Cycle 1
Health 2025-09-05 · Fire 2025-09-05
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hot Springs Village, AR
Lake Forest Senior Living At Hot Springs Village
2-star overall rating with 3-star inspections with $13,627 in total fines with 2 recent health deficiencies
121 Cortez Rd, Hot Springs Village, AR
(501) 915-1708
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
39
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Continuum Healthcare
Operator or chain grouping
Approved since
1992-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 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
0.42
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.16
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
0.14
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
88%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,875
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.41
Baseline 19.06% · Performance 20.78% · Measure score 1.41 · Achievement 1.41 · Improvement 0
Healthcare-associated infections
0
Baseline 6.99% · Performance 8.25% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.16
Baseline 50.00% · Performance 54.84% · Measure score 2.16 · Achievement 2.16 · Improvement 0
Adjusted total nurse staffing
2.39
Baseline 3.84 hours · Performance 3.76 hours · Measure score 2.39 · Achievement 2.39 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.04% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 121 · Observed rate 6.61% · Lower 95% interval 6.05% |
| Discharge to community | 60.62% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 116 · Observed rate 61.21% · Lower 95% interval 51.53% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 76.39% |
95.27%
18.9 pts worse
|
Numerator 55 · Denominator 72 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 63.83% |
53.69%
10.1 pts better
|
Numerator 30 · Denominator 47 |
| Discharge mobility score | 57.45% |
50.94%
6.5 pts better
|
Numerator 27 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 2.78% |
2.29%
0.5 pts worse
|
Numerator 2 · Denominator 72 · Adjusted rate 3.26% |
| Healthcare-associated infections requiring hospitalization | 8.25% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 8.33% · Lower 95% interval 4.09% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 72 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 78 · Denominator 78 |
| Discharge function score | 63.83% |
56.45%
7.4 pts better
|
Numerator 30 · Denominator 47 |
| Transfer of health information to provider | 87.5% |
95.95%
8.5 pts worse
|
Numerator 28 · Denominator 32 |
| Transfer of health information to patient | 95.83% |
96.28%
0.5 pts worse
|
Numerator 23 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 63.41% |
25.2%
38.2 pts better
|
Numerator 26 · Denominator 41 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.0
0.2 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.8 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.2
1.3 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.1 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
94.9%
1.8 pts better
|
93.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 96.4% · Q3 100.0% · Q4 95.7% · 4Q avg 96.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
96.1%
6.1 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.9%
1.7 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.0% · Q4 4.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
1.4%
1.1 pts worse
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 15.6% |
4.9%
10.7 pts worse
|
5.4%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.8% |
21.8%
7 pts worse
|
19.6%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
12.5%
12.5 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 | 30.3% |
11.4%
18.9 pts worse
|
16.3%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.2% |
10.4%
21.8 pts worse
|
14.9%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 32.2% · 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 · 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 · 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 | 21.9% |
14.6%
7.3 pts worse
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 24.8% · Q4 27.1% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 9.7% |
4.6%
5.1 pts worse
|
5.1%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 13.9% · Q3 6.3% · Q4 2.6% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
81.8%
2.8 pts better
|
81.7%
2.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 80.0% · Q3 76.4% · Q4 93.5% · 4Q avg 84.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
13.8%
3.2 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 9.8% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.4%
1.4 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 4.3% · Q4 4.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.2% |
77.9%
16.7 pts worse
|
79.7%
18.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.1% |
25.2%
2.1 pts better
|
23.9%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 21.3% · Expected 22.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-12 · Fire 2024-06-12
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-07-07 · Fire 2023-07-07
5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-12
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-07-12
F · Potential for more than minimal harm
2024-06-12
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-07-12
F · Potential for more than minimal harm
2023-07-07
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-28
F · Potential for more than minimal harm
2023-07-07
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 2023-07-28
F · Potential for more than minimal harm
2023-07-07
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-05
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-09-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
J · Immediate jeopardy
2024-09-26
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-11-06
F · Potential for more than minimal harm
2024-06-12
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 2024-07-12
E · Potential for more than minimal harm
2024-06-12
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-12
E · Potential for more than minimal harm
2024-06-12
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 2024-07-12
E · Potential for more than minimal harm
2024-06-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-12
E · Potential for more than minimal harm
2023-07-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-28
E · Potential for more than minimal harm
2023-07-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-28
E · Potential for more than minimal harm
2023-07-07
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 2023-07-28
D · Potential for more than minimal harm
2023-07-07
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 2023-07-28
D · Potential for more than minimal harm
2023-07-07
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 2023-07-28
Penalties and ownership
What sits behind the stars
$13,627
2024-09-26
Fine
Fine · fine $13,627
Fine
Ownership
Bruckstein, Daniel
5% Or Greater Direct Ownership Interest · Individual
Bruckstein, Daniel
Operational/Managerial Control · Individual
Bruckstein, Daniel
5% Or Greater Security Interest · Individual
Continuum Healthcare I Inc
Operational/Managerial Control · Organization
Dorn, Cheryl
Operational/Managerial Control · Individual
Hancock, Phyllis
Operational/Managerial Control · Individual
Wellsky Corporation
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
The Blossoms at the Village Rehab & Nursing Center
Hot Springs, AR
3-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Belvedere Nursing And Rehabilitation Center, LLC
Hot Springs, AR
1-star overall rating with 1-star inspections with $206,908 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
The Springs Of Park Ave
Hot Springs, AR
4-star overall rating with 3-star inspections with 3 recent health deficiencies
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