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Westwood Health And Rehab, INC

802 S West End Street, Springdale, AR 72764 · For profit - Corporation · 85 certified beds · (479) 756-1600 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jan 20252 immediate-jeopardy citations$13,871 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $13,871 in federal fines (most recent 2025-01-31)
  • 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)
  • nursing-staff turnover (66%) runs well above the national median (45%)
  • about 19% 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.

2/5
CMS overall
2 of 5
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

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1306 S Pleasant St · (855) 707-5550 · Call to confirm hours
Pharmacy
701 S Thompson St · (479) 751-2072 · Call to confirm hours
Grocery
1528 W Sunset Ave Ste G · (479) 717-6581 · Call to confirm hours
Park
Pleasant Street · (479) 751-8412 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.8%9.5%15.4%better
Long-stay residents who lose too much weight1.7%4.3%5.4%better
Long-stay residents with a catheter left in their bladder0.4%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms1.1%1.4%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.0%3.9%3.3%better
Long-stay residents whose ability to walk worsened3.9%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication5.7%21.7%18.9%better
Long-stay residents given the seasonal flu vaccine93.4%96.1%95.3%typical
Long-stay residents with pressure ulcers3.3%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control7.8%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table4.2%10.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine67.5%77.7%79.4%worse
Long-stay hospitalizations per 1,000 resident days1.002.011.67better
Long-stay outpatient ER visits per 1,000 resident days0.722.131.80better

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.

50.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 43 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.2%U.S. median 51.5%
Got home and stayed home
9.5%U.S. median 10.7%
Went back to hospital
69.6%U.S. median 56.6%
Met the expected recovery
0.07U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 69.6% 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 23 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 0.07 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF50.2%CMS range 39.8–65.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 6.1–13.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge69.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge65.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge43.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 4.4–12.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.34
RN hours/ resident / day
0.85
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.46
Total nurse hours/ resident / day
0.18
RN hoursweekends
66.3%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 85 beds and averages 62.5 residents a day — about 74% 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 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.61 hrs/resident/day on weekends vs 3.80 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 0.40 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 66% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2025-01-31)
8
at the previous standard inspection (2024-01-25)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

