Cycle 1
Health 2024-10-24 · Fire 2024-10-24
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lake City, AR
Lakeside Health And Rehab
1-star overall rating with 2-star inspections with $30,946 in total fines with 2 recent health deficiencies
1207 Willow Run Road, Lake City, AR
(870) 237-8151
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
85
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
David Vann & Boyd Wright
Operator or chain grouping
Approved since
1996-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
0.21
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.93
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
4.30
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.12
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
0.24
CMS adjusted RN staffing hours
Adjusted total hours
4.97
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
51%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,650
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.89% · Performance 22.71% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.87% · Performance 11.33% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.22
Baseline 57.33% · Performance 50.52% · Measure score 3.22 · Achievement 3.22 · Improvement 1.60
Adjusted total nurse staffing
4.62
Baseline 3.75 hours · Performance 4.39 hours · Measure score 4.62 · Achievement 4.62 · Improvement 2.68
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.66% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 16.5% · Lower 95% interval 8.39% |
| Discharge to community | 34.33% |
50.57%
16.2 pts worse
|
Worse than the National Rate · Eligible stays 77 · Observed rate 22.08% · Lower 95% interval 23.66% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 90.41% |
95.27%
4.9 pts worse
|
Numerator 66 · Denominator 73 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 73 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 16 · Denominator 40 |
| Discharge mobility score | 27.5% |
50.94%
23.4 pts worse
|
Numerator 11 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 8.22% |
2.29%
5.9 pts worse
|
Numerator 6 · Denominator 73 · Adjusted rate 6.32% |
| Healthcare-associated infections requiring hospitalization | 11.33% |
7.12%
4.2 pts worse
|
Worse than the National Rate · Eligible stays 62 · Observed rate 24.19% · Lower 95% interval 7.46% |
| Staff COVID-19 vaccination coverage | 0.85% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 117 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 149 · Denominator 149 |
| Discharge function score | 32.5% |
56.45%
24 pts worse
|
Numerator 13 · Denominator 40 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 36.11% |
25.2%
10.9 pts better
|
Numerator 13 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
2.0
1.4 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 4.5 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.2
0.1 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.8 · Expected 2.1 · 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 | 2.5% |
3.9%
1.4 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.9% · Q3 1.4% · Q4 3.0% · 4Q avg 2.5% · 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 | 5.1% |
4.9%
0.2 pts worse
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 0.0% · Q3 6.3% · Q4 5.2% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.2% |
21.8%
9.4 pts worse
|
19.6%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 32.3% · Q3 25.8% · Q4 30.2% · 4Q avg 31.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.9% |
12.5%
0.4 pts worse
|
16.7%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 13.6% · Q3 10.4% · Q4 11.6% · 4Q avg 12.9% · 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 | 27.9% |
11.4%
16.5 pts worse
|
16.3%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 28.8% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.4% |
10.4%
9 pts worse
|
14.9%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 25.9% · Q3 17.2% · Q4 17.5% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.7%
0.3 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 2.1% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.1%
0.3 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.6% |
14.6%
8 pts worse
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 28.0% · Q3 29.1% · Q4 7.7% · 4Q avg 22.6% |
| Percentage of long-stay residents with pressure ulcers | 11.9% |
4.6%
7.3 pts worse
|
5.1%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 12.1% · Q3 19.0% · Q4 6.0% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
81.8%
16.2 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 92.3% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% |
13.8%
7.5 pts better
|
12.0%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 6.9% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
1.4%
1.5 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.8% · Q3 2.5% · Q4 2.9% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.9% |
77.9%
14 pts better
|
79.7%
12.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.7% |
25.2%
12.5 pts worse
|
23.9%
13.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.7% · Observed 43.1% · Expected 27.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-17 · Fire 2023-11-17
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2022-08-19 · Fire 2022-08-19
5 health deficiencies
Top issue: Nutrition and Dietary (2 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
2023-11-17
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-12-17
Inspection history
Recent health citations
J · Immediate jeopardy
2025-07-25
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 2025-08-22
J · Immediate jeopardy
2024-10-24
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 2024-08-24
E · Potential for more than minimal harm
2023-11-17
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-17
E · Potential for more than minimal harm
2023-11-17
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 2023-12-17
E · Potential for more than minimal harm
2023-11-17
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 2023-12-17
D · Potential for more than minimal harm
2023-07-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-13
F · Potential for more than minimal harm
2022-08-19
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 2022-09-13
E · Potential for more than minimal harm
2022-08-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-13
E · Potential for more than minimal harm
2022-08-19
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 2022-09-13
D · Potential for more than minimal harm
2022-08-19
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-09-13
Penalties and ownership
What sits behind the stars
$22,925
2025-07-25
Fine
Fine · fine $22,925
Fine
$8,021
2024-10-24
Fine
Fine · fine $8,021
Fine
Ownership
Wright, Blake
5% Or Greater Indirect Ownership Interest · Individual
Barker, David
Operational/Managerial Control · Individual
Bwdv Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Care Systems, LLC
Operational/Managerial Control · Organization
Credence Health Care, LLC
Operational/Managerial Control · Organization
First Arkansas Bank And Trust
5% Or Greater Mortgage Interest · Organization
Pharmacy Consults, LLC
Operational/Managerial Control · Organization
Vann, David
5% Or Greater Direct Ownership Interest · Individual
Vann, David
Corporate Officer · Individual
Wilkes, Pamela
Operational/Managerial Control · Individual
Wright, Blake
Corporate Officer · Individual
Wright, Boyd
5% Or Greater Direct Ownership Interest · Individual
Wright, Boyd
Corporate Officer · Individual
Yahnke, Lisa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Monette Manor, LLC
Monette, AR
1-star overall rating with 2-star inspections with $24,309 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Ridgecrest Health And Rehabilitation
Jonesboro, AR
3-star overall rating with 2-star inspections with 3 fire-safety deficiencies in the latest cycle
#3
Quail Run Health And Rehab
Trumann, AR
0-star overall rating with 0-star inspections
Jump out