Randolph County Nursing Home

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

49.2% 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 90 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.0% 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 59 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 140 beds and averages 128.3 residents a day — about 92% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.02 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.77 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 3.20 hrs/resident/day on weekends vs 4.36 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 0.77 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Ecited before2025-04-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure expired food items and leftovers food items were promptly removed/discarded on or before the expiration or use by date and dietary staff washed their hands between dirty and clean tasks and before handling clean equipment for 1 of 1 meal observed. The findings are: 1. On 3/31/25 at 5:52 PM, in the storage room, there was a box that contained four (4) cups of sweet corn with an expiration date of 3/28/2025. Another box of sweet corn had an expiration date of 3/26/2025. The Dietary Manager/Registered Dietician stated she checked all stock, and she must have missed those two cartons. 2. On 4/1/25 at 10: 31 AM, Dietary Aide (DA) #3 pushed a cart that held containers of supplement towards the steam table, contaminating her hands. Without washing her hands. She used her contaminated hands to pick up glasses by their rims and placed them on the counter. 3. On 4/1/25 at 10:35 AM, DA #1 was wearing gloves on her hands when she turned on the food preparation sink and ran water into a…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-01-11 · 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, record review and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired dessert with dairy products and food items 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 contamination and hot food items were maintained at above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 125 residents who received meals from 1 of 1 kitchen, as provided by the Dietary Supervisor on 01/09/2024 at 12:59 PM. The findings are: 1. On 01/08/24 10:48 AM, there was a partially open bag of shredded mozzarella cheese on a shelf in the refrigerator. The bag was not completely…

  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 · E2024-01-11 · tag F0583 — failed to protect personal privacy — pattern
  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 observation and interview, the facility failed to ensure 19 residents ' personal information was kept confidential. The findings are: On 01/08/24 at 12:11 PM, the Surveyor observed a news and notice board outside of the Director of Nurses (DON) office and a 2nd one outside of the main dining room that showed 2 lists of Resident's with a scheduled Care Plan meeting dated January 10, 2024, and January 17, 2024, at 11 AM. The notices state, There will be a care plan meeting for the following residents .in the activity room . On 01/09/24 at 11:17 AM, the Surveyor observed 2 separate news and notice boards that showed 2 lists of Resident's with a scheduled Care Plan meeting dated January 10, 2024, and January 17, 2024, at 11 AM. On 01/10/24 at 8:42 AM, the Surveyor observed 2 separate notice boards with lists of Resident's with a scheduled Care Plan meeting. On 01/11/24 at 9:25 AM, the Surveyor asked the Director of Nursing (DON), how do you notify family and residents of care plan meetings? The DON said the Minimum Data Set (MDS) Coordinator sends a letter to the family, 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-11 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a physician's order was followed for 1 (Resident #111) Resident of 6 (Residents #1, #5, #11, #62, #106, #111) sample mixed residents on the 200 halls. The findings are: Resident #111's diagnoses showed dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. The Minimum Data Set (MDS) with and Assessment Reference Date (ARD) of 10/24/2023 showed a Brief Interview for Mental Status (BIMS) of 7 (score of 0-7 points suggests severe cognitive impairment). The resident is dependent for personal care. Review of Resident # 111 ' s Physician's Order Summary showed No order for topical mentholated rub or topical zinc oxide ointment. On 01/08/24 at 11:41 AM, the Surveyor observed a 2-ounce (oz.) tube of zinc oxide ointment and a 3.5.3 oz. jar of topical mentholated rub sitting on resident's bedside table. Resident # 111 stated, I use those when I need them. On 01/08/24 at 12:44 PM, the Surveyor observed a tube of zinc oxide ointment and a jar of topical mentholated rub…

  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 · E2024-01-11 · 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 observations, interview and record review, the facility failed to ensure medication was not left unattended at the bedside; and topical ointments and mouthwash was stored properly for 2 f 2 Resident ' s #1 and #111. The failed practice had the potential to affect 7 ambulatory residents. The findings are: 1. Resident #1 diagnoses showed moderate intellectual cerebral palsy and dementia with mood disturbance. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/17/2023 showed a Brief Interview for Mental Status (MDS) of 12 (Score of 8-12 points: suggests moderate cognitive impairment). The resident is dependent for oral hygiene. Active diagnoses showed the need for assistance with personal care. 1 a. The Resident #1 ' s care plan showed Resident #1 needs help taking care of oral care: assist twice daily and as needed floss daily. 1 b. On 01/08/24 at 11:28 AM, the Surveyor observed a used 4-ounce (oz.) bottle of mouthwash sitting beside the Resident's sink. 1 c. On 01/08/24 at 12:47 PM, the Surveyor observed a used 4 oz. bottle of mouthwash beside…

