Chapel Woods Health And Rehabilitation
1440 East Church, Warren, AR 71671 · For profit - Limited Liability company · 140 certified beds · (870) 226-6766 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2025
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 1 immediate-jeopardy problem — 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 $8,281 in federal fines (most recent 2025-05-13)
- nursing-staff turnover (60%) runs well above the national median (45%)
- about 24% 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 | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 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 | 3.9% | 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 | 0.0% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.4% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.4% | 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 | 4.0% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 1.3% | 10.1% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 3.3% | 21.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.4% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.1% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 12.7% | 13.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.7% | 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 | 97.2% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 20.4% | 24.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 11.3% | 12.5% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 2.28 | 2.01 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 4.24 | 2.13 | 1.80 | worse |
‡ 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.
47.1% 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 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
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 | 47.1%CMS range 35.7–62.2 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.0%CMS range 7.3–15.7 | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.2%CMS range 4.5–14.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.85 | 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 140 beds and averages 70.6 residents a day — about 50% occupied, or roughly 69 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.12 hrs/resident/day on weekends vs 4.18 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.27 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Immediate jeopardy · Jdisputed · IDR2025-05-13 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review, the facility failed to ensure a cognitively impaired resident was not left outside alone, unsupervised, and after hours for 1 (Resident #1) of 1 sampled resident reviewed for neglect. 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, 483.12 (Freedom from Abuse, Neglect, and Exploitation) at a scope and severity of J. The IJ began on 05/04/2025 around 5:45 PM when Resident #1 was left outside, alone and unsupervised, in the courtyard of the secured unit. The Administrator, Director of Nursing, and Nurse Consultant were notified of the IJ on 05/09/2025 at 8:54 AM. A plan of removal was requested. The removal plan was accepted by the State Survey Agency on 05/09/2025 at 6:36 PM. The immediacy of the IJ was removed on 05/09/2025 at 6:36…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-03-12 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, interview and facility policy review, the facility failed to ensure the medication error rate was less than 5 percent (%) during the medication administration observation of 1 (Resident #7) of 2 (Residents #1 and #7) sampled residents, and one (Resident #8) non-sampled resident who received medications from 1 Registered Nurse (RN) and 2 Certified Med Techs (CMT). Observed 25 opportunities of medication administration and 2 of the 25 medications were not administered in accordance with the physician's orders, resulting in a medication error rate of 8.00%. The findings are: 1. On 03/11/2025 at 9:06 AM, CMT #2 entered Resident #7's room to administer the medication she had prepared. CMT #2 gave the resident a cup of pills with a cup of water. Once the resident took the pills, CMT #2 administered one drop of [Name brand - Polyethylene Glycol 440 / Propylene Glycol] ophthalmic (eye) drops in each of the resident's eyes. CMT #2 did not take [brand name] laxative to the resident with the other medications. Resident #7's Order Summary Report was reviewed…
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 · E2025-01-23 · tag F0610 — failed to investigate and act on abuse reports — patternRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and facility policy review, the facility failed to ensure allegations of abuse and neglect were thoroughly investigated for 3 (Residents #1, #4 and #5) of 6 sampled residents reviewed for abuse and 1 (Resident #6) of 1 sampled resident reviewed for neglect. The findings are: 1)The Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/26/2024, revealed Resident #1 had a Brief Interview for Mental Status (BIMS) score of 6, which indicated the resident was not cognitively intact. Diagnoses on the MDS included end-stage renal disease (kidney disease), bipolar disorder (depression/mania), dementia, and heart failure. The resident's Incident Report (I&A) and corresponding action plan were reviewed for completeness. A review of Resident #1's I&A revealed the following: a. On 10/31/2024 the resident made allegations of abuse. b. The I&A Report dated 10/31/2024 stated Admin interviewed cognitive residents on C Hall with no negative findings. Residents unable to be interviewed were assessed for any signs of abuse with no negative…
