Fort Smith, AR

Methodist Health And Rehab

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

7425 Euper Lane, Fort Smith, AR

(479) 452-1611

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

145

Certified beds

Average residents

128

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-06-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.24

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.02

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

4.05

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

5.32

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

4.45

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

0.28

CMS adjusted RN staffing hours

Adjusted total hours

6.05

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,582

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

Performance score

55.53

Composite VBP score used to determine payment impact.

Payment multiplier

1.0105

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.95

Baseline 21.38% · Performance 19.60% · Measure score 3.95 · Achievement 3.95 · Improvement 3.59

Healthcare-associated infections

3.39

Baseline 5.91% · Performance 6.82% · Measure score 3.39 · Achievement 3.39 · Improvement 0

Total nurse turnover

4.88

Performance 43.75% · Measure score 4.88 · Achievement 4.88 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.30 hours · Performance 5.87 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.21%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 105 · Observed rate 8.57% · Lower 95% interval 6.92%
Discharge to community	44.27%	50.57% 6.3 pts worse	No Different than the National Rate · Eligible stays 72 · Observed rate 38.89% · Lower 95% interval 35.39%
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	98.72%	95.27% 3.5 pts better	Numerator 77 · Denominator 78
Falls with major injury	2.56%	0.77% 1.8 pts worse	Numerator 2 · Denominator 78
Discharge self-care score	70%	53.69% 16.3 pts better	Numerator 35 · Denominator 50
Discharge mobility score	72%	50.94% 21.1 pts better	Numerator 36 · Denominator 50
Pressure ulcers or injuries, new or worsened	8.97%	2.29% 6.7 pts worse	Numerator 7 · Denominator 78 · Adjusted rate 7.52%
Healthcare-associated infections requiring hospitalization	6.82%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 70 · Observed rate 5.71% · Lower 95% interval 3.45%
Staff COVID-19 vaccination coverage	1.4%	8.2% 6.8 pts worse	Numerator 3 · Denominator 215
Staff flu vaccination coverage	99.3%	42% 57.3 pts better	Numerator 282 · Denominator 284
Discharge function score	72%	56.45% 15.5 pts better	Numerator 36 · Denominator 50
Transfer of health information to provider	65.31%	95.95% 30.6 pts worse	Numerator 32 · Denominator 49
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	9.68%	25.2% 15.5 pts worse	Numerator 3 · Denominator 31

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	2.0 0.4 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.2 0.2 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	94.9% 4.7 pts better	93.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 99.2% · 4Q avg 99.6%
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	9.3%	3.9% 5.4 pts worse	3.3% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.2% · Q3 9.2% · Q4 7.6% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.6%	1.4% 3.2 pts worse	11.4% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.0% · Q3 1.9% · Q4 3.5% · 4Q avg 4.6%
Percentage of long-stay residents who lose too much weight	7.8%	4.9% 2.9 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 12.2% · Q3 6.2% · Q4 7.9% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.8%	21.8% 1 pts worse	19.6% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 22.2% · Q3 21.2% · Q4 24.3% · 4Q avg 22.8%
Percentage of long-stay residents who received an antipsychotic medication	6.4%	12.5% 6.1 pts better	16.7% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.0% · Q3 4.7% · Q4 6.9% · 4Q avg 6.4% · 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	18.6%	11.4% 7.2 pts worse	16.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 20.9% · Q3 17.2% · Q4 11.7% · 4Q avg 18.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.8%	10.4% 4.4 pts worse	14.9% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 15.1% · Q3 13.8% · Q4 6.6% · 4Q avg 14.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.7% 0.2 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.6%	1.1% 0.5 pts worse	1.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.8% · Q3 0.9% · Q4 0.9% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.4%	14.6% 10.8 pts worse	19.8% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 25.9% · Q3 27.6% · Q4 21.9% · 4Q avg 25.4%
Percentage of long-stay residents with pressure ulcers	5.9%	4.6% 1.3 pts worse	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.8% · Q3 7.6% · Q4 9.7% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.1%	81.8% 11.3 pts better	81.7% 11.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 90.9% · Q3 94.7% · Q4 93.5% · 4Q avg 93.1%
Percentage of short-stay residents who had an outpatient emergency department visit	25.1%	13.8% 11.3 pts worse	12.0% 13.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 23.4% · Expected 10.4% · 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	95.2%	77.9% 17.3 pts better	79.7% 15.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.0%	25.2% 11.2 pts better	23.9% 9.9 pts better	Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 12.5% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-24 · Fire 2024-10-24

6 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-08-04 · Fire 2023-08-04

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-05-13 · Fire 2022-05-13

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-24

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-22

F · Potential for more than minimal harm 2022-05-13

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-06-12

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-24

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 2024-11-22

E · Potential for more than minimal harm 2024-10-24

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-10-24

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 2024-11-22

E · Potential for more than minimal harm 2024-10-24

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 2024-11-22

D · Potential for more than minimal harm 2024-10-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-10-24

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 2024-11-22

F · Potential for more than minimal harm 2023-08-04

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 2023-09-03

E · Potential for more than minimal harm 2023-08-04

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 2023-09-03

E · Potential for more than minimal harm 2023-08-04

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 2023-09-03

D · Potential for more than minimal harm 2023-08-04

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-03

D · Potential for more than minimal harm 2023-08-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-03

D · Potential for more than minimal harm 2023-08-04

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 2023-09-03

D · Potential for more than minimal harm 2023-08-04

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-09-03

F · Potential for more than minimal harm 2022-05-13

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2022-06-12

F · Potential for more than minimal harm 2022-05-13

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 2022-06-12