Russellville Nursing And Rehabilitation Center
215 South Portland Avenue, Russellville, AR 72801 · For profit - Corporation · 100 certified beds · (479) 968-5256 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 payroll-based staffing rating (4/5)
- a high number of inspection citations overall (22) — 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 (2/5)
- about 18% 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 | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 3 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 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 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.3% | 9.5% | 15.4% | better |
| Long-stay residents who lose too much weight | 1.4% | 4.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.5% | 0.6% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.6% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.3% | 1.4% | 6.5% | better than state‡ — see note marked double-dagger 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 | 3.1% | 3.9% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 17.0% | 10.1% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 29.1% | 21.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.7% | 4.2% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 23.0% | 13.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.3% | 10.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 97.9% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 32.0% | 24.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 4.0% | 12.5% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.61 | 2.01 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.09 | 2.13 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ 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.
48.7% 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 109 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 56.2% 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 48 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 7% 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 | 48.7%CMS range 38.1–56.8 | 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 | 8.7%CMS range 5.9–12.4 | 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 | 56.2% | 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 | 60.4% | 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 | 58.3% | 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 | 100.0% | 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 | 95.9% | 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 | 4.0% | 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 | 1.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.6%CMS range 4.8–12.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.01 | 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 100 beds and averages 93.9 residents a day — about 94% occupied, or roughly 6 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 4.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.22 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 3.95 hrs/resident/day on weekends vs 4.70 on weekdays — 16% thinner on weekends. RN hours go from 0.47 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 41% 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.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · E2026-02-26 · tag F0636 — patternAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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, interview, and facility policy review, the facility failed to ensure Minimum Data Sets (MDS) were completed in a timely and accurate manner for two (Resident #106 and Resident #70) of two residents reviewed; specifically, that a quarterly MDS was accurately completed for (Resident #70) to indicate an appropriate smoking status, and that an admission MDS was completed within 15 days of admission for Resident #106. The findings include: Resident #106 A review of Resident #106's Care Plan revealed the facility admitted the resident on 02/05/2026, with diagnoses which included alcohol use, unspecified intoxication, cardiac arrythmias, and spinal stenosis. A review of the MDS portion of Resident #106's electronic record on 02/24/2026 revealed an in progress status with a start date of 02/09/2026 for the admission MDS. During an interview on 02/24/2026 at 3:45 PM, MDS Coordinator #9 confirmed Resident #106's admission MDS was delinquent, due to MDS Coordinator #9 having an extended…
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 · E2026-02-26 · tag F0638 — patternAssure that each resident’s assessment is updated at least once every 3 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and facility document review, the facility failed to ensure that quarterly Minimum Data Set (MDS) assessments were completed within the 90-day regulatory timeframe for 11 (Residents #25, #36, #38, #50, #60, #62, #67, #69, #73, #76, and #83) of 15 residents reviewed for quarterly assessments. The findings include: During a review of the resident's quarterly MDS assessments on 02/24/2026 at 11:01 AM, the following past due quarterly assessments were identified: - Resident #25's last quarterly MDS was completed on 10/16/2025, their next assessment was due on 01/16/2026.- Resident #36's last quarterly MDS was completed on 10/21/2025, their next assessment was due on 01/21/2026.- Resident #38's last quarterly MDS was completed on 10/10/2025, their next assessment was due on 01/10/2026.- Resident #50's last quarterly MDS was completed on 10/15/2025, their next assessment was due on 01/15/2026.- Resident #60's last quarterly MDS was completed on 10/17/2025, their next assessment was due on 01/17/2026.- Resident #62's last quarterly MDS was conducted on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-02-26 · 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, record reviews, and interviews, the facility failed to ensure hand hygiene and gloving were appropriately performed for one (Resident #57) of one sampled resident observed during perineal care, and the facility failed to ensure appropriate Personal Protective Equipment (PPE) was worn when administering medication and water flushes through a feeding tube for one (Resident #11) of one sampled resident, to prevent the risk for infection. Specifically, LPN #11 wore gloves and no gown when administering medication and flushes through a feeding tube, a high-contact care activity. The findings include: Resident #57 A review of Resident #57's Medical Diagnosis revealed the resident had diagnoses which included Huntington's disease (rare disorder associated with progressive loss of brain and muscle function), bipolar disorder, and anxiety disorder. A review of Resident #57's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/05/2025, revealed a Brief Interview for Mental Status (BIMS) score of 02, which indicated the resident had severe…
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 before2026-02-26 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure wounds were identified, documented, accurately reported to the physician, and treated for one (Resident #20) of four sampled residents reviewed. Specifically, an undated, unsigned, and undocumented dressing was discovered by staff on the lower right extremity of Resident #20, which had been applied without physician orders, and Resident #20 was found to have a small fist sized wound under the dressing, with myiasis [a parasitic infection of maggots in human tissue], which was not reported to the resident's physician. The findings include: A review of Resident #20's Medical Diagnosis revealed the resident had diagnoses which included osteoarthritis, major depressive disorder, and anxiety. A review of Resident #20's annual Minimum Data Set (MDS) with an Assessment Reference Date of [DATE], revealed an admission date of [DATE] and Brief Interview for Mental Status score of 14, which indicated the resident was cognitively intact. Resident #20's MDS…
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 before2026-02-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, interview, and facility policy review, it was determined the facility failed to ensure one (Resident #8) of one resident reviewed for respiratory care, had an order for oxygen. The findings include: During an observation on 02/23/2026 at 11:49 AM, this surveyor observed Resident #8 resting with their mouth open, while receiving oxygen (O2) at two liters per minute (L/M) via Nasal Cannula (NC) with a Continuous Positive Airway Pressure (CPAP) device stored on the left bedside table. During a concurrent observation and interview on 02/24/2026 at 11:32 AM, this surveyor observed that Resident #8 remained on O2 at two L/M via NC. Resident #8 was alert and oriented. The resident revealed that they were on oxygen for COPD [Chronic Obstructive Pulmonary Disease]. A review of Resident #8's Medical Diagnosis revealed the resident had diagnoses which included anemia, heart disease, and wheezing. There was no diagnosis of COPD listed. A review of a Resident #8's quarterly Minimum Data Set (MDS) with an assessment reference date of 01/02/2026, revealed 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 · D2026-02-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 facility policy review, the facility failed to ensure expired medication was not stored in the medication cart for one (300-Hall) of two medication carts observed. The findings include: During an observation on 02/24/2026 at 10:50 AM, this surveyor observed 10 vials of [Brand Name] eye drops stored in the bottom drawer of a medication cart on the 300-Hall, with a manufacturer's expiration date of August 2025. During an interview on 02/24/2026 at 10:53 AM, Medication Assistant (MA-C) #21 confirmed that the 10 closed vials of eye drops stored in the medication cart were expired, and that expired medications should be stored in the medication room, in a box. MA-C #21 indicated that the expired eye drops were not being administered to any of the residents. During an interview on 02/24/2026 at 10:54 AM, Licensed Practical Nurse #11 indicated that expired medications were kept in a box in the medication room. During an interview on 02/26/2026 at 1:45 PM, the Administrator indicated that the last medication in-service was completed with all the staff.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-08-22 · 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, interview, and policy review, the facility failed to ensure food was discarded prior to the use by date, staff hands were washed between clean and dirty tasks and that meals were served in a manner as to not promote cross contamination for 80 residents who receive their meal from one of one kitchen. The findings are: On 08/19/24 at 10:35 AM, a large plastic container of soup was observed with a use by date of 8/18/24. A large plastic container, approximately 1/3 full of sliced tomatoes, had a use by date of 08/16/24. A large plastic container, approximately 1/4 full of sliced onions, was observed with a use by date of 8/16/24. On 08/19/24 at 10:43 AM, a tray containing four 4-ounce glasses of orange juice, one 4-ounce glass of tomato juice, and one 8-ounce glass of tea was observed on the middle shelf of the 2-door refrigerator. The tray and the individual glasses were not labeled with a