Bryant, AR

Southern Trace Rehabilitation And Care Center

2-star overall rating with 2-star inspections with abuse icon flag with $46,053 in total fines with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

22515 I 30, Bryant, AR

(501) 847-0777

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

95

Certified beds

Average residents

88

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Southern Administrative Services

Operator or chain grouping

Approved since

1996-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing

LPN hours / resident day

0.95

Licensed practical nurse staffing

Aide hours / resident day

2.13

Nurse aide staffing

Weekend hours

3.15

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

48%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
2.0
0.7 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
94.9%
3.3 pts better
93.4%
4.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
96.1%
2.7 pts better
95.5%
3.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
3.9%
0.7 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.5%
1.4%
1.1 pts worse
11.4%
8.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.7%
4.9%
3.8 pts worse
5.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.9%
21.8%
9.9 pts better
19.6%
7.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.7%
12.5%
4.8 pts better
16.7%
9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.9%
0.1%
0.8 pts worse
0.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 5.7%
11.4%
5.7 pts better
16.3%
10.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.4%
10.4%
1 pts better
14.9%
5.5 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.0%
1.1%
1.1 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.1%
14.6%
2.5 pts worse
19.8%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.2%
4.6%
4.6 pts worse
5.1%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.5%
81.8%
4.7 pts better
81.7%
4.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 13.7%
13.8%
0.1 pts better
12.0%
1.7 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.6%
77.9%
14.7 pts better
79.7%
12.9 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 34.0%
25.2%
8.8 pts worse
23.9%
10.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-21 · Fire 2025-08-21

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 2 Health 2024-05-31 · Fire 2024-05-31

9 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-06-30 · Fire 2023-06-30

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-21

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-08-21

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-08-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-08-21

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-08-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-02

E · Potential for more than minimal harm 2023-06-30

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-07-18

Inspection history

Recent health citations

G · Actual harm 2025-03-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-08

D · Potential for more than minimal harm 2024-11-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-05-31

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 2024-06-28

E · Potential for more than minimal harm 2024-05-31

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-31

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 2024-06-28

E · Potential for more than minimal harm 2024-05-31

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 2024-06-28

E · Potential for more than minimal harm 2024-05-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-31

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 2024-06-28

D · Potential for more than minimal harm 2024-05-31

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 2024-06-28

D · Potential for more than minimal harm 2024-05-31

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 2024-06-28

E · Potential for more than minimal harm 2023-08-29

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 2023-09-11

F · Potential for more than minimal harm 2023-06-30

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 2023-07-18

E · Potential for more than minimal harm 2023-06-30

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 2023-07-18

E · Potential for more than minimal harm 2023-06-30

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 2023-07-18

E · Potential for more than minimal harm 2023-06-30

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 2023-07-18

E · Potential for more than minimal harm 2023-06-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-18

E · Potential for more than minimal harm 2023-06-30

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 2023-07-19

E · Potential for more than minimal harm 2023-06-30

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-07-18

D · Potential for more than minimal harm 2023-06-30

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-07-18

Penalties and ownership

What sits behind the stars

$46,053 2025-03-05

Fine

Fine · fine $46,053

Fine

$0 2025-03-05

Payment Denial

Payment Denial · denial start 2025-04-03 · 5 days

5 day denial

Ownership

4p2t1 Ops Holding LP

5% Or Greater Direct Ownership Interest · Organization

100% 34 facilities 2020-07-01
4p2t1 Ops Holding LP

Limited Partnership Interest · Organization

0% 34 facilities 2020-07-01
Alexark1 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 32 facilities 2022-01-01
Alexark1 LLC

General Partnership Interest · Organization

0% 32 facilities 2020-07-01
Bharany, Neeraj

Operational/Managerial Control · Individual

0% 1 facilities 2020-07-01
Brown, Nancy

Operational/Managerial Control · Individual

0% 1 facilities 2020-07-01
Jej Assets LP

5% Or Greater Indirect Ownership Interest · Organization

0% 34 facilities 2022-01-01
Jej Assets LP

Limited Partnership Interest · Organization

0% 34 facilities 2020-07-01
Jej Management, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 30 facilities 2022-01-01
Ponthie, John

5% Or Greater Indirect Ownership Interest · Individual

0% 35 facilities 2022-01-01
Ponthie, Sharlot

5% Or Greater Indirect Ownership Interest · Individual

0% 35 facilities 2022-01-01

Nearby options

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4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
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Staffing
2 / 5
Fines
$0
#2

Amberwood Health And Rehabilitation

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5-star overall rating with 5-star inspections with 1 recent health deficiencies

Overall
5 / 5
Health
5 / 5
Staffing
2 / 5
Fines
$0
#3

Alcoa Pines Health And Rehabilitation

Benton, AR

3-star overall rating with 3-star inspections with $7,443 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$7,443

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