Cycle 1
Health 2025-07-03 · Fire 2025-07-03
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
England, AR
Cavalier Healthcare Of England
2-star overall rating with 2-star inspections with $18,356 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
400 Stuttgart Highway, England, AR
(501) 842-2771
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
50
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cavalier Healthcare
Operator or chain grouping
Approved since
2011-03-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
2 facilities
Chain averages 2 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
0.45
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.23
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
4.58
CMS adjusted total nurse staffing hours
Case-mix index
1.07
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,335
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.21
Baseline 20.23% · Performance 20.87% · Measure score 1.21 · Achievement 1.21 · Improvement 0
Healthcare-associated infections
0
Baseline 6.97% · Performance 8.72% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.71
Baseline 49.02% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 1.39
Adjusted total nurse staffing
2.38
Baseline 3.23 hours · Performance 3.75 hours · Measure score 2.38 · Achievement 2.38 · Improvement 1.54
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 7.14% · Lower 95% interval 6.88% |
| Discharge to community | 47.92% |
50.57%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 38.64% · Lower 95% interval 34.52% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 55 · Denominator 55 |
| Falls with major injury | 5.45% |
0.77%
4.7 pts worse
|
Numerator 3 · Denominator 55 |
| Discharge self-care score | 68.75% |
53.69%
15.1 pts better
|
Numerator 22 · Denominator 32 |
| Discharge mobility score | 68.75% |
50.94%
17.8 pts better
|
Numerator 22 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 5.45% |
2.29%
3.2 pts worse
|
Numerator 3 · Denominator 55 · Adjusted rate 4.89% |
| Healthcare-associated infections requiring hospitalization | 8.72% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 56 · Observed rate 12.5% · Lower 95% interval 5.44% |
| Staff COVID-19 vaccination coverage | 2.56% |
8.2%
5.6 pts worse
|
Numerator 2 · Denominator 78 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 75% |
56.45%
18.5 pts better
|
Numerator 24 · Denominator 32 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 38 · Denominator 38 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.14% |
25.2%
6.9 pts better
|
Numerator 9 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
2.0
1.2 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.2 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.2
0.6 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
94.9%
1.3 pts better
|
93.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 93.9% · Q3 100.0% · Q4 97.7% · 4Q avg 96.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
96.1%
1.9 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.9%
0.1 pts better
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 8.2% · Q3 2.3% · Q4 0.0% · 4Q avg 3.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
4.9%
1.3 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.4% · Q3 7.9% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.9% |
21.8%
5.9 pts better
|
19.6%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 15.6% · Q3 15.8% · Q4 15.4% · 4Q avg 15.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
12.5%
6.1 pts worse
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 22.9% · Q3 12.1% · Q4 11.4% · 4Q avg 18.6% · 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 | 8.5% |
11.4%
2.9 pts better
|
16.3%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 13.7% · Q3 9.0% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.0% |
10.4%
2.6 pts worse
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 25.0% · Q3 5.4% · Q4 0.0% · 4Q avg 13.0% · 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 | 0.5% |
1.1%
0.6 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
14.6%
11.1 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 21.5% · Q3 28.3% · Q4 26.1% · 4Q avg 25.7% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
4.6%
3.5 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4% |
81.8%
3.6 pts better
|
81.7%
3.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 72.7% · Q3 87.0% · Q4 91.5% · 4Q avg 85.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.4% |
13.8%
7.6 pts worse
|
12.0%
9.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 25.5% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.1% |
1.4%
2.7 pts worse
|
1.6%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 6.9% · Q4 7.4% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.3% |
77.9%
7.4 pts better
|
79.7%
5.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 52.3% |
25.2%
27.1 pts worse
|
23.9%
28.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 52.3% · Observed 58.8% · Expected 26.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-04 · Fire 2024-04-04
8 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-01-19 · Fire 2023-01-19
7 health deficiencies
Top issue: Quality of Life and Care (3 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
2025-07-03
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-07-27
F · Potential for more than minimal harm
2025-07-03
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-27
K · Immediate jeopardy
2024-04-04
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 2024-05-01
F · Potential for more than minimal harm
2024-04-04
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-05-01
F · Potential for more than minimal harm
2024-04-04
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-01
F · Potential for more than minimal harm
2024-04-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-01
F · Potential for more than minimal harm
2024-04-04
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-01
E · Potential for more than minimal harm
2024-04-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-01
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-03
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 2025-07-27
E · Potential for more than minimal harm
2025-07-03
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 2025-07-27
D · Potential for more than minimal harm
2025-07-03
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-07-27
D · Potential for more than minimal harm
2025-07-03
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-07-27
D · Potential for more than minimal harm
2025-07-03
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-07-27
D · Potential for more than minimal harm
2025-07-03
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-07-27
D · Potential for more than minimal harm
2025-07-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-27
E · Potential for more than minimal harm
2025-03-11
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-26
F · Potential for more than minimal harm
2024-04-04
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 2024-05-01
E · Potential for more than minimal harm
2024-04-04
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-04-08
E · Potential for more than minimal harm
2024-04-04
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 2024-05-01
E · Potential for more than minimal harm
2024-04-04
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 2024-05-01
E · Potential for more than minimal harm
2024-04-04
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 2024-05-01
E · Potential for more than minimal harm
2024-04-04
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-01
E · Potential for more than minimal harm
2024-04-04
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 2024-05-01
E · Potential for more than minimal harm
2024-04-04
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-01
J · Immediate jeopardy
2024-01-31
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 2024-01-28
F · Potential for more than minimal harm
2023-01-19
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 2023-02-13
E · Potential for more than minimal harm
2023-01-19
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 2023-02-13
E · Potential for more than minimal harm
2023-01-19
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 2023-02-13
E · Potential for more than minimal harm
2023-01-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-13
E · Potential for more than minimal harm
2023-01-19
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-13
D · Potential for more than minimal harm
2023-01-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-13
Penalties and ownership
What sits behind the stars
$8,160
2024-01-31
Fine
Fine · fine $8,160
Fine
$10,196
2024-01-31
Fine
Fine · fine $10,196
Fine
Ownership
Cavalier Healthcare Of England, LLC
5% Or Greater Direct Ownership Interest · Organization
Bethel Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Bethel Investments, LLC
Operational/Managerial Control · Organization
Cunningham, Joann
5% Or Greater Indirect Ownership Interest · Individual
Cunningham, Joann
Operational/Managerial Control · Individual
Cunningham, Michael
5% Or Greater Indirect Ownership Interest · Individual
Cunningham, Michael
Operational/Managerial Control · Individual
Cunningham, Michael
Corporate Officer · Individual
Hubbard, Brien
5% Or Greater Indirect Ownership Interest · Individual
Hubbard, Brien
Operational/Managerial Control · Individual
Hubbard, Brien
Corporate Officer · Individual
Hubbard, Brien
W-2 Managing Employee · Individual
Limited Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Limited Holdings, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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Lonoke Health And Rehab Center, LLC
Lonoke, AR
4-star overall rating with 4-star inspections with 7 fire-safety deficiencies in the latest cycle
#2
Barnes Healthcare
Lonoke, AR
2-star overall rating with 1-star inspections with Special Focus status with $34,623 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
The Blossoms At White Hall Rehab & Nursing Center
White Hall, AR
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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