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

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · J2025-01-31 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure the comprehensive person-centered care plan included an objective for monitoring a resident with wandering behaviors who was at risk for resident-to-resident altercations for 1 (Resident #44) of 3 residents reviewed for abuse. The lack of effective interventions resulted in Resident #44 having resident-to-resident abuse that occurred on 04/11/2024, 04/19/2024, 07/10/2024, 08/06/2024, 08/12/2024, 12/07/2024, 12/20/2024, 12/25/2024, and 01/09/2025. All of the incidents took place on the locked unit and Resident #44 had been kicked, hit in the face, hit in an unknown area, pushed, punched in the hand, struck in the hand, punched in the stomach, pushed down numerous times, and hit in the head. The last incident resulted in a broken hip. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · J2025-01-31 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure a resident was free from resident-to-resident abuse for 1 (Resident #44) of 3 sampled residents reviewed for abuse. The lack of effective behavior monitoring resulted in Resident #44 having resident to resident abuse that occurred on 04/11/2024, 04/19/2024, 07/10/2024, 08/06/2024, 08/12/2024, 12/07/2024, 12/20/2024, 12/25/2024, and 01/09/2025. Of those incidents, Resident #9 was the physical aggressor for 3 instances. On 12/07/2024, Resident #9 hit Resident #44 in the stomach. On 12/20/24, Resident #9 pushed resident #44, resulting in the resident falling. On 01/08/2025, Resident #9 pushed Resident #44, resulting in the resident falling. Resident #44 was sent to the emergency room and was found to have a fractured hip. All of the other incidents were completed by other residents on the locked unit and Resident #44 had been kicked, hit in the face, hit in an unknown area, pushed, punched in the hand, struck in the hand, and hit in the head. It was determined the facility's non-compliance with one 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-31 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review, it was determined that the facility failed to ensure that resident to resident events were reported within 24 hours even if no serious bodily injury occurred for 1 (Resident #9) of three residents reviewed for abuse and neglect. Findings include: A review of the facility policy, Abuse Prevention, revised 11/16/2017 revealed that all reports of resident abuse, neglect, injuries of an unknown source, resident-to-resident abuse and resident-to-staff abuse are promptly and thoroughly investigated by facility management, and that when an alleged or suspected abuse is reported, the facility administrator or his/her designee, would notify the following: 1. The State licensing/certification agency 2. The resident ' s representative 3. Law enforcement 4. The resident ' s attending physician. A review of OLTC Incident and Accident Report (I&A) indicated on 01/08/2025, Resident #9 pushed Resident #44 into a wall. Resident #44 grabbed at their hip as if the resident was in pain. Both residents resided in the Alzheimer ' s unit. Resident #44 had a hip…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-31 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure that the resident received prompt treatment after noticing a change in condition for 1 (Resident #112) of 4 residents reviewed for abuse and/or neglect. Specifically, Resident #112 showed signs of a stroke and was not sent to the emergency room until approximately 4 hours after noticing the change in condition. The findings are: A review of an admission Record indicated Resident #112 had diagnoses of neurocognitive disorder with Lewy bodies, chronic obstructive pulmonary disease, altered mental status, atrial fibrillation (irregular and often rapid heart rhythm that can lead to stroke), cerebrovascular disease (term for conditions that affect blood flow to your brain), cognitive communication deficit. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/04/2025 documented the resident scored 00, (0-7 indicates the resident was severely cognitively impaired) on 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews, the facility failed to (1) properly transfer 1 (Resident #41) of 9 residents reviewed for accidents; (2) ensure keys were not left in the janitor closet door unattended where chemicals were stored for 1 (100 hall) of 4 halls observed; (3) ensure the rear casters/wheels of the mechanical lift were in the unlocked position when raising and lowering residents affecting 1 (Resident #8) of 9 residents reviewed for accidents; (4) ensure the beauty shop on the secured unit was locked when not in use or when there were no staff present. The findings are: 1. A review of an Order Summary Report revealed Resident #41 had a diagnosis of hemiplegia and hemiparesis following cerebral infarction (paralysis after a stroke) affecting the dominant side. The quarterly Minimum Date Set (MDS) with an Assessment Reference Date (ARD) of 10/23/2024 revealed Resident #41 had a Brief Interview of Mental Status (BIMS) score of 13, which indicated the resident was cognitively intact. Further review indicated the resident had upper and lower extremity range…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-31 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure garbage and refuse was disposed of properly for one of one dumpster observed. The findings are: During an observation on 01/28/2025 at 3:00 PM, the trash dumpster gates were opened, exposing the trash dumpster and the trash inside. Sitting directly next to the dumpster was a used recliner and broken wooden fencing. A. The trash dumpster door was left open, exposing trash bags containing briefs, gloves, and other waste items inside. B. The fence around the dumpster had a large section of the fence missing, exposing a large black trash bag lying on the ground beside the dumpster that contained unknown debris and a dirty recliner sitting beside the dumpster. The black trash bag was torn open in several places. Items that had spilled out of the black trash bag included an empty sugar bag, several foam containers, plastic lids, a stack of white cups, plastic bags, used plastic gloves and an empty bottle of thickened water. [NAME] bags, used gloves, paper and other debris were on the grounds around 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-31 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, facility document review, facility policy review, it was determined that the facility failed to ensure hand hygiene was performed during one of one meal service observed. Findings include: A review of a facility policy titled, Handwashing/Hand Hygiene, revised October 2023, indicated, handwashing was the primary means to prevent the spread of infections and stated that hand hygiene is indicated immediately before touching a resident, after contact with contaminated surfaces and after touching a resident or the resident ' s environment. During an observation on 01/27/2025 at 12:38 PM, Nursing Assistant (NA) #9 rubbed their hands on their shirt, then placed their hands in their lap, then picked up a spoon and started feeding a resident without sanitizing hands. After feeding the bite, NA #9 placed their hands back in between their knees, then grabbed a spoon to feed the resident, without sanitizing hands. NA #9 reached across another second resident and adjusted the resident, then picked up a glass and offered the first resident 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-31 · tag F0770 — failed to provide lab services — pattern
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to acquire a current Clinical Laboratory Improvement Amendment (CLIA) certificate appropriate for the level of testing performed within the facility, as required, for 1 of 1 facility. The findings are: The Centers for Medicare and Medicaid Services (CMS) Guidance at tag F770 documented, .If a facility provides its own laboratory services or performs any laboratory tests directly (e.g. [for example], blood glucose monitoring, etc. [et cetera]) the provisions of 42 CFR [Code of Federal Regulations] Part 493 apply and the facility must have a current Clinical Laboratory Improvement Amendment (CLIA) certificate appropriate for the level of testing performed within the facility. On 1/29/25 at 11:52 a.m., Observation of the facility's CLIA certificate documented an expiration date of 1/25/25. The Administrator was asked if the facility had a current CLIA certificate in her office. She stated, I will have to get that for you. A review of Pay.gov Payment Confirmation: CLIA Laboratory Program indicated the facility paid for the CLIA…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure 1 (Resident #13) of 1 sampled resident was provided a weighted cup for fluids to prevent dehydration. The findings are: Resident #13 had a diagnosis of covid 19 and unspecified severe protein-calorie malnutrition. The Medicare 5-Day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/26/24 documented the resident scored 07 (00-07 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS). A Care Plan dated 10/23/23 documented, .Weighted Cups .Encourage good nutrition and hydration in order to promote healthier skin . On 1/22/24 at 2:42 PM, Resident #13 had a pitcher and a styrofoam cup in his room. Both were empty. On 1/24/24 at 2:56 PM, Resident #13 was in bed drinking liquid out of a white styrofoam cup. On 1/25/24 at 9:36 AM, there were no drinking cups in Resident #13's room. On 1/25/24 at 9:45 AM, the Activity Director walked into Resident #13's room. She was asked, Does [Resident #13] have any water or a weighted cup in his room. She stated, No, he doesn't. On 1/25/24…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0575 — pattern
