Innisfree Health And Rehab, LLC
301 South 24th Street, Rogers, AR 72758 · For profit - Limited Liability company · 104 certified beds · (479) 636-5545 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- about 25% 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 | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
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
| 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 held steady at 2 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 | 20.4% | 9.5% | 15.4% | worse |
| Long-stay residents who lose too much weight | 1.2% | 4.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.9% | 0.6% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.0% | 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 | 0.3% | 3.9% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 17.8% | 10.1% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 10.9% | 21.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 74.1% | 96.1% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 0.6% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 22.4% | 13.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.5% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.8% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 78.8% | 77.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 27.1% | 24.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 10.1% | 12.5% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.74 | 2.01 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.94 | 2.13 | 1.80 | better |
* 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.
50.6% 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 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 64.8% 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 54 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 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% 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 | 50.6%CMS range 44.3–59.8 | 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 | 11.8%CMS range 8.4–16.6 | 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 | 64.8% | 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 | 68.5% | 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 | 46.3% | 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 | 98.6% | 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 | 87.3% | 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 | 1.4% | 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 | 8.2%CMS range 5.0–12.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.97 | 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 104 beds and averages 82.2 residents a day — about 79% occupied, or roughly 22 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 5.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.61 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 4.14 hrs/resident/day on weekends vs 5.55 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.27 to 0.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 44% 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 more than at the previous inspection — worsening. 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.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · F2024-11-15 · tag F0577 — widespreadAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
What the surveyor found here — an excerpt from the official record, may be distressing
Through observation and interview the facility failed to post the results of the most recent survey of the facility in a place readily accessible to residents, family members and legal representatives of residents. The findings are: During observations from 11/11/2024 at 1:00PM through 11/15/2024 at 9:15AM, the only time residents were seen in the vicinity of the greeting desk was with the escort of facility staff, contracted therapy staff or contracted transportation staff. During observations from 11/11/2024 at 1:00PM through 11/15/2024 at 9:15AM, the facility survey book was located on the far back right-hand side of the greeting desk. The greeting desk had a staff member assigned to the position. To obtain the facility survey book a resident or representative would be required to reach through the assigned staff members workstation. The facility survey book was back far enough to where a resident in a wheelchair would not have the ability to obtain the book without the need to ask. Observations from 11/11/2024 at 1:00PM through 11/15/2024 at 9:15AM showed there was not 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.
- Potential for harm · E2024-11-15 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 observations, interviews, and record review, it was determined that the facility failed to ensure the care plan was updated to include contracture and contracture management for 1 resident (Resident #13) of 1 resident reviewed for positioning and mobility and contracture management. Findings include: No policy was provided for contracture management. A review of the admission Record, indicated the facility admitted Resident #13 with diagnoses that included dementia, pain, muscle wasting and atrophy, and hemiplegia (partial or complete paralysis to one side of the body). Review of a quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 09/18/2024, revealed Resident #13 had a Brief Interview for Mental Status (BIMS) score of 7 which indicated the resident had severe cognitive impairment. Resident #13 was shown to have an impairment of the upper and lower extremity for functional limitation in range of motion. A review of Resident #13's Care Plan, initiated on 11/14/2024, revealed the resident had an alteration in musculoskeletal status related 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 · E2024-11-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and facility policy review, it was determined that the facility failed to remove two bottles of expired tube feeding from current stock for 1 of 1 medication room and failed to label two insulin vials and three inhalers with open dates when the manufactures seal was broken in 2 of 2 medication carts reviewed for medication storage. Findings include: A review of a facility policy titled, Medication Storage in the Facility, revised in [DATE] indicated, when the original seal of a manufacturer's container or vial is initially broken, the container or vial will be dated. The nurse shall place a date opened and enter the date opened. During a concurrent observation and interview on [DATE] at 9:07 AM, of the Long Term Care medication room with Licensed Practical Nurse (LPN) #5, two bottles of tube feeding in current stock were revealed to have expiration dates of [DATE]. LPN #5 stated, the bottles needed to be thrown away. During a concurrent observation and interview on [DATE] 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.
