North Little Rock, AR

Lakewood Health And Rehab, LLC

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

2323 Mccain Boulevard, North Little Rock, AR

(501) 791-2323

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

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

1992-09-09

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

0.17

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.48

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

4.66

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

4.05

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.15

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

0.18

CMS adjusted RN staffing hours

Adjusted total hours

4.90

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

100%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,512

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

Performance score

26.50

Composite VBP score used to determine payment impact.

Payment multiplier

0.9842

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.83

Baseline 20.40% · Performance 21.05% · Measure score 0.83 · Achievement 0.83 · Improvement 0

Healthcare-associated infections

Baseline 8.10% · Performance 9.70% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.39

Baseline 55.42% · Performance 45.75% · Measure score 4.39 · Achievement 4.39 · Improvement 2.67

Adjusted total nurse staffing

5.39

Baseline 4.08 hours · Performance 4.61 hours · Measure score 5.39 · Achievement 5.39 · Improvement 2.60

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.23%	10.72% 1.5 pts worse	No Different than the National Rate · Eligible stays 117 · Observed rate 13.68% · Lower 95% interval 8.57%
Discharge to community	47.92%	50.57% 2.6 pts worse	No Different than the National Rate · Eligible stays 99 · Observed rate 44.44% · Lower 95% interval 39.44%
Medicare spending per beneficiary	1.22	1.02 0.2 pts worse
Drug regimen review with follow-up	94.94%	95.27% 0.3 pts worse	Numerator 75 · Denominator 79
Falls with major injury	1.27%	0.77% 0.5 pts worse	Numerator 1 · Denominator 79
Discharge self-care score	53.57%	53.69% 0.1 pts worse	Numerator 30 · Denominator 56
Discharge mobility score	33.93%	50.94% 17 pts worse	Numerator 19 · Denominator 56
Pressure ulcers or injuries, new or worsened	7.59%	2.29% 5.3 pts worse	Numerator 6 · Denominator 79 · Adjusted rate 8.54%
Healthcare-associated infections requiring hospitalization	9.7%	7.12% 2.6 pts worse	No Different than the National Rate · Eligible stays 73 · Observed rate 13.7% · Lower 95% interval 5.78%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 98
Staff flu vaccination coverage	100%	42% 58 pts better	Numerator 117 · Denominator 117
Discharge function score	44.64%	56.45% 11.8 pts worse	Numerator 25 · Denominator 56
Transfer of health information to provider	89.13%	95.95% 6.8 pts worse	Numerator 41 · Denominator 46
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	11.11%	25.2% 14.1 pts worse	Numerator 4 · Denominator 36

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.0 0.5 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.4 · Expected 3.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	2.2 1.6 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	94.9% 4.3 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2%
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	2.0%	3.9% 1.9 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.3% · Q3 1.7% · Q4 0.0% · 4Q avg 2.0% · 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	1.4%	4.9% 3.5 pts better	5.4% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.9% · Q4 2.0% · 4Q avg 1.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.0%	21.8% 11.2 pts worse	19.6% 13.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 36.4% · Q3 32.7% · Q4 27.5% · 4Q avg 33.0%
Percentage of long-stay residents who received an antipsychotic medication	11.6%	12.5% 0.9 pts better	16.7% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 14.3% · Q3 13.7% · Q4 4.5% · 4Q avg 11.6% · 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	12.6%	11.4% 1.2 pts worse	16.3% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 15.2% · 4Q avg 12.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.7%	10.4% 2.7 pts better	14.9% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 9.1% · Q3 9.1% · Q4 8.0% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.7% 0.3 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · 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 1.7% · Q3 0.0% · 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	8.6%	14.6% 6 pts better	19.8% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.6% · Q3 11.3% · Q4 9.3% · 4Q avg 8.6%
Percentage of long-stay residents with pressure ulcers	6.6%	4.6% 2 pts worse	5.1% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.7% · Q3 3.7% · Q4 8.0% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.9%	81.8% 3.1 pts better	81.7% 3.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 76.7% · Q2 92.3% · Q3 85.2% · Q4 84.8% · 4Q avg 84.9%
Percentage of short-stay residents who had an outpatient emergency department visit	9.2%	13.8% 4.6 pts better	12.0% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 9.1% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.4% 1.4 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.1%	77.9% 6.2 pts better	79.7% 4.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.6%	25.2% 5.4 pts worse	23.9% 6.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.6% · Observed 31.8% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-25 · Fire 2025-09-25

1 health deficiencies

Top issue: Administration (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-07-11 · Fire 2024-07-11

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-08-18 · Fire 2023-08-18

16 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-24

F · Potential for more than minimal harm 2024-07-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-09

F · Potential for more than minimal harm 2023-08-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-17

F · Potential for more than minimal harm 2023-08-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-17

E · Potential for more than minimal harm 2023-08-18

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 2023-09-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-25

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-10-24

F · Potential for more than minimal harm 2024-07-11

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 2024-08-07

E · Potential for more than minimal harm 2024-07-11

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-07-11

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-07-11

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 2024-08-07

D · Potential for more than minimal harm 2024-07-11

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 2024-08-07

D · Potential for more than minimal harm 2024-07-11

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-11

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 2024-08-07

D · Potential for more than minimal harm 2024-07-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-03-05

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 2024-03-29

F · Potential for more than minimal harm 2023-08-18

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 2023-09-17

E · Potential for more than minimal harm 2023-08-18

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 2023-09-17

E · Potential for more than minimal harm 2023-08-18

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 2023-09-17

E · Potential for more than minimal harm 2023-08-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-17

E · Potential for more than minimal harm 2023-08-18

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-09-17

E · Potential for more than minimal harm 2023-08-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-17

E · Potential for more than minimal harm 2023-08-18

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 2023-09-17

E · Potential for more than minimal harm 2023-08-18

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-09-17

E · Potential for more than minimal harm 2023-08-18

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 2023-09-17

D · Potential for more than minimal harm 2023-08-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-18

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-18

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-09-16

D · Potential for more than minimal harm 2023-08-18

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 2023-09-16

D · Potential for more than minimal harm 2023-08-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-17

D · Potential for more than minimal harm 2023-08-18

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-09-17

Penalties and ownership