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    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 post, in a form and manner accessible and understandable to residents, contact information for pertinent State agencies and advocacy groups for 15 residents residing in the facility's Secure Unit. The findings are: On 01/22/2024 at 02:40 PM, observed the contact information for State agencies and the Ombudsman was not posted in the secure unit. The doorways into the secure unit were closed and secured to prevent residents from exiting and observing contact information posted in other parts of the facility. On 01/23/2024 at 08:30 AM, observed the contact information for State agencies and the Ombudsman was not posted in the secure unit. On 01/24/2024 at 08:00 AM, observed the contact information for State agencies and the Ombudsman was not posted in the secure unit. On 01/24/2024 at 01:35 PM, the Director of Nursing (DON) reported they were not aware that the contact information for State agencies and the Ombudsman was required to be posted in the secure unit. The DON confirmed that the contact information…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain the resident rooms in a safe, functional, homelike manner for 3 (Rooms 114, 119, 121) rooms, as evidenced by trim disconnected from the walls and built in drawers failed to open and close safely. The findings are: On 01/24/24 at 10:08 AM, during environmental rounds the following observations were made: a. Standing in the entrance of room [ROOM NUMBER], inside the bathroom, on the left side of the floor, the trim was disconnected from the wall 2 inches. b. Standing in the entrance of room [ROOM NUMBER], the lower section of the built in 2-door closet had upper and lower drawers. The upper drawer toward the outside window could not be opened and safely closed. c. Standing in the entrance of room [ROOM NUMBER], the lower section of the built in 2-door closet had upper and lower drawers. The upper and lower drawers toward the bathroom could not be opened and safely closed. In addition, the floor trim on the wall from the bathroom…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-25 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide 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 fingernails were cleaned and groomed to promote good personal hygiene and grooming for 2 (Residents #32 and #34) of 15 (Residents #2, #3, #4, #8, #13, #21, #31, #32, #35, #38, #43, #45, #48, #105, and #106) sampled residents who were dependent on staff for fingernail care and facial hair was removed from 1 (Resident #105) of 10 (Residents #50, #105, #13, #45, #35, #41, #32, #38, #5, and #8) sampled residents who were dependent on staff for personal hygiene. The findings are: 1. Resident #32 had a diagnosis of Alzheimer's Disease. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/02/23 documented the resident scored 06 (0-07 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and required partial/moderate assistance with Activities of Daily Living (ADL's). The Comprehensive Care Plan with a revision date of 12/23/23 included the need for assistance with ADLs with an intervention noted Resident #32 was able to perform personal hygiene…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · E2024-01-25 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    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 an ongoing program of activities for 15 residents in the facility's Secure Unit. The findings are: On 01/22/2024 at 02:15 PM, Resident #28 was asked if they were encouraged to participate in activities. Resident #28 denied being invited to join in activities. On 01/22/2024 at 02:39 PM, a bulletin board labeled, Activities of the Week was observed in the secure unit. It documented the activities planned for the week. On 01/22/2024 at 04:00 PM, a Music Social was scheduled. It did not take place. On 01/23/2024 at 11:00 AM, a game of Zingo was planned. It did not take place. On 01/23/2024 at 04:00 PM, a game of Ball Toss was planned. It did not take place. On 01/24/2024 at 11:00 AM, Creativity Art was planned. It did not take place. On 01/24/2024 at 01:27 PM, the Director of Activities was asked if residents in the secure unit had a program of activities that was being followed. The Director of Activities confirmed that a program was in place and was posted on that unit. The Director of Activities 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that hazardous fluids were stored in a safe manner in 3 (rooms [ROOM NUMBER]) resident rooms located in the facility's secure unit. This failed practice had the potential to affect 10 residents identified as ambulatory by a list provided by the Administrator on 01/24/2024 at 04:00 PM. The findings are: 1. On 01/22/2024 at 02:03 PM, rooms [ROOM NUMBERS] were observed to share a bathroom. In the bathroom was an opened bottle of Perineal and Skin Cleanser. The label documented, Caution: For external use only. Avoid contact with eyes. In case of eye irritation, flush with water and contact a physician . Keep out of reach of children. a. On 01/23/2024 at 08:45 AM, the bottle of skin cleanser was observed in the bathroom for rooms [ROOM NUMBERS]. b. On 01/24/2024 at 09:00 AM, the bottle of skin cleanser was observed in the bathroom for rooms [ROOM NUMBERS]. 