date. On 08/19/24 the refrigerator was observed to contain no interior thermometer. On 08/20/24 at 11:25 AM, Dietary Employee #1 was observed to wash her hands prior 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 · E2024-08-22 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 provide a safe, clean, homelike environment for 1 (Resident #44) of 1 resident regarding linen changes, 2 (Resident #15 and #44) of 2 residents regarding plaster cracking, and 43 out of 43 residents who use the 100 Hall bath. 1. On 08/19/2024 at 11:36 AM, the surveyor noted Resident #44's bed to be unmade, covers pulled back, and bottom linens appeared soiled with two large, orange-colored spots on fitted sheet. The surveyor noted an orange colored spot on the pillowcase on pillow at the head of the bed. the surveyor noted multiple flies around the resident's bed and a urine odor present. The surveyor made additional observation of unmade bed with soiled linens on 08/20/2024 at 11:58 PM. The surveyor interviewed Certified Nursing Assistant (CNA) #5 and asked when Resident #44's bed linens were last changed, CNA #5 stated on shower days and when the resident wants the linens changed. When asked why the resident's linens were not changed when visibly soiled, CNA #5 stated I don't know. 2. On 08/19/2024 at 11:50…
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 before2024-08-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure an accepted power source was used for medical equipment to prevent the potential for fire hazards. The oxygen concentrator and pacemaker equipment were plugged into a small white 6 outlet power strip hanging on the wall behind the head of the bed of Resident #4. The facility failed to provide an environment that is free from accidents and hazards affecting 1 (Resident #12) resident. The findings are: 1. On 8/19/24 a physician orders indicated oxygen was to be continuous at 3 liters per minute utilizing a nasal cannula and every Thursday a nurse was to check the Heart Monitor which will be checked between the hours of 2-4 am every night shift on Thursdays by St [NAME] Medical phone. a. On 8/19/24 at 11:44 AM, the surveyor observed a small 6 outlet power strip hanging on the wall above the head of Resident #4. The resident's oxygen concentrator and pacemaker equipment were plugged into two of the outlets along with a cell phone…
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 · E2024-08-22 · tag F0693 — failed to provide proper feeding-tube care — patternEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, record reviews, and facility policy review, the facility failed to provide appropriate treatment and services to prevent complications from enteral feedings for 1 (Resident #63) of 1 resident observed during supplemental feeding via percutaneous endoscopic gastrostomy (PEG) tube. Specifically, the facility failed to ensure placement of PEG tube before enteral feeding and flush. The findings include: A review of an admission Record indicated the facility admitted Resident #63 with diagnoses that included gastroparesis, severe protein-calorie malnutrition, and adult failure to thrive. The annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) 07/01/2024 revealed in Section K0100, Swallowing Disorder: C. Coughing or choking during meals or when swallowing medications and D. Complaints of difficulty or pain when swallowing .K0520. Nutritional Approaches: B. Feeding tube (e.g., nasogastric or abdominal (PEG) while a resident: Yes. Review of Resident #63's Care Plan, initiated 10/30/2023, revealed the resident has a nutritional problem or…
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 12 citations
- Potential for harm · Ecited before2024-08-22 · 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 observation, record review, and interview, it was determined that the facility failed to ensure staff followed isolation precautions including the appropriate use of personal protective equipment (PPE) prior to high contact resident care, to reduce transmission of resistance organisms for 1 (Resident #63) of 1 sampled resident observed during supplemental feeding via percutaneous endoscopic gastrostomy (PEG) tube. Specifically, the facility failed to ensure a gown was worn before a supplemental PEG tube feeding and flush and failed to ensure used personal protective equipment (PPE) was disposed of properly and the container was closed to prevent possible cross contamination to anyone passing the trash can sitting in the hallway. A review of an admission Record indicated the facility admitted Resident # 63 with diagnoses that included gastroparesis, severe protein-calorie malnutrition, and adult failure to thrive. A review of the annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/01/2024 revealed in Section K0100. Swallowing Disorder: C. Coughing or…
