Cycle 1
Health 2024-11-21 · Fire 2024-11-21
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Bella Vista, AR
Highlands Of Bella Vista Health & Rehab, LLC
2-star overall rating with 2-star inspections with $8,055 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
670 Rogers Road, Bella Vista, AR
(479) 876-1847
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
90
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Central Arkansas Nursing Centers
Operator or chain grouping
Approved since
2004-06-27
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
0.45
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.39
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.33
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
0.51
CMS adjusted RN staffing hours
Adjusted total hours
4.53
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,722
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.5
Baseline 18.41% · Performance 19.35% · Measure score 4.5 · Achievement 4.5 · Improvement 0
Healthcare-associated infections
0
Baseline 6.27% · Performance 9.03% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.51
Baseline 52.73% · Performance 49.33% · Measure score 3.51 · Achievement 3.51 · Improvement 0.72
Adjusted total nurse staffing
3.57
Baseline 2.92 hours · Performance 4.08 hours · Measure score 3.57 · Achievement 3.54 · Improvement 3.57
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 101 · Observed rate 8.91% · Lower 95% interval 6.49% |
| Discharge to community | 62.25% |
50.57%
11.7 pts better
|
Better than the National Rate · Eligible stays 83 · Observed rate 59.04% · Lower 95% interval 51.05% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.2% |
95.27%
0.9 pts better
|
Numerator 76 · Denominator 79 |
| Falls with major injury | 1.27% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 79 |
| Discharge self-care score | 71.43% |
53.69%
17.7 pts better
|
Numerator 40 · Denominator 56 |
| Discharge mobility score | 73.21% |
50.94%
22.3 pts better
|
Numerator 41 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 3.8% |
2.29%
1.5 pts worse
|
Numerator 3 · Denominator 79 · Adjusted rate 4.9% |
| Healthcare-associated infections requiring hospitalization | 9.03% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 11.76% · Lower 95% interval 6.02% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 96 · Denominator 96 |
| Staff flu vaccination coverage | 83.57% |
42%
41.6 pts better
|
Numerator 117 · Denominator 140 |
| Discharge function score | 69.64% |
56.45%
13.2 pts better
|
Numerator 39 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 29.73% |
25.2%
4.5 pts better
|
Numerator 11 · Denominator 37 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.0
1.1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.2
1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
94.9%
1.7 pts better
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.3% · Q3 95.2% · Q4 94.6% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
96.1%
0.9 pts worse
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% |
3.9%
1.2 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.1% · Q3 6.3% · Q4 7.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
1.4%
1.4 pts worse
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 1.7% · Q4 5.8% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
4.9%
0.7 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 17.0% · Q3 0.0% · Q4 5.0% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.5% |
21.8%
10.3 pts better
|
19.6%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.8% · Q3 13.0% · Q4 9.3% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
12.5%
4.4 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 9.8% · Q3 7.7% · Q4 0.0% · 4Q avg 8.1% · 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 | 16.3% |
11.4%
4.9 pts worse
|
16.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 21.8% · Q3 17.6% · Q4 12.9% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% |
10.4%
2.3 pts worse
|
14.9%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 17.4% · Q3 13.6% · Q4 10.5% · 4Q avg 12.7% · 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 | 0.4% |
1.1%
0.7 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
14.6%
13.5 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 28.0% · Q3 39.2% · Q4 21.2% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
4.6%
1.4 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.6% · Q3 1.2% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.1% |
81.8%
3.7 pts worse
|
81.7%
3.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.7% · Q2 80.6% · Q3 82.3% · Q4 76.9% · 4Q avg 78.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.4% |
13.8%
6.6 pts worse
|
12.0%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 19.7% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.4%
1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.7% |
77.9%
0.2 pts worse
|
79.7%
2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
25.2%
2.8 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 19.7% · Expected 20.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-10 · Fire 2023-11-10
4 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2022-08-11 · Fire 2022-08-11
14 health deficiencies
Top issue: Resident Assessment and Care Planning (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
2024-11-21
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-12-21
F · Potential for more than minimal harm
2023-11-10
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-12-04
F · Potential for more than minimal harm
2023-11-10
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-12-04
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-11-26
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.
Not marked corrected
F · Potential for more than minimal harm
2024-11-21
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 2024-12-21
F · Potential for more than minimal harm
2024-11-21
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 2024-12-21
J · Immediate jeopardy
2023-11-10
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-04
E · Potential for more than minimal harm
2023-11-10
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-04
E · Potential for more than minimal harm
2023-11-10
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 2023-12-04
E · Potential for more than minimal harm
2023-11-10
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 2023-12-04
D · Potential for more than minimal harm
2023-07-26
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-07-26
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-08-24
F · Potential for more than minimal harm
2022-08-11
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 2022-11-03
E · Potential for more than minimal harm
2022-08-11
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 2022-11-03
E · Potential for more than minimal harm
2022-08-11
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2022-09-10
E · Potential for more than minimal harm
2022-08-11
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 2022-11-03
E · Potential for more than minimal harm
2022-08-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-03
E · Potential for more than minimal harm
2022-08-11
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 2022-09-10
E · Potential for more than minimal harm
2022-08-11
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-11-03
D · Potential for more than minimal harm
2022-08-11
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-09-10
D · Potential for more than minimal harm
2022-08-11
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 2022-11-03
D · Potential for more than minimal harm
2022-08-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-10
D · Potential for more than minimal harm
2022-08-11
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 2022-09-10
D · Potential for more than minimal harm
2022-08-11
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 2022-09-10
Penalties and ownership
What sits behind the stars
$8,055
2023-11-10
Fine
Fine · fine $8,055
Fine
Ownership
Morton, Michael
5% Or Greater Direct Ownership Interest · Individual
Norsworthy, David
5% Or Greater Direct Ownership Interest · Individual
Brock, Michelle
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Concordia Nursing & Rehab, LLC
Bella Vista, AR
1-star overall rating with 1-star inspections with Special Focus status with $121,855 in total fines with 23 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Apple Creek Health And Rehab, LLC
Centerton, AR
3-star overall rating with 3-star inspections with $8,410 in total fines with 3 recent health deficiencies
#3
The Green House Cottages Of Northwest Arkansas
Bentonville, AR
5-star overall rating with 5-star inspections with $705 in total fines with 1 recent health deficiencies
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