2. On 01/22/2024 at 02:15 PM, an opened bottle of Lens Cleaner was observed in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure 1 (Resident #13) of 12 (Residents #50, #105, #13, #3, #45, #106, #35, #5, # 4, #8, #31, and #48) sampled residents who were dependent on staff for hydration always had fluids available. The findings are: Resident #13 had a diagnosis of covid 19, and unspecified severe protein-calorie malnutrition. The Medicare 5-Day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) on 10/26/24 documented the resident scored 07 (00-07 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS). A January 2024 Physicians Order documented, .Nectar consistency . A Care Plan dated 10/23/23 documented, .Weighted Cups .Encourage good nutrition and hydration in order to promote healthier skin . On 1/22/24 at 2:42 PM, Resident #13 had a pitcher and a styrofoam cup in his room. Both were empty. On 1/24/24 at 2:56 PM, Resident #13 was in bed drinking a liquid out of a white styrofoam cup. On 1/25/24 at 9:36 AM, there were no drinking cups in Resident #13's room. On 1/25/24 at 9:45 AM, the Activity Director…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure the oxygen tubing, humidifier mask, and/or an oxygen water bottle were dated for 2 (Residents #3 and #13) of 6 (Residents #3, #13, #28, #50, #105, and #106) sampled residents who had a physician's order for oxygen. The findings are: 1. Resident #3 had a diagnosis of covid 19, pneumonia, unspecified organism, and acute cough. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) on 1/07/24 documented the resident scored 07 (00-07 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS). A Physicians Order for Resident #3 dated 11/14/23 documented, .Change and date O2 [oxygen] tubing and water bottle q [every] week and clean filter and initial portable o2 tubing changed weekly as well, ensure bag is in place, and tubing is inside bag when not being used every night shift every Mon [Monday] . O2 @ [at] 2L/min [liters per minute] via [by] nasal cannula *MAY REMOVE FOR ADL'S [activities of daily living]*as needed for shortness of breath. On 1/22/24 at…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-10-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items and expired food items were promptly removed/discarded by the expiration or use by dates to prevent potential for food bone illness. These failed practices had the potential to affect 66 residents who received meals from the kitchen and 21 residents who received snacks from the unit (total census: 66), as documented on a list provided by the Dietary Supervisor on 10/19/2022. The findings are: 1. On 10/19/22 at 8:20 AM, a half-gallon of sweet and sour sauce was on a shelf in the storage room with an expiration date of 5/3/2022. 2. On 10/19/22 at 11:29 AM, Dietary Employee (DE) #1 used a rag to wipe off the counter. She did not was her hands, she picked up plates and placed them on the counter with her fingers touching the interior surfaces of the plates. She then removed gloves from the glove box and placed them on her hands and contaminated the gloves. She removed the plastic covering or seal from the pie, did not change gloves or wash her…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-20 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a resident's fingernails were cleaned and trimmed to promote good personal hygiene and grooming for 1 (Resident #17) of 7 (Residents #2, #17, #27, #36, #43, #46 and #59) sampled residents who were dependent for nail care. The findings are: Resident #17 had diagnoses of Type II Diabetes Mellitus and Dementia. An Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/10/22 documented the resident scored 9 (8-12 indicates moderately cognitively impaired) on a Brief Interview for Mental Status (BIMS) and was totally dependent of one person physical assistance for bathing and required extensive physical assistance of one person for personal hygiene. a. The Physician's order dated 7/26/22 documented, Cut/file finger/toe nails every day shift every Tue [Tuesday] . b. The Care Plan dated 8/18/22 documented, The resident has an ADL [Activities of Daily Living] self-care performance deficit r/t [related to] Dementia . BATHING/SHOWERING: Resident requires total dependence x [times] 1 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2026-05-28 · tag F0628 — pattern
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, it was determined that the facility failed to ensure that a resident's transfer or discharge was reported to the ombudsman for two (Resident #1 and Resident #3) of two residents reviewed. The findings include: Resident #1 Review of Resident #1's Medical Diagnosis revealed Resident #1 had diagnoses which included muscle wasting and atrophy, acute respiratory failure with hypoxia, moderate dementia without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety. Review of Resident #1's admission Record revealed the facility admitted Resident #1 on 03/27/2025, and indicated the resident was discharged to a local hospital on [DATE]. Review of Resident #1's 5-day Minimum Data Sheet (MDS) with an Assessment Reference Date (ARD) of 03/31/2025 revealed that the Resident #1 had a Brief Interview of Mental Status (BIMS) score of 3, which indicated severe cognitive impairment. Review of a facility document titled Emergency Transfers dated February 2025, March 2025,…