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 · D2024-08-22 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 follow a grievance policy signed by the facility and resident upon resident admission to include completing a grievance form and prompt resolution of grievance for 1 (Resident #16) of 1 sampled resident. On 08/19/2024 at 10:30 AM, Resident #16 reported a lost tablet. A family member at bedside reported the tablet purchased by family was lost or stolen while the resident was in the facility. The family member reported Administration was made aware, and an investigation was supposed to be initiated. On 08/20/2024 at 2:44 PM, the Assistant Director of Nursing (ADON) was interviewed regarding Resident #16's family member reporting the missing tablet to the Administrator. When asked if tablet was found, the ADON stated she was never notified. On 08/20/2024 at 2:44 PM, the Administrator was interviewed and asked if Resident #16's tablet was reported missing. He stated he could not recall an incident where tablet had been reported missing. On 08/20/2024 at 2:50 PM, the Assistant Director of Nursing stated that yes,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-22 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, it was determined the facility failed to ensure a comprehensive Minimum Data Set (MDS) assessment was completed within 14 days after a significant change was identified to facilitate the ability to determine if any changes in care were necessary for 1 (Residents #58) sampled resident admitted to hospice care. The findings are: A review of an admission Record indicated the facility admitted Resident # 58 with diagnoses that included hypertensive heart disease with heart failure and Alzheimer's disease. A review of the Order Summary Report, dated 03/16/2024, revealed an order reading, Admit to: Long Term Care/ Hospice. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/13/2024 revealed in Section O0110, Special Treatments, Procedures, and Programs, K1. Hospice care While a resident? Yes. Review of Resident # 58's Care Plan, initiated 03/04/2024, revealed the resident was admitted to [company name] hospice on 03/04/2024 for hypertensive heart disease with heart failure. Interventions included 2 hospice aides to come…
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 · F2023-10-13 · 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, record review and interview, the facility failed to ensure meals were prepared and served in accordance with the planned written menu for preparation of pureed foods, alterative foods, and enhanced food items to meet the nutritional needs of the residents for 2 of 2 meals observed. This failed practice had the potential to affect 3 residents who received pureed diets, 2 residents who received alterative foods, and enhanced food items 24 residents who received enhanced food items from 1 of 1 kitchen. The findings are: Review of the facility Spring/Summer 2023 menu for lunch showed residents on pureed diets were to receive 2 #8 scoops (1 cup) of pureed goulash. During observation on 10/09/23 at 12:04 PM, Dietary Employee # 4 served 3 chicken wings to the residents who dislike goulash. At 12:19 PM, the Surveyor asked Dietary Employee #4 to weigh 3 pieces of chicken wings to check if it equals the same amount of goulash served to residents who disliked goulash, and it weighed 1.3 ounces. At 12:20 PM, the Surveyor asked the Dietary Supervisor how much protein should…
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 · F2023-10-13 · tag F0805 — failed to prepare food in a form residents can eat — widespreadEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure that pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 3 residents who received pureed diets. The findings are: The following observations were made on 10/09/23: a. At 7:46 AM, the pureed sausage served to residents who required pureed diets was not smooth, with pieces of meat visible in the mixture. At 7:48 AM , the surveyor asked Dietary Employee #4 to describe the consistency of the pureed sausage served to the residents on pureed diets. She stated, It has a little lump. b. At 7:46 AM, the pureed sausage served to residents who required pureed diets was not smooth, with pieces of meat visible in the mixture. At 7:48 AM, the surveyor asked Dietary Employee #4 to describe the consistency of the pureed sausage served to the residents on pureed diets. She stated, It has a little lump. c. At 4:01 PM, Dietary Employee #4 used 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 · Fcited before2023-10-13 · 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 food items stored in the refrigerator were covered or sealed; staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents dietary; hot food items were maintained at or 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. The failed practices had the potential to affect 64 residents who received meals from the kitchen The findings are: On 10/09/23 at 10:40 AM, the following observations were made on a shelf in the walk-in refrigerator. a. An opened box of sausage uncovered and unsealed. b. An opened box of bacon uncovered and unsealed. c. At 10:46 AM, Dietary Employee #1 picked up packages of gelled thickener from a container under the food preparation counter and placed them on the counter. Without washing her hands, she picked up glasses by the rims and poured beverages to be served to the residents for lunch. d. At 10:48 AM, Dietary Employee…
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 before2023-10-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, interview and record review, the facility failed to ensure medications were not left in a resident's room unattended for 1 Resident (Resident #39) of 2 case mix sample Residents (Resident #33 and #39). This failed practice had the potential to affect 17 residents receiving medications residing in the facility on hall 300. The findings are: On 10/09/23 at 11:20 AM, the Surveyor observed a medication cup with 2 pills resting on the armrest of a recliner to the left of Resident #39's bed. During interview on 10/09/23 at 11:37 PM, Medication Assistant -Certified confirmed medications were left on the armrest of the recliner in Resident #39's room unattended. Review on 10/11/23 at 1:20 PM of facility policy titled Medication Ordering Receiving and Storage showed, medications and biologicals shall be locked when not in use and should not be left unattended.
