Little Rock, AR

Colonel Glenn Health And Rehab, LLC

1-star overall rating with 1-star inspections with 7 recent health deficiencies

13700 David O Dodd Road, Little Rock, AR

(501) 907-8200

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

120

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Central Arkansas Nursing Centers

Operator or chain grouping

Approved since

2016-07-22

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

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

0.31

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.74

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.66

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.30

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

0.34

CMS adjusted RN staffing hours

Adjusted total hours

4.41

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,664

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

Performance score

32.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9869

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.50

Baseline 18.24% · Performance 19.35% · Measure score 4.50 · Achievement 4.50 · Improvement 0

Healthcare-associated infections

1.91

Baseline 6.86% · Performance 7.27% · Measure score 1.91 · Achievement 1.91 · Improvement 0

Total nurse turnover

1.11

Baseline 60.00% · Performance 59.16% · Measure score 1.11 · Achievement 1.11 · Improvement 0

Adjusted total nurse staffing

5.33

Baseline 3.84 hours · Performance 4.60 hours · Measure score 5.33 · Achievement 5.33 · Improvement 3.40

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.24%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 112 · Observed rate 13.39% · Lower 95% interval 7.81%
Discharge to community	47.43%	50.57% 3.1 pts worse	No Different than the National Rate · Eligible stays 101 · Observed rate 37.62% · Lower 95% interval 37.57%
Medicare spending per beneficiary	1.35	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 64 · Denominator 64
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 64
Discharge self-care score	44.44%	53.69% 9.2 pts worse	Numerator 16 · Denominator 36
Discharge mobility score	61.11%	50.94% 10.2 pts better	Numerator 22 · Denominator 36
Pressure ulcers or injuries, new or worsened	1.56%	2.29% 0.7 pts better	Numerator 1 · Denominator 64 · Adjusted rate 1.42%
Healthcare-associated infections requiring hospitalization	7.27%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 72 · Observed rate 8.33% · Lower 95% interval 4.52%
Staff COVID-19 vaccination coverage	47.69%	8.2% 39.5 pts better	Numerator 62 · Denominator 130
Staff flu vaccination coverage	98.97%	42% 57 pts better	Numerator 288 · Denominator 291
Discharge function score	58.33%	56.45% 1.9 pts better	Numerator 21 · Denominator 36
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 30 · Denominator 30
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 32 · Denominator 32
Resident COVID-19 vaccinations up to date	22.22%	25.2% 3 pts worse	Numerator 6 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.0 0.3 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.0 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.2 0.1 pts better	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.9% 5.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	2.9%	3.9% 1 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.1% · Q3 3.2% · Q4 4.9% · 4Q avg 2.9% · 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	0.0%	4.9% 4.9 pts better	5.4% 5.4 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 received an antianxiety or hypnotic medication	11.4%	21.8% 10.4 pts better	19.6% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.2% · Q3 10.1% · Q4 9.4% · 4Q avg 11.4%
Percentage of long-stay residents who received an antipsychotic medication	6.5%	12.5% 6 pts better	16.7% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.6% · Q3 6.5% · Q4 8.5% · 4Q avg 6.5% · 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	6.3%	11.4% 5.1 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 0.0% · Q3 3.0% · Q4 8.4% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.9%	10.4% 5.5 pts better	14.9% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 6.0% · Q3 2.5% · Q4 4.8% · 4Q avg 4.9% · 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	0.3%	1.1% 0.8 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	1.9%	14.6% 12.7 pts better	19.8% 17.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.4% · Q3 0.0% · Q4 1.9% · 4Q avg 1.9%
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 3.7% · Q2 8.3% · Q3 3.0% · Q4 3.4% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	81.8% 18.2 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	8.2%	13.8% 5.6 pts better	12.0% 3.8 pts better	Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.7% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.4% 0.4 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	11.2%	77.9% 66.7 pts worse	79.7% 68.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 11.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.9%	25.2% 0.7 pts worse	23.9% 2 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 25.0% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-16 · Fire 2024-02-16

7 health deficiencies

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

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-12-22 · Fire 2022-12-22

17 health deficiencies

Top issue: Quality of Life and Care (5 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 2024-02-16

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-13

F · Potential for more than minimal harm 2024-02-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-13

Inspection history

Recent health citations

H · Actual harm 2025-12-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-04-24

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 2025-05-13

E · Potential for more than minimal harm 2025-04-24

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 2025-05-13

E · Potential for more than minimal harm 2025-04-24

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 2025-05-13

D · Potential for more than minimal harm 2025-04-24

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 2025-05-13

D · Potential for more than minimal harm 2025-04-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-24

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 2025-05-13

F · Potential for more than minimal harm 2024-02-16

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 2024-03-08

E · Potential for more than minimal harm 2024-02-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-08

E · Potential for more than minimal harm 2024-02-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-08

E · Potential for more than minimal harm 2024-02-16

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-16

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 2024-03-08

D · Potential for more than minimal harm 2024-02-16

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 2024-03-08

D · Potential for more than minimal harm 2024-02-16

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 2024-03-08

E · Potential for more than minimal harm 2023-12-28

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 2024-01-10

D · Potential for more than minimal harm 2023-12-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-10-18

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-02

D · Potential for more than minimal harm 2023-10-18

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-11-02

F · Potential for more than minimal harm 2022-12-22

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 2023-01-07