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 before2024-10-25 · 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, record review, and facility policy review, the facility failed to ensure dietary staff thoroughly washed their hands and changed gloves when contaminated; expired food items were promptly removed/discarded on or before the expiration or use by date; foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated; and hot food item was maintained at the required temperature on the tray above the steam table for one meal observed. The findings are. 1. During a concurrent observation and interview on 10/21/24 at 10:02 AM, Dietary Aide (DA) #1 removed bananas from the original box and placed them on the counter, contaminating her hands. DA #1 then peeled off the skin layers from the bananas and placed them on the cutting board and held it with her hands while she sliced them with a knife. DA #1 then transferred the slices of bananas into a bowl on the counter to be used in preparing dessert to be served to the residents for lunch. DA #1 stated she should have washed her hands. 2. On 10/21/24 at 10:05 AM, an opened box of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-10-25 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and facility policy review, the facility failed to ensure the process for dispensing controlled substances was consistently implemented to decrease the potential for diversion of medications from one of four medication carts from which a random narcotic count was performed. The findings are: On 10/24/2024 at 1:19 PM, this surveyor and Licensed Practical Nurse (LPN) #3 performed a random narcotic count of the contents of the controlled substance box on the medication cart for halls E and F. During the count, the following were observed: 1. Page 74 indicated Resident #75 had Diazepam 5 milligrams (mg), last signed out on 10/24/2024 at 0900 (9:00 AM) by LPN #3 and 39 tablets (tabs) remaining for the balance. Upon review of the medication card, there were 38 tabs remaining. LPN #3 stated the medication was sent out of the facility at 11:30 AM with Resident #75's family member. (Diazepam is used to treat anxiety, muscle spasms, and seizures.) 2. Page 77 indicated Resident #25 had Hydro-APAP (Hydrocodone-Acetaminophen) 5/325 (5 milligrams per 325…
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 · E2024-10-25 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and facility policy review, the facility failed to ensure a pharmacist medication regimen review recommendations were addressed for 3 (Residents #2, #3 and #69) of 5 (Residents #2, #3, #53, #69 and #77) sampled residents who were reviewed for unnecessary and psychotropic medications, and medication regimen reviews (MRRs). The findings are: Resident #3's medical diagnosis screen was reviewed and indicated the resident was diagnosed with a condition which caused loss of thinking and decision-making skills which interfered with daily life (dementia) and a change in the mental status (altered mental status). A quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/27/2024, was reviewed and indicated Resident #3 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated cognitively intact and was taking the following high-risk drugs: an antipsychotic, an antidepressant, an antibiotic, a diuretic (removes excess fluid) and antiplatelet. Resident #3's Order Summary Report was reviewed and indicated the resident had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-10-25 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and facility policy review, the facility failed to ensure a care plan was revised to reflect the resident's most recent care needs for 1 (Resident #3) sampled resident whose care plan was reviewed. The findings are: Resident #3's medical diagnosis screen was reviewed and indicated the resident was diagnosed with a condition which caused loss of thinking and decision-making skills which interfered with daily life (dementia) and a change in the mental status (altered mental status). A quarterly Minimum Data Set with an Assessment Reference Date of 09/27/2024, was reviewed and indicated Resident #3 had a Brief Interview for Mental Status score of 15, which indicated the resident was cognitively intact and was taking the following high-risk drugs: an antipsychotic, an antidepressant, an antibiotic, a diuretic (removes excess fluid) and antiplatelet. Resident #3's Order Summary Report was reviewed and indicated the following orders: a. Bumex (removes excess fluid) 2 milligrams (mg) and give 1 tablet by mouth one time a day and was ordered on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-10-25 · 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, record review and facility policy review, the facility failed to ensure toenail care was consistently provided during resident care for 1 (Resident #22) sampled resident reviewed for nail care. The findings are: On 10/21/2024 at 11:57 AM, Resident #22 was leaned back in a recliner and the left shoe was off. The toenails were observed to be discolored, thick and had jagged edges. The resident stated the staff used to trim the toenails on bath days, which the resident thought were Tuesdays and Fridays. Resident #22's medical diagnosis screen was reviewed and indicated the resident had a condition which affected the airflow in the lungs and breathing (chronic obstructive pulmonary disease) and a condition in which the heart could not pump blood as efficiently (heart failure). An annual Minimum Data Set with an Assessment Reference Date of 08/04/2024, was reviewed and indicated Resident #22 had a Brief Interview for Mental Status score of 12, which indicated moderately cognitively impaired and required partial/moderate assistance with the bathing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-10-25 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure 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 — the official record, unedited, may be distressing
Based on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. The findings are: 1. On 10/21/24 at 11:41 AM, during the noon meal preparation Dietary Aide (DA) #1 placed 10 servings of cheesy biscuits into a blender added milk, pureed, and used a #8 scoop to portion it into 10 individual bowls, covered the bowls with lids and placed them in the refrigerator. a. On 10/21/24 at 12:46 PM, 7 of 8 residents did not receive pureed cheesy biscuits. b. On 10/21/24 at 12:56 PM, during an interview DA #1 stated she forgot to serve pureed cheesy biscuit to the remaining 7 residents.