- Potential for harm · Ecited before2023-10-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to store nebulizer mask and tubing, for 3 Residents (Resident #2, #13 and #22), and ensure humidifier bottles were filled for 1 (Resident #22) and failed to enter a physicians order prior to administering oxygen to 1 Resident (Resident #13) receiving supplemental oxygen and/or utilizing nebulizer treatments in order to prevent the potential for infection and respiratory complications for (Resident #2, #4, #8, #12, #13, #15, #22, #25, #30, #58 and #68) sampled residents who received respiratory therapy. The findings are: Review of Resident #2's Order Summary Report showed the following: a. A physician's order dated 8/5/23 to administer O2 (oxygen) at 2 L (Liters)/M (minute) via NC (Nasal Canula) as needed. b. A physician's order dated 3/15/23 to change O2 tubing, and date all tubing every Wednesday night on 11-7 shift. During observation on 10/09/23 at 12:30 PM, Resident #2's nebulizer mask was sitting on the nightstand between the Resident's bed and wall. The mask was not in a plastic bag and open to air. During…
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 before2023-10-13 · 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 observation, interview and record review, the facility failed to post a contact isolation precaution sign to notify staff of appropriate precautions to follow during resident care for 1(Resident #55) of 1 sampled resident. The findings are: Review of Resident #55's progress noted dated 09/18/22 by Physician Assistant showed the Resident with urinary tract infection with multiple organisms, one of which being Methicillin-resistant Staphylococcus Aureus (MRSA). The following observation were made on 10/09/23: a. At 12:49 PM, personal protective equipment (PPE) was hanging on Resident #55's door with no contact isolation precaution sign on the door. b. At 8:43 AM, PPE was hanging on Resident #55's door with no contact isolation precaution sign on the door. c. At 9:14 AM, PPE was hanging on Resident #55's door. No contact isolation precaution sign was observed on the door. During observation on 10/11/23 at 8:36 AM, PPE was hanging on Resident #55's door. No contact isolation precaution sign was observed on the door. During interview on 10/11/23 at 10:56 AM Certified Nursing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-13 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to clearly determine and document the Advanced Directives for 1 of 1 (Resident #25) residents reviewed. Review of a document DNR (Do Not Resuscitate)/ Cardiopulmonary Resuscitation (CPR) Instructions, signed on [DATE] by Resident #25, which showed the resident did not want CPR. Review of a document Acknowledgment of Receipt of Advance Directive Information signed on [DATE] by Resident #25 Power of Attorney noted the resident is a full code . Review of the electronic medical record Miscellaneous tab showed on [DATE] Resident #25 was coded as DNR. During an interview on [DATE] at 9:15 AM, the Administrator said I would go by the most recent signature which was in [DATE]. The Administrator confirmed Resident #25 did not have a decline in status between May and November of 2019, which would prevent the resident from signing the code status. The Surveyor asked if there was any concern with the conflicting documents. The ADON answered, Yes, I can see the issue…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure fingernail care was provided to maintain good hygiene and prevent potential injury or infection for 1 Resident (Resident #42) of 3 case mix sampled residents (Resident #2, #33, & #42). The findings are: Review of Resident #42's Quarterly Minimum Data Set (MDS) with an Assessment Review Date (ARD) of 9/15/23 showed, requires extensive assistance with 2-person physical support for bed mobility, toileting, and personal hygiene. Review of Resident #42's care plan with a revision date of 05/18/2021 showed, Resident has an activities of daily living self-care performance deficit related to weakness. During observation on 10/09/23 at 2:27 PM, Resident #42's thumb nails were more than 1/2 inch in length from fingertips with jagged edges and light to medium brown substance visible underneath fingernails. During observation on 10/10/23 at 03:05 PM, Resident #42's fingernails on both hands were more than 1/2 inch in length from tips of fingers, and a medium to light brown substance was visible under each nail.…
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 before2023-08-10 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide 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, record review and interview, the facility failed to ensure the Medication Assistant-Certified (MA-C) administered medication according to the physician ' s order for one (Resident #7) of ten (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10) sampled residents. The findings included: a. During observation on 08/09/2023 at 10:59 AM, MA-C #1 unlocked the medication cart, opened the top drawer, and picked up a plastic medication cup with Resident #7's last name written on the cup. The cup contained several pills and a capsule. MA-C #1 attempted to put the cup in a sharps container attached to the medication cart. The Surveyor asked MA-C #1 what is that cup? MA-C #1 said it is Resident #7's medications, he was asleep this morning and did not take them. The Surveyor asked what time should the medications have been given to Resident #7? MA-C #1 said at 7:00 AM and placed the cup of medications in the sharps container. The Surveyor asked when should you document in the resident's record that the medications have not been given? MAC-C #1 said right now. b. Review 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.
“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 | 3 of 5 | 3.6 | -0.6 vs chain |
| Health inspection | 2 of 5 | 3.2 | -1.2 vs chain |
| Staffing | 4 of 5 | 3.3 | +0.7 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 | Since |
|---|---|---|---|
| SAMS, JERRY | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 04/01/2007 |
| MORTON, MICHAEL | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 12/12/2024 |
| CURTIS, CHAD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/20/2024 |
| CENTRAL ARKANSAS NURSING CENTERS INC | Organization | ADP OF THE SNF | since 01/01/2025 |
| NURSING CONSULTANTS INC | Organization | ADP OF THE SNF | since 01/01/2025 |
| RUSSELLVILLE NURSING PROPERTY INC | Organization | ADP OF THE SNF | since 12/12/2024 |
| PUGH, MARY | Individual | ADP OF THE SNF | since 12/10/2024 |
CMS files one row per role, so the 10 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in AR
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 045340. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-26, 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.