Ash Flat, AR

Ash Flat Healthcare And Rehabilitation Center

5-star overall rating with 4-star inspections with 2 fire-safety deficiencies in the latest cycle

66 Ozbirn Lane, Ash Flat, AR

(870) 994-2341

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Southern Administrative Services

Operator or chain grouping

Approved since

1990-09-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.67

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

4.13

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

4.79

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,455

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9928

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.97

Baseline 18.68% · Performance 20.05% · Measure score 2.97 · Achievement 2.97 · Improvement 0

Healthcare-associated infections

0.97

Baseline 8.59% · Performance 8.06% · Measure score 0.97 · Achievement 0 · Improvement 0.97

Total nurse turnover

7.70

Baseline 58.73% · Performance 32.20% · Measure score 7.70 · Achievement 7.70 · Improvement 7.33

Adjusted total nurse staffing

4.32

Baseline 3.91 hours · Performance 4.31 hours · Measure score 4.32 · Achievement 4.32 · Improvement 1.6

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.79%
10.72%
1.1 pts worse
No Different than the National Rate · Eligible stays 62 · Observed rate 16.13% · Lower 95% interval 7.59%
Discharge to community 49.03%
50.57%
1.5 pts worse
No Different than the National Rate · Eligible stays 51 · Observed rate 37.25% · Lower 95% interval 37.08%
Medicare spending per beneficiary 1.12
1.02
0.1 pts worse
Drug regimen review with follow-up 97.44%
95.27%
2.2 pts better
Numerator 38 · Denominator 39
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 39
Discharge self-care score 64%
53.69%
10.3 pts better
Numerator 16 · Denominator 25
Discharge mobility score 48%
50.94%
2.9 pts worse
Numerator 12 · Denominator 25
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 39 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 8.06%
7.12%
0.9 pts worse
No Different than the National Rate · Eligible stays 36 · Observed rate 11.11% · Lower 95% interval 4.55%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 70
Staff flu vaccination coverage 94%
42%
52 pts better
Numerator 94 · Denominator 100
Discharge function score 68%
56.45%
11.5 pts better
Numerator 17 · Denominator 25
Transfer of health information to provider 95.45%
95.95%
0.5 pts worse
Numerator 21 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
2.0
0.9 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.8
2.2
1.6 pts worse
1.8
2 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
94.9%
3.2 pts better
93.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.1% · Q3 98.1% · Q4 97.9% · 4Q avg 98.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 9.1%
3.9%
5.2 pts worse
3.3%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 11.3% · Q3 7.7% · Q4 4.2% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.0%
1.4%
4.6 pts worse
11.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 6.5% · Q3 6.7% · Q4 2.3% · 4Q avg 6.0%
Percentage of long-stay residents who lose too much weight 1.5%
4.9%
3.4 pts better
5.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.6%
21.8%
1.2 pts better
19.6%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 18.0% · Q3 22.0% · Q4 23.9% · 4Q avg 20.6%
Percentage of long-stay residents who received an antipsychotic medication 3.7%
12.5%
8.8 pts better
16.7%
13 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.9% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 6.5%
11.4%
4.9 pts better
16.3%
9.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 0.0% · Q3 5.7% · Q4 3.1% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.9%
10.4%
2.5 pts better
14.9%
7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 4.2% · Q3 8.5% · Q4 2.3% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.1%
1.1 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.5%
14.6%
6.1 pts better
19.8%
11.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 5.7% · Q3 7.7% · Q4 3.9% · 4Q avg 8.5%
Percentage of long-stay residents with pressure ulcers 4.9%
4.6%
0.3 pts worse
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 8.9% · Q3 5.5% · Q4 2.6% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 77.5%
81.8%
4.3 pts worse
81.7%
4.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 76.1% · Q2 80.0% · Q3 80.0% · Q4 73.8% · 4Q avg 77.5%
Percentage of short-stay residents who had an outpatient emergency department visit 12.1%
13.8%
1.7 pts better
12.0%
0.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 14.3% · Expected 13.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.3%
1.4%
0.9 pts worse
1.6%
0.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 4.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.1%
77.9%
6.2 pts better
79.7%
4.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.2%
25.2%
3 pts better
23.9%
1.7 pts better
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 23.8% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-12-30 · Fire 2022-12-30

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-12

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-07-11

F · Potential for more than minimal harm 2025-06-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-11

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-03-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F575 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-21

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-19

D · Potential for more than minimal harm 2023-05-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-31

F · Potential for more than minimal harm 2022-12-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-01-28

F · Potential for more than minimal harm 2022-12-30

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-01-28

E · Potential for more than minimal harm 2022-12-30

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2023-01-28

D · Potential for more than minimal harm 2022-12-30

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-01-28

D · Potential for more than minimal harm 2022-12-30

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-01-28

D · Potential for more than minimal harm 2022-12-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-01-28

Penalties and ownership

What sits behind the stars

Ownership

4p2t1 Ops Holding LP

5% Or Greater Direct Ownership Interest · Organization

100% 34 facilities 2019-09-01
Alexark1 LLC

Operational/Managerial Control · Organization

0% 32 facilities 2022-01-01
French, Misty

W-2 Managing Employee · Individual

0% 1 facilities 2019-09-01
Jej Assets LP

5% Or Greater Indirect Ownership Interest · Organization

0% 34 facilities 2019-09-01
Jej Management, LLC

Operational/Managerial Control · Organization

0% 30 facilities 2022-01-01
Ponthie, John

5% Or Greater Indirect Ownership Interest · Individual

0% 35 facilities 2022-01-01
Ponthie, John

Corporate Director · Individual

0% 35 facilities 2022-01-01
Ponthie, John

Corporate Officer · Individual

0% 35 facilities 2019-09-01
Ponthie, Sharlot

5% Or Greater Indirect Ownership Interest · Individual

0% 35 facilities 2022-01-01

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Staffing
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