Hot Springs, AR

Quapaw Care And Rehabilitation Center LLC

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

138 Brighton Terrace, Hot Springs, AR

(501) 525-7140

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

126

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

1998-01-01

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

0.21

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

1.25

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.45

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

4.91

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

4.13

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.24

CMS adjusted RN staffing hours

Adjusted total hours

5.72

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,672

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

Performance score

26.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9840

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.10

Baseline 21.21% · Performance 20.46% · Measure score 2.10 · Achievement 2.10 · Improvement 1.29

Healthcare-associated infections

Baseline 5.39% · Performance 8.53% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.75

Baseline 49.35% · Performance 52.46% · Measure score 2.75 · Achievement 2.75 · Improvement 0

Adjusted total nurse staffing

5.58

Baseline 3.90 hours · Performance 4.66 hours · Measure score 5.58 · Achievement 5.58 · Improvement 3.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.82%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 105 · Observed rate 10.48% · Lower 95% interval 7.79%
Discharge to community	49.65%	50.57% 0.9 pts worse	No Different than the National Rate · Eligible stays 96 · Observed rate 42.71% · Lower 95% interval 40.53%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 72 · Denominator 72
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 72
Discharge self-care score	69.57%	53.69% 15.9 pts better	Numerator 32 · Denominator 46
Discharge mobility score	76.09%	50.94% 25.2 pts better	Numerator 35 · Denominator 46
Pressure ulcers or injuries, new or worsened	1.39%	2.29% 0.9 pts better	Numerator 1 · Denominator 72 · Adjusted rate 1.24%
Healthcare-associated infections requiring hospitalization	8.53%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 73 · Observed rate 10.96% · Lower 95% interval 4.58%
Staff COVID-19 vaccination coverage	4.38%	8.2% 3.8 pts worse	Numerator 6 · Denominator 137
Staff flu vaccination coverage	92%	42% 50 pts better	Numerator 184 · Denominator 200
Discharge function score	78.26%	56.45% 21.8 pts better	Numerator 36 · Denominator 46
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	95%	96.28% 1.3 pts worse	Numerator 38 · Denominator 40
Resident COVID-19 vaccinations up to date	26.83%	25.2% 1.6 pts better	Numerator 11 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.0 0.1 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	2.2 1.2 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	94.9% 4.5 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.8% · Q4 98.8% · 4Q avg 99.4%
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	4.1%	3.9% 0.2 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 5.0% · Q4 7.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.4%	1.4% 1 pts worse	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.5% · Q3 3.1% · Q4 4.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight	3.2%	4.9% 1.7 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.2% · Q3 4.2% · Q4 3.7% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.0%	21.8% 14.2 pts worse	19.6% 16.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 37.2% · Q3 38.9% · Q4 33.3% · 4Q avg 36.0%
Percentage of long-stay residents who received an antipsychotic medication	5.7%	12.5% 6.8 pts better	16.7% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.9% · Q3 5.1% · Q4 5.3% · 4Q avg 5.7% · 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	11.4%	11.4% About the same	16.3% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 14.2% · Q3 14.5% · Q4 14.5% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.6%	10.4% 0.2 pts worse	14.9% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 20.0% · Q3 7.0% · Q4 10.3% · 4Q avg 10.6% · 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	0.3%	1.1% 0.8 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.1%	14.6% 1.5 pts worse	19.8% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 16.7% · Q3 17.2% · Q4 11.2% · 4Q avg 16.1%
Percentage of long-stay residents with pressure ulcers	2.8%	4.6% 1.8 pts better	5.1% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.2% · Q3 2.9% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.4%	81.8% 13.6 pts better	81.7% 13.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 96.2% · Q3 94.6% · Q4 91.8% · 4Q avg 95.4%
Percentage of short-stay residents who had an outpatient emergency department visit	9.6%	13.8% 4.2 pts better	12.0% 2.4 pts better	Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 9.4% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.4% 0.6 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.9%	77.9% 4 pts better	79.7% 2.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.7%	25.2% 3.5 pts worse	23.9% 4.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 28.3% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

5 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-05-03 · Fire 2024-05-03

8 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 2023-05-05 · Fire 2023-05-05

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-24

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-08-23

F · Potential for more than minimal harm 2025-07-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-08-23

F · Potential for more than minimal harm 2023-05-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-26

E · Potential for more than minimal harm 2023-05-05

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-05-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-24

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 2025-08-23

E · Potential for more than minimal harm 2025-07-24

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-08-23

E · Potential for more than minimal harm 2025-07-24

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 2025-08-23

D · Potential for more than minimal harm 2025-07-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-23

D · Potential for more than minimal harm 2025-07-24

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-08-23

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

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 2024-05-31

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

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 2024-05-31

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

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 2024-05-31

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

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-31

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-31

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-31

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

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 2024-05-31

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

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-05-31

F · Potential for more than minimal harm 2023-05-05

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-05-05

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 2023-05-26

E · Potential for more than minimal harm 2023-05-05

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 2023-05-26

E · Potential for more than minimal harm 2023-05-05

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 2023-05-26

E · Potential for more than minimal harm 2023-05-05

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 2023-05-26

E · Potential for more than minimal harm 2023-05-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-26