- Potential for harm · D2024-10-25 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, interviews, record reviews, and facility policy review the facility failed to ensure staff donned the proper Personal Protective Equipment (PPE) while performing high contact resident activities for 1 (Resident #76) sampled resident on Enhanced Barrier Precautions (EBP). The findings include: A review of the admission Minimum Data Set (MDS) with the Assessment Reference Date (ARD) of 8/18/2024 revealed Resident #76 had memory problems and a history of coughing/choking during meals or when swallowing medications. A plan of care (revision date: 9/17/2024) revealed Resident #76 required Enhanced Barrier Precautions related to Percutaneous Endoscopic Gastrostomy (PEG) tube. On 10/23/24 at 7:50 AM, the Surveyor observed Licensed Practical Nurse (LPN) #2 administer medication to Resident #76 via PEG tube wearing only gloves, with no additional PPE. On 10/23/24 at 8:00 AM, during an interview LPN #1 stated, I messed up, I did not wear a gown. On 10/23/24 at 2:18 PM, during an interview the Director of Nursing (DON) stated staff should wear a gown and gloves when…
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 before2023-12-14 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure food items stored in the freezer and refrigerator were covered or sealed to decrease the potential for cross contamination; expired food items were promptly removed/discard by the expiration or use by dates as when it was delivered, door frames, ceiling tiles, ceiling vent floor tiles were free of stains, debris, rust and chipped; 1 of 2 ice machines was maintained in clean and sanitary condition, staff washed their hands, and dietary staff washed their hands and between clean tasks to decrease the potential for food borne illness dirty and clean, before handing food items. The failed practices had the potential to 80 affect residents who received meals from the kitchen. The findings are: 1. On 12/11/23 at 10:12 AM, Dietary Employee (DE) #1 pulled her mask up. Without washing her hands, she picked up glasses and placed them on the counter, with her fingers touching the rims. She then poured beverages in the glasses to be served to the residents with their lunch meal. 2. On 12/11/23 at 10:19 AM, DE #2…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · Ecited before2023-12-14 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation during medication administration, record review and interview, the facility failed to ensure physician's orders were followed to maintain a medication error rate of less than 5% to prevent potential complications for one Resident #64. Medication errors were made by 1 Licensed Practical Nurses (LPN) (LPN #2) of 2 LPNs and 1 Medication Assistant Certified (MAC) who administered medications in the facility. The medication error rate was 7.32%. The failed practice had the potential to affect 84 residents who received medications. The findings are: a. A Physician's Order dated 11/10/2023 Slow Magnesium/Calcium Oral Tablet Delayed Release 70-117 MG (Milligram) (Magnesium Chloride-Calcium Carbonate) Give 2 tablets by mouth two times a day related to Hypomagnesemia. b. On 12/13/23 at 08:14 AM, MAC #1 administered medications and failed to give the Slow Magnesium/Calcium Oral Tablets. c. On 12/14/23 at 10:44 AM the MAC was asked if she remembered how many medications, she gave Resident #64. MAC #1 stated, 8. The MAC was asked to look at the electronic record and count.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-12-14 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on inspection of the medication room and medication carts on 12/12/2023, the facility failed to ensure medications in 1 of 2 medication rooms were labeled and stored in accordance with State law and accepted standards of pharmacy practice, the facility failed to ensure discontinued or expired medications were removed and placed into an area for destruction to prevent potential administration to residents for 2 of 4 medication carts, and the facility failed to ensure all medications and biologicals were stored in locked compartments with only authorized personnel to have access. These failed practices had the potential to affect all 84 residents who resided in the facility and would receive any physician-ordered medications from the medications room, or the medication carts and 47 residents who are mobile and self-propel around the facility. The findings are: 1. On 12/12/2023 at 2:01 PM, The E/F hall medication cart was checked with Licensed Practical Nurse (LPN) #3. The PRN (as needed) medications check for the medication cart contained the following results: a. 30 Tizanidine…