- Potential for harm · E2024-11-15 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure 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 prepared in a method that maintained an appearance that was acceptable to the residents to encourage good nutritional intake for 2 of 2 meals observed. The findings are: 1. A review of the facility recipe titled, Egg sausage bake initiated 9/17/2024 and provided by the Dietary Manager on 11/14/2024 indicated use water or stock. 2. On 11/13/24 at 4:14 PM, Dietary [NAME] (DC) #1 placed 10 servings of egg sausage bake into a blender and pureed. DC #1 did not add broth or anything to help moisten it. At 4:24 PM, DC #1 poured the pureed sausage with egg casserole into a pan and placed it in the oven. The consistency was thick when it was placed in the oven and remained thick when it was placed on the steam table to serve. On 11/14/24 at 12:55 PM, DC #1 was asked what he used when pureeing egg sausage bake to make it moist. DC #1 indicated that he did not use anything. 3. On 11/13/24 at 4:32 PM, DC #1 placed 10 servings of biscuits into a blender, ground, then added warm milk from a pan on 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.
- Potential for harm · Ecited before2024-11-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and facility policy review, the facility failed to ensure dietary staff changed gloves and washed their hands before handling food items and clean equipment when contaminated; food items stored in the refrigerator and freezer were covered, sealed, and dated; expired food items were promptly removed/discarded on or before the expiration or use by date. The findings are: 1. On 11/13/24 at 2:54 PM, Dietary [NAME] (DC) #1 was wearing gloves on his hands when he picked up a spray bottle and sprayed inside of the pans, contaminating the pans. Without changing gloves and washing his hands, DC #1 removed hash browns from a box and placed them on the pans to be baked and served to the residents for supper meal. 2. On 11/13/24 at 2:59 PM, the following observations were made on a shelf in the freezer. a. An opened box of breaded pork patties. The box was not close or sealed. b. An opened box of turkey burgers. The box was not covered or sealed. c. An opened box of pie dough.…
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 before2024-11-15 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, record review, facility document review, facility policy review, it was determined that the facility failed to properly store oxygen tubing and Continuous Positive Airway Pressure (CPAP) tubing and mask for 2 (Resident #13-oxygen tubing and Resident #52-CPAP tubing and mask) of 2 residents reviewed for Infection prevention and control of equipment or devices. Findings include: A review of a facility policy titled, Oxygen Safety, revised on 11/22/2016, indicated, the facility would properly handle oxygen. During an interview, Director of Nursing (DON) stated the facility did not have a policy regarding cleaning and storage of CPAP and oxygen tubing and other devices when not in use. A review of an admission Record, indicated the facility admitted Resident #13 with diagnoses that included shortness of breath, Type 2 Diabetes Mellitus, and chronic obstructive pulmonary disease (COPD). Review of a quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 09/18/2024, revealed Resident #13 had a Brief Interview for Mental Status (BIMS)…
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 · E2024-11-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Through observations, record review, and interviews the facility failed to ensure residents were able to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from their bed. This affected 4 (Residents #5, #24, #84, and #250) of 19 sampled residents. The findings are: Record Review of Resident #250 ' s admission Report dated 10/25/2024, showed diagnoses of communication difficulties, abnormal mobility, left side weakness and/or paralysis after a stroke, and nerve malfunctions. Record Review of Resident #250 ' s Minimum Data Set, dated [DATE] showed Section C Cognitive Pattern to have a Brief Interview for Mental Status (BIMS) of 15. Section GG Functional Abilities showed impairment on one side upper and lower extremity and use of wheelchair was required. Section GG Functional Abilities on OBRA/Interim showed staff was required to help with more than half of the effort for Resident #250 to go from a seated position to 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.
- Potential for harm · D2024-11-15 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to provide written bed hold notice for 1 (Resident #97) of 1 resident reviewed for hospitalization. Findings include: A review of the policy titles, Bed Hold Policy and Return, revised on 11/22/2016 indicated, the bed hold policy was sent with the resident to the hospital in case of a transfer or emergency. The resident or their representative would be contacted the next business day to identify if they want to hold the bed. It should be documented on the bed hold form, then filed in the business office. If contact was made by phone a witness is required to listen, and two signatures are required when filling out the bed hold form. Review of an admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 09/11/2024, revealed Resident #97 had a Brief Interview of Mental Status (BIMS) score of 15 which indicated the resident was cognitively intact. Review of Resident #97 ' s admission Record revealed Resident #97 was their own…
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 · D2024-11-15 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record reviews, it was determined that the facility failed to ensure oxygen was on the care plan for 1 (Resident #28) of 1 sampled resident. The findings are: A review of Resident #28's Order Summary Report revealed a diagnosis of shortness of breath. A review of Resident #28's Order Summary Report revealed an order dated 10/04/2024, for oxygen 1-4 liters by nasal cannula as needed for shortness of breath. Review of a significant change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/09/2024, revealed Resident # 28 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. Resident #28 had oxygen therapy while a resident. A review of Resident #28's Care Plan did not indicate that Resident #28 was on oxygen. On 11/12/2024 at 2:11 PM, an oxygen tank was observed in Resident #28's room. Resident #28 indicated that he used oxygen 2 days ago. On 11/14/2024 at 3:23 PM, during an interview, the Long Term Care MDS Coordinator indicated that Resident #28 ' s oxygen was not on 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.
- Potential for harm · D2024-11-15 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 observations, interviews, record review, facility document review, it was determined that the facility failed to ensure the resident was provided hand roll for contracture management for 1 (Resident #13) of 1 resident reviewed for providing contracture management. Findings include: No policy was provided for contracture management. A review of the admission Record, indicated the facility admitted Resident #13 with diagnoses that included dementia, pain, muscle wasting and atrophy, and hemiplegia (partial or complete paralysis to one side of the body). Review of a quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 09/18/2024, revealed Resident #13 had a Brief Interview for Mental Status (BIMS) score of 7 which indicated the resident had severe cognitive impairment. Resident #13 was shown to have an impairment of the upper and lower extremity for functional limitation in range of motion. A review of Resident #13's Care Plan, initiated on 11/14/2024, revealed the resident had an alteration in musculoskeletal status related to contracture (left hand…
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 11 citations
- Potential for harm · D2024-11-15 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record review the facility failed to ensure 1 (Resident #42) of 5 sampled residents that were reviewed for unnecessary medication did not have an order to receive a PRN (as needed) medication past 14 days without justification, and an evaluation by the doctor. The findings are: Review of a quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/23/2024, revealed Resident #42 had a Brief Interview of Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. Review of Resident #42's Care Plan initiated 7/19/2021, indicated to administer antidepressant medication as ordered by physician. Review of Resident #42's Order Summary Report with an order date of 11/11/2024, revealed anti-anxiety tablet 1 milligrams (mg) was ordered every 2 hours as needed for anxiety related to anxiety disorder for 45 Days. A rationale for the prn anti-anxiety medication was not in the clinical records. During an interview on 11/15/2024 at 8:22 AM, Physician Assistant indicated that the duration of as needed anti-anxiety medication was…
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 before2024-11-15 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record reviews, it was determined that the facility failed to ensure a device to help keep food on a plate while eating was available for 1 (Resident #42) of 1 sampled resident who required adaptive equipment for meals. The findings are: A review of Resident #42's Order Summary Report indicated a diagnosis of unspecified lack of coordination, Parkinsonism, hemiplegia (partial or complete paralysis to one side of the body) and hemiparesis (muscle weakness or partial paralysis to one side of the body) of the cerebral dominant side (left side of the brain). Review of a Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/23/2024, revealed Resident #42 had a Brief Interview of Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. Resident #42 required partial/moderate assistant with bringing food and or liquid to the resident ' s mouth once the meal was placed in front of the resident. Review of Resident #42's Care Plan initiated 07/24/2024, indicated a plate guard should be used for all…
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 · D2024-11-15 · tag F0660 — isolatedPlan the resident's discharge to meet the resident's goals and needs.
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 interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to send home health referrals prior to discharge for 1 (Resident #200) of 2 residents reviewed for discharge process. Findings include: On 11/14/2024 at 2:35 PM, the Administrator stated the facility did not have a policy for the discharge process but could ask the Nurse Consultant to find one. The Administrator stated they had not seen one, had no access to one, and did not use one in their discharge process. A review of an admission Record, indicated the facility admitted Resident #200 with diagnoses that included right femur fracture, muscle weakness, abnormalities of gait and mobility, anxiety disorder, hypertension, and tachycardia. Review of a Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/12/2024, revealed Resident #200 had a Brief Interview of Mental Status (BIMS) score of 15 which indicated the resident was cognitively intact. Discharge planning was…
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 · F2023-11-17 · tag F0803 — failed to meet residents' dietary needs — widespreadEnsure 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 and interview, the facility failed to ensure the planned written menu was followed to ensure the nutritional requirements were met for all residents who received their meal from one of one kitchen. The findings are: On 11/14/23 at 11:20 AM, the planned written menu for the lunch meal revealed the following was to be served: Bake Pork Chop - 3 ounces, Blackeye Peas - 1/2 cup, Fried Squash - 1/2 cup, Cornbread 2 x 3 inch square, Margarine Spread - 1, Buttermilk Pie 1 slice, Coffee/Tea 1 cup. On 11/14/23 at 12:28 PM, the [NAME] was observed to remove a large cooking sheet from the oven. The Surveyor asked the cook to identify the pale, breaded, circular items on the tray. The Assistant Administrator stated, That's the squash. The [NAME] was asked if the kitchen was equipped with a deep fryer. The [NAME] stated, We have one, but we don't have any oil or enough oil. I guess no one ordered any. On 11/14/23 at 12:38 PM, a tray for a resident who required a mechanical soft diet was observed on the tray line. The Cook, who was serving the trays, used tongs to retrieve…
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 before2023-11-17 · 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 and interview the facility failed to ensure that cooking utensils were stored properly, that food items were sealed and dated upon entry into the kitchen and upon opening, that hands were washed, and gloves changed to prevent cross contamination/possible food borne illness during preparation and dining and hair covers were used in the kitchen. The failed practice had the potential to affect 85 residents who receive their meals from 1 of 1 kitchen according to a list provided by the administration on 11/17/23 at 10:02 AM. The findings are: On 11/14/23 at 11:43 AM, a pitcher with 2 inches of liquid in the bottom was observed in the two door refrigerator. The lid of the pitcher was turned to open, exposing the liquid to air and contaminants. The Assistant Administrator was asked to identify the liquid. After asking a Dietary Employee to identify the liquid, she stated, It's thickened tea. The Assistant Administrator was asked when the thickened tea was made. She stated, I have no idea. The pitcher did not contain a date as to when the product was made. A pitcher of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-11-17 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews, the facility failed to ensure 2 (Residents #14 and #51) of 2 sampled residents were treated with dignity by standing over the resident while providing feeding assistance and referring to the resident as a feeder in front of the resident and three other residents for (Resident #14); and administering an insulin injection while the resident was seated in the dining area for (Resident #51). The findings are: Resident #51 had a diagnosis of Diabetes Mellitus due to underlying condition with Diabetic Neuropathy, unspecified. On 11/14/23 at 12:24 PM, Licensed Practical Nurse (LPN) #4 was observed administering an injection to Resident #51 while that resident was seated in their wheelchair at a table in the main dining area, prior to lunch service beginning, with other residents at the table. A review of Resident #51's Physician's Orders documented, Humalog Injection Solution 100 Unit/milliliter (Insulin Lispro) inject 3 units subcutaneously three times a day related…
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 · E2023-11-17 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure residents received nail care/personal hygiene to promote good personal hygiene and grooming for 2 (Residents #14 and #22) of 2 sample mix residents who were dependent on staff for nail care and personal hygiene. The findings are: Resident (R) #14 had a diagnosis of Dementia. The Quarterly Minimum Data Set (MDS), dated [DATE], revealed R#14 had a Brief Interview for Mental Status (BIMS) score of 7, which indicated the resident had severe cognitive impairment. The resident was dependent on staff for bathing and personal hygiene. Review of R#14's Care Plan initiated on 11/30/2018 revealed the resident had an activity of daily living (ADL) self-care performance deficit. Interventions included check nail length and trim and clean on bath day and as necessary initiated on 12/17/2018. Review of R#14's bathing documentation dated 10/19/2023 through 11/9/2023 revealed R#14 received a shower on 10/19, 10/23, 10/26, 10/30, 11/2, 11/6, 11/7,…
