Cycle 1
Health 2024-09-17 · Fire 2024-09-17
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fort Smith, AR
Brooken Hill Health And Rehab, LLC
0-star overall rating with 0-star inspections
9000 Hwy 71 South, Fort Smith, AR
(479) 409-2450
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
125
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Central Arkansas Nursing Centers
Operator or chain grouping
Approved since
2024-09-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
39 facilities
Chain averages 3 overall / 3 health / 3 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
0.30
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.55
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
3.94
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
5.79
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
4.72
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 7 · Footnote 9,13 |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 7 · Footnote 9,13 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 3 · Footnote 9,13 |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 3 · Footnote 9,13 |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 7 · Adjusted rate Not Available · Footnote 9,13 |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 1.79% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 112 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 125 · Denominator 125 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 3 · Footnote 9,13 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Footnote 9,13 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Footnote 9,13 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · 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 | 0.5 |
2.0
1.5 pts better
|
1.9
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 1.2 · Expected 4.3 · 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 0.6 · Expected 2.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
94.9%
0.6 pts worse
|
93.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 95.3% · Q4 90.7% · 4Q avg 94.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.9% |
96.1%
4.2 pts worse
|
95.5%
3.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
3.9%
3.5 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 5.6% · Q3 6.2% · Q4 9.3% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.4%
1.4 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.9%
4.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
21.8%
3.5 pts worse
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 38.2% · Q3 25.0% · Q4 19.1% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
12.5%
0.8 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 12.8% · Q4 7.8% · 4Q avg 11.7% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.4% |
11.4%
10 pts worse
|
16.3%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 22.0% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.5% |
10.4%
9.1 pts worse
|
14.9%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 24.2% · Q3 18.6% · Q4 17.9% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.7%
0.1 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.1%
1.9 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 8.8% · Q3 1.6% · Q4 1.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.0% |
14.6%
10.4 pts worse
|
19.8%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 36.0% · Q3 23.8% · Q4 21.5% · 4Q avg 25.0% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.6%
1.5 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 2.6% · Q3 3.7% · Q4 2.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.8% |
81.8%
24 pts worse
|
81.7%
23.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 71.8% · Q3 51.1% · Q4 53.5% · 4Q avg 57.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
13.8%
3.4 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 16.7% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.4%
1.3 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 2.4% · Q4 3.5% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.8% |
77.9%
16.1 pts worse
|
79.7%
17.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
25.2%
1.8 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 25.0% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-07
Penalties and ownership
What sits behind the stars
Ownership
Morton, Michael
5% Or Greater Direct Ownership Interest · Individual
Norsworthy, David
5% Or Greater Indirect Ownership Interest · Individual
Le, Thanh
Operational/Managerial Control · Individual
Morton, Michael
Corporate Officer · Individual
Terry, Kristi
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Fianna Hills Nursing And Rehabilitation Center
Fort Smith, AR
5-star overall rating with 5-star inspections with 3 recent health deficiencies
#2
Covington Court Health And Rehabilitation Center
Fort Smith, AR
3-star overall rating with 3-star inspections with $12,196 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
The Blossoms At Fort Smith Rehab & Nursing Center
Fort Smith, AR
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out