Prairie Grove, AR

Prairie Grove Health And Rehabilitation, LLC

4-star overall rating with 4-star inspections with $7,446 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

621 South Mock Street, Prairie Grove, AR

(479) 846-2169

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

70

Certified beds

Average residents

62

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stein Ltc

Operator or chain grouping

Approved since

2006-01-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

4 facilities

Chain averages 4 overall / 4 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

0.13

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.20

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.38

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.42

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.13

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.16

CMS adjusted RN staffing hours

Adjusted total hours

4.42

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,611

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

Performance score

16.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 22.04% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0

Performance 8.05% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

2.51

Baseline 59.42% · Performance 53.42% · Measure score 2.51 · Achievement 2.51 · Improvement 1.23

Adjusted total nurse staffing

3.92

Baseline 4.28 hours · Performance 4.19 hours · Measure score 3.92 · Achievement 3.92 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.44%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 16.33% · Lower 95% interval 7.54%
Discharge to community	39.15%	50.57% 11.4 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 25.93% · Lower 95% interval 24.84%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	20%	2.29% 17.7 pts worse	Numerator 4 · Denominator 20 · Adjusted rate 13.24%
Healthcare-associated infections requiring hospitalization	8.05%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 14.29% · Lower 95% interval 4.14%
Staff COVID-19 vaccination coverage	1.45%	8.2% 6.7 pts worse	Numerator 1 · Denominator 69
Staff flu vaccination coverage	100%	42% 58 pts better	Numerator 87 · Denominator 87
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.0 0.6 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.2 0.4 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.3 · Expected 1.4 · 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	8.6%	3.9% 4.7 pts worse	3.3% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 10.5% · Q3 5.2% · Q4 3.2% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	1.4% 0.5 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	8.0%	4.9% 3.1 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 16.3% · Q3 0.0% · Q4 1.9% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.7%	21.8% 3.9 pts worse	19.6% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 26.0% · Q3 23.5% · Q4 29.6% · 4Q avg 25.7%
Percentage of long-stay residents who received an antipsychotic medication	29.2%	12.5% 16.7 pts worse	16.7% 12.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 28.2% · Q3 26.2% · Q4 35.6% · 4Q avg 29.2% · 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	7.4%	11.4% 4 pts better	16.3% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 14.8% · Q3 5.4% · Q4 2.4% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.0%	10.4% 1.4 pts better	14.9% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 12.8% · Q3 2.1% · Q4 5.9% · 4Q avg 9.0% · 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 · Q1 0.0% · 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	0.4%	1.1% 0.7 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.3%	14.6% 3.3 pts better	19.8% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 11.0% · Q3 6.9% · Q4 7.8% · 4Q avg 11.3%
Percentage of long-stay residents with pressure ulcers	3.6%	4.6% 1 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 1.8% · Q3 3.5% · Q4 3.3% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.6%	81.8% 7.8 pts better	81.7% 7.9 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 89.6%
Percentage of short-stay residents who newly received an antipsychotic medication	10.3%	1.4% 8.9 pts worse	1.6% 8.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 10.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-20 · Fire 2024-06-20

3 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-22 · Fire 2023-06-22

4 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

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 2025-12-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-14

F · Potential for more than minimal harm 2025-12-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-12-14

F · Potential for more than minimal harm 2025-12-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-14

F · Potential for more than minimal harm 2024-06-20

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-07-15

F · Potential for more than minimal harm 2024-06-20

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-07-15

F · Potential for more than minimal harm 2024-06-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-15

F · Potential for more than minimal harm 2024-06-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-04

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 2025-12-14

D · Potential for more than minimal harm 2025-12-04

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-12-14

F · Potential for more than minimal harm 2024-06-20

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 2024-07-15

D · Potential for more than minimal harm 2024-06-20

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-07-15

B · Minimal harm 2024-06-20

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-20

F · Potential for more than minimal harm 2023-06-22

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 2023-07-14

E · Potential for more than minimal harm 2023-06-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-22

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 2023-07-14

J · Immediate jeopardy 2023-06-06

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 2023-05-13

Penalties and ownership

What sits behind the stars

$7,446 2023-06-06

Fine

Fine · fine $7,446

Fine