. 2. On 07/24/23 at 2:15 PM, during an interview with the Maintenance Director and the outside vendor, the outside vendor said, I am downloading the database to the computer for the call light system. The Maintenance Director said, I do not have keys to the medication room, and we were making repairs.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-07-28 · tag F0805 — failed to prepare food in a form residents can eat — patternEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, and interview, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for residents who required pureed diets, and food was prepared appropriately to meet the needs of the residents to conserve nutritive value, flavor, and encourage adequate nutritional intake for 1 of 1 meal observed. This failed practice had the ability to affect 5 residents who have a Physician's Order for a pureed diet according to a list provided by the Dietary Supervisor on 07/27/23 at 11:41 AM. The findings are: 1. On 07/25/23 at 11:10 AM, Dietary Employee (DE) #1 placed 5 servings of baked chicken breasts with barbeque sauce into a blender and pureed. At 11:11 AM, she poured the pureed meat into a pan. She covered the pan with foil and placed it in the oven. The consistency of the pureed chicken was gritty and not smooth. 2. On 07/25/23 at 11:18 AM, DE #1 used a spatula to place 5 servings of potato salad into a blender, added milk and pureed. At 11:20 AM, she poured the pureed potato salad…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-07-28 · tag F0919 — failed to provide a working call system — patternMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure the call light system was maintained in proper working order to assure residents could call for assistance when needed for 2 (Residents #23 and #51) of 6 (Residents #23, #38, #49, #50, #51 and #259) sampled residents who resided on the Light House Unit. The findings are: 1. On 07/24/23 at 11:00 AM, the call light above the door of Resident #23 and #51's room was flashing continuously. Certified Nursing Assistant (CNA) #2 said, The call light is broken in the bathroom. The parts are on order. The Surveyor asked how Residents #23 and #51 call for help from the bathroom. CNA #2 said, If the resident pulls the cord in the bathroom, it will still alarm. Only the light is not functioning. No response was given when CNA #2 was asked how long the call light had been malfunctioning. 2. On 07/25/23 at 1:43 PM, the call light above the door of Resident #23 and #51's room was no longer flashing. The Surveyor entered the bathroom and pulled the call light cord and observed the red light flashing in the hallway above the door, but…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-07-28 · tag F0641 — isolatedEnsure 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, the facility failed to ensure the resident assessment accurately reflected a level II Preadmission Screening and Resident Review (PASARR) evaluation for 1 (Resident #36) of 4 (Residents #30, #36, #38 and #43) sampled residents. The findings are: Resident #36 had diagnoses of Anxiety Disorder, Bipolar Disorder and Delusional Disorders. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/09/23 documented the resident was not currently considered by the state Level II PASARR process to have serious mental illness and/or intellectual disability or a related condition. 1. On 07/25/23 at 11:50 AM, the Administrator provided documentation of a Level 1 PASARR dated 12/31/20. 2. On 07/26/23 at 9:28 AM, the Surveyor asked the Administrator for the Level II PASARR documentation. The Administrator replied, I'm still digging for it. 3. On 07/27/23 at 9:07 AM, the Surveyor called [State Designated Professional Associates] office and spoke with a representative…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-07-28 · tag F0644 — isolatedCoordinate 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to incorporate the recommendations from the Preadmission Screening and Resident Review (PASARR) Level II determination and the PASARR evaluation report into a resident's Care Plan to facilitate needed care for 1 (Resident #36) of 4 (Residents #30, #36, #38 and #43) sampled residents. The findings are: Resident #36 had diagnoses of Anxiety Disorder, Bipolar Disorder and Delusional Disorders. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/09/23 documented the resident was not currently considered by the state Level II PASARR process to have serious mental illness and/or intellectual disability or a related condition. 1. The Comprehensive Care Plan did not address Resident #36's Level II PASARR determination, evaluation, and recommendations. 2. On 07/28/23 at 8:50 AM, the Surveyor asked the MDS Coordinator if the PASSAR Level II evaluation and recommendations were incorporated into the care plan. The MDS Coordinator answered, Yes.…
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.
- No harm found · C2025-07-02 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to post and make readily accessible to residents and visitors, the daily nurse staffing log in a clear and readable format to include the facility name, date, total census, total number, and actual hours worked by nursing staff. The findings include: On 07/01/25 at 1:30 PM, during an observation of the front lobby, the nurse's station, the main dining room, and 100, 200 and 400 halls, this surveyor did not observe daily staffing information posted. On 07/02/25 at 9:10 AM, during an interview, the Administrator indicated the facility posted the daily staffing logs for licensed and unlicensed nursing staff in the employee break room. This surveyor accompanied the Administrator to the employee break room and was shown a form titled “Daily Staffing Log.” This form included the name of the facility, the date, and day shift was circled. This form did not contain the census number or total number and actual hours worked for the Registered Nurses (RNs), the Licensed Practical Nurses (LPNs) and the Certified Nursing Assistants (CNAs)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$8,018 in federal fines across 1 penalty. 1 Medicare payment denial on record.
- $8,018 — penalty dated 2024-06-27
- Medicare payment denial — starting 2024-07-26 for 11 days
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to SOUTHERN ADMINISTRATIVE SERVICES — 35 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.8 | -0.8 vs chain |
| Health inspection | 3 of 5 | 3.2 | -0.2 vs chain |
| Staffing | 4 of 5 | 3.9 | +0.1 vs chain |
| Quality measures | 4 of 5 | 4.7 | -0.7 vs chain |
The other 34 homes this chain runs (chain average 3.8★, per CMS)
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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| 4P2T1 OPS HOLDING LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 09/01/2019 |
| JEJ ASSETS LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/01/2022 |
| PONTHIE, SHARLOT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/01/2022 |
| PONTHIE, JOHN | Individual | INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | — | since 01/01/2022 |
| WORTHINGTON, CHYRA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/05/2023 |
| ALEXARK1 LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | since 01/01/2022 |
| JEJ MANAGEMENT, LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | since 01/01/2022 |
CMS files one row per role, so the 10 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.
4 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.
About 71% 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 $4.1M paid to related parties — landlords or management companies under common ownership — equal to about 61% 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arkansas Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045270. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-02, 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.