  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 · E2024-01-11 · 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 and interview, the facility failed to ensure a CPAP (Continuous Positive Airway Pressure) storage bag was changed weekly for 1 of 1 (Resident #119) sampled residents, and the facility failed to ensure oxygen tubing was dated for 1 (Resident #5) of 2 Residents (Resident #5 & #88) requiring oxygen on the 200 Hall. The findings are: 1. Resident #119 had a diagnosis of OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC). A Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) on 12/14/23 documented the resident scored 14 (cognitively intact) on a Brief Interview for Mental Status (BIMS). A January 2024 physician order documented, .CPAP every evening and night shift per home settings . A care plan with a revision date of 11/15/23 documented, . Uses CPAP nightly for sleep apnea . On 1/08/24 at 12:01 PM, a CPAP mask was in a storage bag dated 12/01/23. Resident #119 was asked, Do you use your C-Pap every night? She stated, Yes I use it every night. On 1/09/24 at 9:03 AM, a CPAP mask was on the nightstand in a plastic storage bag dated 12/01/23. On 1/09/24 at…

  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 · E2024-01-11 · tag F0732 — pattern
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview the facility failed to ensure daily staffing schedules were posted in a public location. The findings are: On 01/08/24 at 2:44 PM, the Surveyor did not observe a daily staffing schedule posted in a public area. On 01/09/24 at 1:37 PM, the Surveyor did not observe a daily staffing schedule posted. On 01/10/24 at 10:25 AM, the Surveyor did not observe a daily staffing schedule posted. On 01/10/24 at 10:26 AM, the Director of Nursing (DON) confirmed daily staffing schedules are not posted. The DON said, we were told at the Arkansas Health Care Association (AHCA) Convention that we didn't have to post them anymore.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-11 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and policy review, the facility failed to store controlled medications were not stored properly in a permanently affixed box in 2 (100, and 300 Halls) of 4 Medication Storage Rooms in the facility. The findings are: On 01/09/2024 at 1:55 PM, the medication refrigerator in the 300 Hall Medication Room was observed to be unlocked. Licensed Practical Nurse (LPN) #3 opened the refrigerator without having to unlock it and removed from it a transparent plastic box. The plastic box was not permanently affixed. LPN #3 confirmed the box was used to store controlled medications and opened it to identify the medication inside, a 30-milliliter bottle of Lorazepam. LPN #3 was asked if storage containers for controlled medications needed to be permanently affixed. LPN #3 said they had not heard of the need to secure the narcotics box. On 01/09/2024 at 3:23 PM, the medication refrigerator in the 100 Hall Medication Room was observed to be unlocked. Inside was a transparent plastic box containing 2 opened 30 milliliter bottles and 5 single use syringes of Lorazepam.…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-11 · 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 menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 8 residents who received pureed meals from 1 of 1 kitchen. The findings are: 1. On 01/08/24, the menu for the supper meal documented, Residents on pureed diets were to receive 2 #8 scoops of pureed chili dog with cheese and a #8 scoop (1/2 cup) of pureed carrots. 2. On 01/08/24 at 4:36 PM, Dietary Employee(DE) #2 used a #16 scoop (1/4 cup) to serve a single portion of pureed chili dog and pureed carrots to the residents on pureed diets, instead of 2#8 scoop of the pureed chili dog (1 cup) and ½ cup of carrots, as specified on the menu. 3. On 01/09/2024 12:08 PM, the Surveyor asked DE #2 what scoop sizes she used to serve the supper meal to the residents and how many servings she gave to each resident. She stated, I used the blue scoop the 2-ounce scoop to serve pureed chili dog and pureed carrots. I gave one serving…

  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 · E2024-01-11 · 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 residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 8 residents who received pureed diets. The findings are: 1. On 01/08/24 at 11:04 AM, the following observations were made on the steam table. a. A pan of pureed chicken [NAME] was on the steam table. The consistency of the pureed paste was lumpy, not smooth. There were pieces of paste visible in the mixture. b. A container of pureed broccoli in a mold shape. The consistency of the pureed broccoli was dried and thick. 2. On 01/08/24 at 11:55 AM, the surveyor asked the Dietary Supervisor to describe the consistency of the pureed foods served to the residents on pureed diets. She stated, Pureed meat was dried, and thick and pureed pasta was lumpy. 3. On 01/09/24 at 11:41 AM, A pan of pureed chicken was on the steam table. The consistency of the pureed chicken was lumpy, not smooth. There…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR