1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Harrison, AR
5-star overall rating with 5-star inspections with 1 recent health deficiencies
1111 Maplewood Rd, Harrison, AR
(870) 741-5001
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
103
Certified beds
Average residents
94
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2011-03-18
CMS approved date
Coverage
Medicare + Medicaid
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
RN hours / resident day
0.81
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
3.47
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
5.25
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
4.37
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
6.19
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Program rank
1,466
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0116
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.02
Baseline 20.37% · Performance 20.96% · Measure score 1.02 · Achievement 1.02 · Improvement 0
Healthcare-associated infections
7.91
Baseline 5.67% · Performance 5.47% · Measure score 7.91 · Achievement 7.91 · Improvement 2.49
Total nurse turnover
5.76
Performance 40.15% · Measure score 5.76 · Achievement 5.76 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.91
Baseline 5.49 hours · Performance 5.33 hours · Measure score 7.91 · Achievement 7.91 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.12% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 270 · Observed rate 8.89% · Lower 95% interval 7.72% |
| Discharge to community | 59.29% |
50.57%
8.7 pts better
|
Better than the National Rate · Eligible stays 238 · Observed rate 63.87% · Lower 95% interval 54.45% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.84% |
95.27%
1.6 pts better
|
Numerator 153 · Denominator 158 |
| Falls with major injury | 2.53% |
0.77%
1.8 pts worse
|
Numerator 4 · Denominator 158 |
| Discharge self-care score | 61.19% |
53.69%
7.5 pts better
|
Numerator 82 · Denominator 134 |
| Discharge mobility score | 52.24% |
50.94%
1.3 pts better
|
Numerator 70 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 15.19% |
2.29%
12.9 pts worse
|
Numerator 24 · Denominator 158 · Adjusted rate 16.4% |
| Healthcare-associated infections requiring hospitalization | 5.47% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 148 · Observed rate 2.03% · Lower 95% interval 3.13% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 199 |
| Staff flu vaccination coverage | 97.08% |
42%
55.1 pts better
|
Numerator 266 · Denominator 274 |
| Discharge function score | 62.69% |
56.45%
6.2 pts better
|
Numerator 84 · Denominator 134 |
| Transfer of health information to provider | 96.77% |
95.95%
0.8 pts better
|
Numerator 30 · Denominator 31 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 102 · Denominator 102 |
| Resident COVID-19 vaccinations up to date | 31.58% |
25.2%
6.4 pts better
|
Numerator 24 · Denominator 76 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
2.0
1.1 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · 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 1.2 · Expected 1.5 · 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 | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.9%
0.8 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.8% · Q3 4.6% · Q4 2.4% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
1.4%
0.7 pts worse
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.4% · Q3 2.4% · Q4 2.4% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
4.9%
1.2 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.2% · Q3 4.0% · Q4 9.5% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% |
21.8%
0.3 pts better
|
19.6%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 19.8% · Q3 17.5% · Q4 21.3% · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.8% |
12.5%
5.7 pts better
|
16.7%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 6.6% · Q3 5.3% · Q4 6.9% · 4Q avg 6.8% · 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 | 11.1% |
11.4%
0.3 pts better
|
16.3%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 10.4% · Q3 5.2% · Q4 10.0% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.3% |
10.4%
5.9 pts worse
|
14.9%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 12.5% · Q3 15.2% · Q4 11.3% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.7%
1.5 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 2.6% · Q4 2.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
1.1%
1.6 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.5% · Q3 2.4% · Q4 3.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
14.6%
10.1 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 29.1% · Q3 16.5% · Q4 28.1% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 10.7% |
4.6%
6.1 pts worse
|
5.1%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 13.7% · Q3 12.4% · Q4 10.3% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
81.8%
14.1 pts better
|
81.7%
14.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 94.5% · Q3 98.5% · Q4 94.7% · 4Q avg 95.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.9% |
13.8%
0.9 pts better
|
12.0%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 12.1% · 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 0.0% · Q2 1.9% · Q3 2.0% · 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 | 97.3% |
77.9%
19.4 pts better
|
79.7%
17.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.8% |
25.2%
7.4 pts better
|
23.9%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 16.4% · Expected 22.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-05-03
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 2023-03-17
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-03-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-17
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-28
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2023-03-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-17
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 2023-03-17
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-03-17
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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