Hope, AR

Heather Manor Nursing And Rehabilitation Center

4-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

400 West 23rd Street, Hope, AR

(870) 777-3448

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Central Arkansas Nursing Centers

Operator or chain grouping

Approved since

1998-01-01

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

0.50

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.30

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.06

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

4.86

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.80

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.91

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.24

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

0.54

CMS adjusted RN staffing hours

Adjusted total hours

5.28

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,870

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

Performance score

34.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9886

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.88% · Performance 21.23% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.53% · Performance 9.30% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.75

Baseline 31.82% · Performance 27.91% · Measure score 8.75 · Achievement 8.75 · Improvement 5.11

Adjusted total nurse staffing

5.15

Baseline 4.28 hours · Performance 4.54 hours · Measure score 5.15 · Achievement 5.15 · Improvement 1.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.2%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 8.86% · Lower 95% interval 7.17%
Discharge to community	44.74%	50.57% 5.8 pts worse	No Different than the National Rate · Eligible stays 75 · Observed rate 38.67% · Lower 95% interval 35.14%
Medicare spending per beneficiary	1.22	1.02 0.2 pts worse
Drug regimen review with follow-up	93.33%	95.27% 1.9 pts worse	Numerator 42 · Denominator 45
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 45
Discharge self-care score	25%	53.69% 28.7 pts worse	Numerator 9 · Denominator 36
Discharge mobility score	41.67%	50.94% 9.3 pts worse	Numerator 15 · Denominator 36
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 45 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.3%	7.12% 2.2 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 15.22% · Lower 95% interval 5.08%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 118
Staff flu vaccination coverage	98.31%	42% 56.3 pts better	Numerator 175 · Denominator 178
Discharge function score	30.56%	56.45% 25.9 pts worse	Numerator 11 · Denominator 36
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	9.09%	25.2% 16.1 pts worse	Numerator 2 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.0 0.2 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.4 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.2 0.8 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.9 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	94.9% 2.9 pts better	93.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 95.7% · Q3 100.0% · Q4 98.5% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.2%	96.1% 0.1 pts better	95.5% 0.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of long-stay residents experiencing one or more falls with major injury	0.4%	3.9% 3.5 pts better	3.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	1.4% 0.5 pts worse	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 2.9% · Q4 1.5% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	5.7%	4.9% 0.8 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 2.9% · Q3 7.8% · Q4 3.2% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.6%	21.8% 3.2 pts better	19.6% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 21.7% · Q3 18.5% · Q4 14.5% · 4Q avg 18.6%
Percentage of long-stay residents who received an antipsychotic medication	15.7%	12.5% 3.2 pts worse	16.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 16.7% · Q3 14.5% · Q4 15.5% · 4Q avg 15.7% · 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	4.5%	11.4% 6.9 pts better	16.3% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.3% · Q3 3.1% · Q4 0.0% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.2%	10.4% 9.2 pts better	14.9% 13.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2% · 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	0.0%	1.1% 1.1 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	8.1%	14.6% 6.5 pts better	19.8% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 11.8% · Q3 2.8% · Q4 5.7% · 4Q avg 8.1%
Percentage of long-stay residents with pressure ulcers	4.1%	4.6% 0.5 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.5% · Q3 5.6% · Q4 2.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	53.9%	81.8% 27.9 pts worse	81.7% 27.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 62.9% · Q2 48.2% · Q3 46.4% · Q4 55.7% · 4Q avg 53.9%
Percentage of short-stay residents who had an outpatient emergency department visit	20.2%	13.8% 6.4 pts worse	12.0% 8.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 18.9% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.4% 0.7 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	33.9%	77.9% 44 pts worse	79.7% 45.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 33.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.8%	25.2% 5.6 pts worse	23.9% 6.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 27.0% · Expected 20.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

6 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-03 · Fire 2023-03-03

9 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-08

F · Potential for more than minimal harm 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 2024-05-02

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 2024-05-02

F · Potential for more than minimal harm 2024-04-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-02

F · Potential for more than minimal harm 2023-03-03

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-04-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-08

E · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-06

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 2025-03-08

D · Potential for more than minimal harm 2025-02-06

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-06

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-06

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 2025-03-08

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 2024-05-04

E · Potential for more than minimal harm 2024-04-04

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 2024-05-04

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 2024-05-04

E · Potential for more than minimal harm 2024-04-04

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-04

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-04

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-04

F · Potential for more than minimal harm 2023-03-03

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 2023-04-02