Cycle 1
Health 2025-12-05 · Fire 2025-12-05
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fayetteville, AR
Butterfield Trail Village
2-star overall rating with 2-star inspections with $58,006 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1923 East Joyce Blvd, Fayetteville, AR
(479) 695-8065
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
87
Certified beds
Average residents
38
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-06-16
CMS approved date
Coverage
Medicare
Participation flags
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
0.79
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
4.54
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
6.76
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
2.22
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
5.67
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
8.06
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
82%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
80%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
216
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
77.53
Composite VBP score used to determine payment impact.
Payment multiplier
1.0252
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
5.51
Baseline 39.73% · Performance 41.18% · Measure score 5.51 · Achievement 5.51 · Improvement 0
Adjusted total nurse staffing
10
Baseline 6.25 hours · Performance 6.69 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.29% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 5.41% · Lower 95% interval 6.28% |
| Discharge to community | 38.95% |
50.57%
11.6 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 30% · Lower 95% interval 26.78% |
| Medicare spending per beneficiary | 0.45 |
1.02
0.6 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 121 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 183 · Denominator 183 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| 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 | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · 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 | 1.4 |
2.0
0.6 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
94.9%
3.3 pts better
|
93.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 97.8% · Q3 97.6% · Q4 100.0% · 4Q avg 98.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
96.1%
0.3 pts worse
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.2% |
3.9%
6.3 pts worse
|
3.3%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 10.9% · Q3 12.2% · Q4 5.6% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.9% |
1.4%
6.5 pts worse
|
11.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.0% · Q3 8.1% · Q4 12.5% · 4Q avg 7.9% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
4.9%
0.4 pts worse
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.5% · Q3 5.9% · Q4 11.1% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.1% |
21.8%
2.7 pts better
|
19.6%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 20.0% · Q3 20.0% · Q4 22.6% · 4Q avg 19.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.9% |
12.5%
10.6 pts better
|
16.7%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · 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 | 7.9% |
11.4%
3.5 pts better
|
16.3%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.8% · Q3 18.7% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.6% |
10.4%
1.8 pts better
|
14.9%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 14.3% · Q4 12.9% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.2% |
0.7%
2.5 pts worse
|
1.0%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.9% · Q3 2.5% · Q4 2.8% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.1%
1.4 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.2% · Q3 2.4% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.7% |
14.6%
9.9 pts better
|
19.8%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 2.2% · Q3 6.4% · Q4 2.7% · 4Q avg 4.7% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
4.6%
About the same
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.0% · Q3 6.1% · Q4 0.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.1% |
81.8%
1.3 pts better
|
81.7%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 75.9% · Q3 84.4% · Q4 93.1% · 4Q avg 83.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.8% |
13.8%
11 pts worse
|
12.0%
12.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 22.2% · Expected 10.0% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.1% |
77.9%
15.8 pts worse
|
79.7%
17.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.7% |
25.2%
1.5 pts better
|
23.9%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 18.5% · Expected 18.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-11 · Fire 2024-07-11
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-05-26 · Fire 2023-05-26
9 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-05
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-01-02
F · Potential for more than minimal harm
2025-12-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-02
F · Potential for more than minimal harm
2025-12-05
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-02
F · Potential for more than minimal harm
2024-07-11
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-08-09
F · Potential for more than minimal harm
2023-05-26
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-06-29
Inspection history
Recent health citations
H · Actual harm
2025-03-06
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-03-06
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-04-05
G · Actual harm
2024-11-20
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-03-03
D · Potential for more than minimal harm
2024-11-20
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 2025-03-03
E · Potential for more than minimal harm
2024-07-11
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 2024-08-09
E · Potential for more than minimal harm
2024-07-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-09
E · Potential for more than minimal harm
2024-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-09
B · Minimal harm
2024-07-11
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 2024-07-11
G · Actual harm
2023-05-26
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 2023-06-29
F · Potential for more than minimal harm
2023-05-26
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 2023-06-29
F · Potential for more than minimal harm
2023-05-26
F909 · Environmental Deficiencies
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2023-06-29
E · Potential for more than minimal harm
2023-05-26
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-29
E · Potential for more than minimal harm
2023-05-26
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 2023-06-29
E · Potential for more than minimal harm
2023-05-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-29
D · Potential for more than minimal harm
2023-05-26
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 2023-06-29
E · Potential for more than minimal harm
2023-04-11
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 2023-04-27
E · Potential for more than minimal harm
2023-03-23
F563 · Resident Rights Deficiencies
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2023-04-11
Penalties and ownership
What sits behind the stars
$58,006
2025-03-06
Fine
Fine · fine $58,006
Fine
$0
2025-03-06
Payment Denial
Payment Denial · denial start 2025-04-04 · 1 days
1 day denial
Ownership
Chapman, Kimberly
Corporate Director · Individual
Chapman, Kimberly
Corporate Officer · Individual
Clark, William
Corporate Director · Individual
Clark, William
Corporate Officer · Individual
Culver, Ray
Corporate Director · Individual
Duell, Marc
Corporate Director · Individual
Moore, Kimberly
Corporate Officer · Individual
Nickle, Charles
Corporate Director · Individual
Nickle, Charles
Corporate Officer · Individual
Olmstead, Thomas
Corporate Director · Individual
Simmons, Nina
Corporate Director · Individual
Spears, Michael
Operational/Managerial Control · Individual
Spears, Michael
Corporate Officer · Individual
Stults, Timothy
Corporate Director · Individual
Vaughn-Wrobel, Beth
Corporate Director · Individual
Williams, David
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Fayetteville Health And Rehabilitation Center
Fayetteville, AR
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
North Hills Life Care And Rehab
Fayetteville, AR
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Edgewood Health And Rehab
Springdale, AR
5-star overall rating with 4-star inspections with 2 recent health deficiencies
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