Rogers, AR

Ashley Rehabilitation and Health Care Center

0-star overall rating with 0-star inspections with Special Focus status with $65,473 in total fines with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

2600 N 22Nd Street, Rogers, AR

(479) 899-6778

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

James & Judy Lincoln

Operator or chain grouping

Approved since

2007-06-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 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

0.39

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

2.86

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

4.00

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,939

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

Performance score

18.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9820

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

5.57

Baseline 5.71% · Performance 6.17% · Measure score 5.57 · Achievement 5.57 · Improvement 0

Total nurse turnover

0

Baseline 44.23% · Performance 69.39% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.20 hours · Performance 2.34 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.61%
10.72%
0.1 pts better
No Different than the National Rate · Eligible stays 51 · Observed rate 9.8% · Lower 95% interval 6.95%
Discharge to community 54.78%
50.57%
4.2 pts better
No Different than the National Rate · Eligible stays 44 · Observed rate 50% · Lower 95% interval 41.72%
Medicare spending per beneficiary 0.87
1.02
0.2 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization 6.17%
7.12%
1 pts better
No Different than the National Rate · Eligible stays 26 · Observed rate 0% · Lower 95% interval 3.07%
Staff COVID-19 vaccination coverage 2.74%
8.2%
5.5 pts worse
Numerator 2 · Denominator 73
Staff flu vaccination coverage 84.83%
42%
42.8 pts better
Numerator 151 · Denominator 178
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 5.8
2.0
3.8 pts worse
1.9
3.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 5.8 · Observed 6.3 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.4
2.2
1.8 pts better
1.8
1.4 pts better
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.5 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.1%
94.9%
0.2 pts better
93.4%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 93.5% · Q3 97.6% · Q4 97.6% · 4Q avg 95.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.7%
96.1%
10.4 pts worse
95.5%
9.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.7%
Percentage of long-stay residents experiencing one or more falls with major injury 3.3%
3.9%
0.6 pts better
3.3%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.2% · Q3 4.8% · Q4 4.8% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.1%
1.4%
1.7 pts worse
11.4%
8.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 10.3% · Q4 2.8% · 4Q avg 3.1%
Percentage of long-stay residents who lose too much weight 9.3%
4.9%
4.4 pts worse
5.4%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 8.1% · Q3 2.8% · Q4 9.4% · 4Q avg 9.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3%
21.8%
1.5 pts better
19.6%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.4% · Q3 21.6% · Q4 24.2% · 4Q avg 20.3%
Percentage of long-stay residents who received an antipsychotic medication 10.7%
12.5%
1.8 pts better
16.7%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 14.3% · Q3 10.0% · Q4 8.0% · 4Q avg 10.7% · 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 26.7%
11.4%
15.3 pts worse
16.3%
10.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · 4Q avg 26.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 26.5%
10.4%
16.1 pts worse
14.9%
11.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 37.8% · Q3 33.3% · Q4 17.2% · 4Q avg 26.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.7%
0.3 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 5.0%
1.1%
3.9 pts worse
1.7%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.7% · Q3 0.0% · Q4 4.9% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.6%
14.6%
6 pts worse
19.8%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 26.6% · Q3 19.7% · Q4 20.9% · 4Q avg 20.6%
Percentage of long-stay residents with pressure ulcers 4.4%
4.6%
0.2 pts better
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.4% · Q3 6.7% · Q4 1.4% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.2%
81.8%
4.4 pts better
81.7%
4.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 69.2% · Q2 89.5% · Q3 93.0% · Q4 96.2% · 4Q avg 86.2%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.4%
1.4 pts better
1.6%
1.6 pts better
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.9%
77.9%
12 pts better
79.7%
10.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.9%

Survey summary

Recent inspection cycles

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

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-11-01 · Fire 2024-11-01

24 health deficiencies

Top issue: Administration (7 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-09-29 · Fire 2023-09-29

12 health deficiencies

Top issue: Resident Rights (3 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

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

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-01-10

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

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-01-10

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

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2026-01-10

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-10

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

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-01-10

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-01-10

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

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-10

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

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-01-10

F · Potential for more than minimal harm 2024-11-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-01

F · Potential for more than minimal harm 2024-11-01

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-12-01

F · Potential for more than minimal harm 2024-11-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-01

F · Potential for more than minimal harm 2023-09-29

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-10-29

F · Potential for more than minimal harm 2023-09-29

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-10-29

F · Potential for more than minimal harm 2023-09-29

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-10-29

F · Potential for more than minimal harm 2023-09-29

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-10-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-12

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-01-10

D · Potential for more than minimal harm 2025-06-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-06-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-03

J · Immediate jeopardy 2024-11-01

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-31

J · Immediate jeopardy 2024-11-01

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-01-01

F · Potential for more than minimal harm 2024-11-01

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 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-01-01

F · Potential for more than minimal harm 2024-11-01

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-11-01

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-11-01

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 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-01

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 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-01

F803 · Nutrition and Dietary Deficiencies

Health

Ensure 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.

Corrected 2024-12-31

E · Potential for more than minimal harm 2024-01-09

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2024-02-01

F · Potential for more than minimal harm 2023-09-29

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-10-29

F · Potential for more than minimal harm 2023-09-29

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 2023-10-29

E · Potential for more than minimal harm 2023-09-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-29

E · Potential for more than minimal harm 2023-09-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-29

E · Potential for more than minimal harm 2023-09-29

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-29

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 2023-10-29

D · Potential for more than minimal harm 2023-09-29

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-10-29

D · Potential for more than minimal harm 2023-09-29

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 2023-10-29

C · Minimal harm 2023-09-29

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-08-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-20

D · Potential for more than minimal harm 2023-08-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-09-20

Penalties and ownership

What sits behind the stars

$65,473 2024-11-01

Fine

Fine · fine $65,473

Fine

Ownership

Lincoln, James

5% Or Greater Direct Ownership Interest · Individual

50% 57 facilities 2018-07-01
Lincoln, Judy

5% Or Greater Direct Ownership Interest · Individual

50% 56 facilities 2018-07-01
Drake, Timothy

Corporate Officer · Individual

0% 21 facilities 2022-03-28
Drake, Timothy

Contracted Managing Employee · Individual

0% 21 facilities 2022-03-22
Ltc Management Services LLC

Operational/Managerial Control · Organization

0% 38 facilities 2018-07-01

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