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 · E2023-11-17 · 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 food items prepared for residents with a physician order for a pureed diet received food that was the appropriate consistency to promote consumption and minimize the risk of choking. The failed practice had the ability to affect 3 of 3 (Residents #14, #41 and #44) sampled residents who had a physician's order for a pureed diet and received their meals from 1 of 1 kitchen according to a list provided by the Assistant Administrator on 11/17/23 at 8:45 AM. The findings are: On 11/14/23 at 11:35 AM, the [NAME] was observed to place nine 1/2 cup servings of black eyed peas into the blender. After initial blending he then placed 4 scoops of thickener and broth from the peas and the peas were blended until smooth. Upon completion the peas were placed into a 1/4 size steam table pan. Next the cook begins to break up pieces of pork loin and adds them to the bowl of the food processor. Water was used to thin the meat mixture. On 11/14/23 at 12:43 PM, the tray of a resident with a physician's order for a pureed diet was observed…
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 before2023-11-17 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
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 observations, record review, and interviews, the facility failed to ensure hand hygiene and infection control measures were implemented during medication administration and during activities of daily living (adl's) to prevent potential infections for 2 (Residents #14 and #30) of 2 sampled residents. The findings are: Resident #14 had a diagnosis of Dementia. The Quarterly Minimum Data Set (MDS), dated [DATE], revealed Resident #14 had a Brief Interview for Mental Status (BIMS) score of 7, which indicated the resident had severe cognitive impairment. The resident was dependent on staff for bathing and personal hygiene. Review of Resident #14's Care Plan, initiated on 11/30/2018 revealed the resident had an activity of daily living (adl) self-care performance deficit. Interventions included check nail length and trim and clean on bath day and as necessary. Initiated on 12/17/2018. On 11/14/23 at 01:10 PM, Resident #14 was observed lying in bed. Certified Nursing Assistant (CNA) #6 and CNA #7 entered…
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 before2023-11-17 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to provide assistive devices necessary to maintain the highest level of independence and dignity for 1 (Resident #69) of 1 sampled resident who required a handled cup for hydration. The findings are: Resident #69 had diagnoses of Muscle Weakness (Generalized) and Other Abnormalities of Gait and Mobility The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/11/23 documented the resident received a score of 15 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status (BIMS) and required set up for eating, substantial/maximal assistance for personal hygiene, and partial/moderate assistance for mobility. On 11/14/23 at 02:15 PM, the resident was observed during initial rounds. He began to describe dissatisfaction with the care he was receiving. Resident #69 stated, This is more of a nursing home than it is a rehab facility. I can't even get something as simple as the cup I'm supposed to get with my meals. When asked to describe the cup the resident stated, Since I have started having…
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 · E2022-08-18 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure respiratory care, was consistent with professional standards of care as evidenced by their tubing not being stored in a bag or other closed container when not in use to prevent potential contamination for 2 (Resident #5 and #40) of 7 of 7 (Resident #1, # 5, # 27, # 40, # 50, # 55, and # 108) sample residents reviewed. This failed practice had the potential to affect 13 residents who had physician orders for oxygen, according to a list provided by the Director of Nursing (DON) on 08/17/22 at 10:47 AM. Findings are: 1. Resident #5 was admitted to the facility on [DATE] with diagnoses of Parkinson's Disease, Pneumonia, Chronic Respiratory Failure with Hypoxia, Chronic Obstructive Pulmonary Disease, and Dependence on Supplemental Oxygen. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/15/22 documented a score of 15 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status (BIMS).…
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
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 3.6 | -1.6 vs chain |
| Health inspection | 1 of 5 | 3.2 | -2.2 vs chain |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 4.2 | +0.8 vs chain |
The other 37 homes this chain runs (chain average 3.6★, 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 |
|---|---|---|---|---|
| HURSH, PARALEA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | since 12/12/2024 |
| SAMS, JERRY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | since 12/12/2024 |
| BELDYGA, JULIA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/20/2004 |
| MORTON, MICHAEL | Individual | LIMITED PARTNERSHIP INTEREST; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 11/10/2025 |
| NORSWORTHY, DAVID | Individual | LIMITED PARTNERSHIP INTEREST; ADP OF THE SNF | — | since 08/01/2025 |
| INNISFREE ESTATES, LLC | Organization | ADP OF THE SNF | — | since 12/12/2024 |
| NURSING CONSULTANTS INC | Organization | ADP OF THE SNF | — | since 11/10/2025 |
| BURNER, KIMBERLY | Individual | ADP OF THE SNF | — | since 12/10/2024 |
CMS files one row per role, so the 11 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 25% 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 045302. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-15, 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.