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 before2023-12-14 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure enough food items were prepared and served according to planned written menu for 1 of 1 meal observed. The failed practice had the potential to affect 13 residents who received their meal trays in the unit dining room, 8 residents who received their meal trays in the room on E- Hall, 4 residents who received their meal trays in their room on B-Hall, and 5 residents who received their meal trays in their room on G- Hall from 1 of 1 kitchen. The findings are: 1. Resident #51 had a diagnosis of Diabetes Mellitus. The Quarterly Minimum Data Set [MDS] with an assessment reference date [ARD] of 12/06/2023 documented a Brief interview for mental status [BIMS] of 13 (13-15 cognitive). On 12/11/23 at 11:17 AM Resident #51 stated the portions of food here are small and they don't get enough to eat. He went on to say the facility frequently runs out of food. 2. 1. On 12/11/2023, the menu for noon meal documented all residents were to receive ½ cup of squash casserole. 3. On 12/11/23 at 12:39 PM, all residents who…
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 · D2023-12-14 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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, interview and record review, the facility failed to update the resident care plan to reflect the needs of 1 Resident (Resident #10) sampled resident. Resident #10 had a past diagnosis of Osteomyelitis of lower extremities. On 12/11/2023 at 10:45 AM, Resident #10 was sitting in a wheelchair with bilateral lower extremities with 2+ pitting edema. When questioned about her lower leg swelling, Resident #10 stated she had this problem for years off and on. Progress note dated 10/06/2023 at 10:30 AM documented resident had 2+ pitting edema of lower extremities. At 2:16 it documented to start Lasix 40 mg daily. The Physician's order dated 10/07/2023 documented .Lasix oral tablet 40 mg (milligrams) give one tablet by mouth one time a day for fluid retention. On 12/12/2023 review of Resident #10's plan of care did not address nor document the pitting edema or the diuretic use. On 12/13/2023 at 2:50 PM, the (Minimum Data Set) MDS Coordinator was asked, should the edema of Resident #10's lower extremities be care planned? The MDS Coordinator stated, I mostly try to care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-14 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 invite resident and family to attend care plan meetings for one (Resident #10) sampled residents. Resident #10 had a diagnosis of muscle weakness. The Quarterly Minimum Data Set [MDS] with an assessment reference date [ARD] of 10/12/2023 documented a brief interview of mental status [BIMS] of 14 which indicated resident cognitive. On 12/11/23 at 10:40 AM, Resident #10 was asked if she attended care plan meetings and participated in developing her plan of care, Resident #10 stated she would like to attend care plan meetings but was unaware of when they are and had not been invited to attend. Review of Resident #10's clinical record did not document an invitation to resident or resident's representative to attend the care plan meeting. On 12/13/2023 at 1:20 PM during an interview, the Social Director was unable to provide documentation of Resident #10 and Resident #10's representative being invited to care plan meeting and confirmed neither party was invited. The Social Director went on to say she calls family…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-14 · 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 nails were trimmed to maintain good hygiene and prevent potential skin tears and infection. This failed practice had the potential to affect all 49 residents in the facility who were dependent or assisted with nail care. The findings are: 1. On 12/11/2023 at 10:59 AM Resident #3 had jagged fingernails, approximately ½ inch long beyond the tip of the fingers. 2. On 12/11/2023 at 2:47 PM, Resident #3 had jagged fingernails, approximately ½ inch long beyond the tip of the fingers. 3. On 12/12/2023 at 9:49 AM, Resident #3 had jagged fingernails, approximately ½ inch long, a fingernail tore at edge of nail bed with red tinged drainage around the nail and on the fingertip. 4. A care plan with an initiation date of 07/12/2023 stated, Resident #3 has an ADL [activities of daily living] self-care performance deficit r/t [related to] weakness .Check nail length and trim and clean on bath day and as necessary. Report any changes to the nurse . 