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

    Resident Rights Deficiencies · No revisit needed

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

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

Fines & penalties

$13,871 in federal fines across 1 penalty.

  • $13,871 — penalty dated 2025-01-31

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ANTHONY & BRYAN ADAMS — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 53.8-1.8 vs chain
Health inspection 1 of 53.5-2.5 vs chain
Staffing 3 of 53.0≈ chain avg
Quality measures 5 of 54.3+0.7 vs chain
The other 37 homes this chain runs (chain average 3.8★, per CMS)
1 of 5Ridgecrest Health And RehabilitationJonesboro, AR 2 of 5Bailey Creek Health And RehabTexarkana, AR 2 of 5Magnolia Square Nursing And RehabSpringfield, MO 2 of 5St. Elizabeth's PlaceJonesboro, AR 2 of 5Twin Lakes Therapy And LivingFlippin, AR 3 of 5Alcoa Pines Health And RehabilitationBenton, AR 3 of 5Birch Pointe Health And RehabilitationSpringfield, MO 3 of 5James River Nursing And RehabilitationSpringfield, MO 3 of 5The Lakes At Maumelle Health And RehabilitationMaumelle, AR 3 of 5Timberlane Health & RehabilitationEl Dorado, AR 3 of 5Windcrest Health And Rehab INCSpringdale, AR 4 of 5Beebe Retirement Center, Inc.Beebe, AR 4 of 5Chapel Woods Health And RehabilitationWarren, AR 4 of 5Evergreen Living Center At StagecoachBryant, AR 4 of 5Gassville Therapy And LivingGassville, AR 4 of 5Heritage Living CenterConway, AR 4 of 5Hiram Shaddox Health And RehabMountain Home, AR 4 of 5Katherine's Place at WedingtonFayetteville, AR 4 of 5Maples Health And Rehabilitation, TheSpringfield, MO 4 of 5Mountain Meadows Health And RehabilitationBatesville, AR 4 of 5Oak Ridge Health And RehabilitationEl Dorado, AR 4 of 5Silver Oaks Health And RehabilitationCamden, AR 4 of 5Southridge Village Nursing And RehabHeber Springs, AR 5 of 5Amberwood Health And RehabilitationBenton, AR 5 of 5Care Manor Nursing And RehabMountain Home, AR 5 of 5Chambers Health And RehabilitationCarlisle, AR 5 of 5Corning Therapy And Living CenterCorning, AR 5 of 5Eaglecrest Nursing And RehabAsh Flat, AR 5 of 5Edgewood Health And RehabSpringdale, AR 5 of 5North Hills Life Care and RehabFayetteville, AR 5 of 5Pioneer Therapy And LivingMelbourne, AR 5 of 5Rector Nursing And RehabRector, AR 5 of 5Southfork River Therapy And LivingSalem, AR 5 of 5Spring Creek Health & RehabCabot, AR 5 of 5The Crossing At Riverside Health And RehabilitatioSearcy, AR 5 of 5The Maples At Har-Ber MeadowsSpringdale, ARNot ratedQuail Run Health And RehabTrumann, AR

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

Who owns this facility

Owner / managerTypeRoleSince
JACK, NACOLEIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 08/28/2024
THOMAS, DARRYLIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2017
VINSON, MARIAHIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/06/2024
ADAMS, ANTHONYIndividualCORPORATE OFFICER; ADP OF THE SNFsince 06/02/2004
ADAMS, BRYANIndividualCORPORATE OFFICER; ADP OF THE SNFsince 06/02/2004
KOEHLER, TOBEYIndividualCORPORATE OFFICER; ADP OF THE SNFsince 07/01/2004
NAEEM, BILALIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/28/2024
3B HOLDINGS, LLCOrganizationADP OF THE SNFsince 07/01/2009
INCITE REHAB, LLCOrganizationADP OF THE SNFsince 08/10/2005
LTC SYSTEMS/RX, LLCOrganizationADP OF THE SNFsince 07/01/2004
PHARMACY CONSULTS, LLCOrganizationADP OF THE SNFsince 09/10/2007
RELIANCE HEALTH CARE, INC.OrganizationADP OF THE SNFsince 12/20/2007
SP WEST RE, LLCOrganizationADP OF THE SNFsince 07/01/2009
ELLIS, JOHNIndividualADP OF THE SNFsince 12/20/2007
MAINORD, WILLIAMIndividualADP OF THE SNFsince 08/10/2025
MCGINNIS, LARRYIndividualADP OF THE SNFsince 09/10/2007
PEDIGO, RITAIndividualADP OF THE SNFsince 08/10/2005

CMS files one row per role, so the 25 rows in the source record cover these 17 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.

6 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.

$6.9M
Net patient revenuemost recent cost report
+3.4%
Operating marginrevenue minus expenses
$1.3M
Related-party expense19% of expenses
Who pays — share of resident-days
Medicaid 79%Medicare 7%Other / private 14%

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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

$282per resident / day
operating cost
$8,573per month
≈ monthly operating cost
$292per day
avg. revenue, all payers

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

What families pay in AR

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045371. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-31, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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