5. A Quarterly Minimum Data Set (MDS) with assessment reference date of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-14 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide activities for, or invite room bound residents to activities for one (Resident #10) of two (Resident #10 and #25) sampled residents who spend most of their time in their room. The findings are: Resident #10 had a diagnosis of muscle weakness. The Quarterly Minimum Data Set [MDS] with an assessment reference date [ARD] of 10/12/2023 documented a brief interview of mental status [BIMS] of 14 which indicated resident cognitive. On 12/11/23 at 10:38 AM Resident #10 was asked if she participated in any activities at the facility, Resident #10 stated they had not but would like to attend activities, especially Bingo. Review of Resident #10's clinical record did not document any activity or participation notes for activities. Review of Resident #10's care plan, with initiated date of 07/07/2023, documented, .Assist the resident in developing /Provide the resident with a program of activities that is meaningful and of interest .Encourage…
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 · D2023-12-14 · 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 and interview, the facility failed to ensure oxygen was consistently administered at the flow rate ordered by the physician, to minimize the potential for respiratory complications for 1 (Residents #230) of 1 sampled resident who had physician's orders for oxygen therapy. The facility also failed to ensure a nasal cannula was dated to ensure regular change out to prevent potential contamination or infection. The failed practice had the potential to affect 9 residents who had physician's orders for oxygen therapy. The findings are: On 12/11/23 at 10:40 AM, during initial rounds Resident # 230 was lying in bed and with oxygen via nasal cannula at 1 liter per minute (lpm) with no date on the tubing. On 12/11/23 at 4:04 PM, Resident #230 was lying in bed with oxygen administered at 1 lpm. On 12/12/23 at 9:06 AM, Resident #230 with oxygen being administered at 1 lpm. On 12/13/23 at 12:10 PM, Resident #230 with oxygen being administered at 1.5 lpm. On 12/13/23 at 12:15 PM, Medication Assistant Certified (MAC) #1 said, Resident #230 ' s oxygen was being…
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.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$8,281 in federal fines across 1 penalty.
- $8,281 — penalty dated 2025-05-13
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.8 | +0.2 vs chain |
| Health inspection | 4 of 5 | 3.5 | +0.5 vs chain |
| Staffing | 3 of 5 | 3.0 | ≈ chain avg |
| Quality measures | 4 of 5 | 4.3 | -0.3 vs chain |
The other 37 homes this chain runs (chain average 3.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| OVATION HEALTH SYSTEMS, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 11/13/2012 |
| 3B HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 34% | since 11/27/2019 |
| ADAMS, ANTHONY | Individual | INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | — | since 02/28/2023 |
| ADAMS, BRYAN | Individual | INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | — | since 11/13/2012 |
| CENTENNIAL BANK | Organization | 5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNF | — | since 03/25/2025 |
| HOME BANCSHARES | Organization | 5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNF | — | since 03/25/2025 |
| JACKSON, MISHANA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/09/2024 |
| JOINER, GINGER | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 11/13/2012 |
| MCGUIRE, STEPHEN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; ADP OF THE SNF | — | since 01/01/2013 |
| ELLIS, JOHN | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 11/13/2012 |
| KOEHLER, TOBEY | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 11/13/2012 |
| LTC SYSTEMS/RX, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2025 |
| PHARMACY CONSULTS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2025 |
| RELIANCE HEALTH CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2025 |
| GEORGE, LADONNA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2025 |
| WARREN RE HOLDINGS, LLC | Organization | ADP OF THE SNF | — | since 11/27/2019 |
| MCGINNIS, LARRY | Individual | ADP OF THE SNF | — | since 11/13/2012 |
CMS files one row per role, so the 35 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.
8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 80% 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 $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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 045201. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-30, 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.