Springdale, AR

Springdale Health And Rehabilitation Center

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

102 North Gutensohn, Springdale, AR

(479) 756-0330

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 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

140

Certified beds

Average residents

112

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Nhs Management

Operator or chain grouping

Approved since

1991-07-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.22

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.85

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

0.87

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.31

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

0.05

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.27

CMS adjusted RN staffing hours

Adjusted total hours

4.60

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,311

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

Performance score

33.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9876

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.42

Baseline 16.96% · Performance 18.92% · Measure score 5.42 · Achievement 5.42 · Improvement 0

Healthcare-associated infections

4.17

Baseline 5.95% · Performance 6.59% · Measure score 4.17 · Achievement 4.17 · Improvement 0

Total nurse turnover

Performance 71.43% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.75

Baseline 4.11 hours · Performance 4.14 hours · Measure score 3.75 · Achievement 3.75 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.42%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 57 · Observed rate 10.53% · Lower 95% interval 6.71%
Discharge to community	52.95%	50.57% 2.4 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 36.67% · Lower 95% interval 35.26%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	94.74%	95.27% 0.5 pts worse	Numerator 36 · Denominator 38
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 38
Discharge self-care score	60.87%	53.69% 7.2 pts better	Numerator 14 · Denominator 23
Discharge mobility score	69.57%	50.94% 18.6 pts better	Numerator 16 · Denominator 23
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 38 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.59%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 3.03% · Lower 95% interval 3.2%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	56.56%	42% 14.6 pts better	Numerator 69 · Denominator 122
Discharge function score	78.26%	56.45% 21.8 pts better	Numerator 18 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 25

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 1.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.2 0.7 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	54.4%	94.9% 40.5 pts worse	93.4% 39 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 58.9% · Q2 35.0% · Q3 40.4% · Q4 85.9% · 4Q avg 54.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	81.7%	96.1% 14.4 pts worse	95.5% 13.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 81.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.9% 0.7 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.9% · Q3 2.8% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.3%	1.4% 1.1 pts better	11.4% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight	15.8%	4.9% 10.9 pts worse	5.4% 10.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 10.0% · Q3 5.4% · Q4 10.5% · 4Q avg 15.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.7%	21.8% 0.9 pts worse	19.6% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 22.0% · Q3 22.3% · Q4 26.7% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication	26.2%	12.5% 13.7 pts worse	16.7% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 27.3% · Q3 25.0% · Q4 26.1% · 4Q avg 26.2% · 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	5.1%	11.4% 6.3 pts better	16.3% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 2.5% · Q3 3.2% · Q4 5.4% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.5%	10.4% 2.9 pts better	14.9% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 8.0% · Q3 5.5% · Q4 5.7% · 4Q avg 7.5% · 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	0.8%	1.1% 0.3 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.5%	14.6% 2.9 pts worse	19.8% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 18.0% · Q3 16.0% · Q4 17.3% · 4Q avg 17.5%
Percentage of long-stay residents with pressure ulcers	5.4%	4.6% 0.8 pts worse	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 5.1% · Q3 4.8% · Q4 1.5% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	35.8%	81.8% 46 pts worse	81.7% 45.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 22.7% · Q3 33.3% · Q4 44.7% · 4Q avg 35.8%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	13.8% 7.4 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 7.1% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.8%	1.4% 2.4 pts worse	1.6% 2.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.2% · Q3 0.0% · Q4 6.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	30.3%	77.9% 47.6 pts worse	79.7% 49.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 30.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.1%	25.2% 5.9 pts worse	23.9% 7.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.1% · Observed 28.6% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-01 · Fire 2024-08-01

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-07-28 · Fire 2023-07-28

9 health deficiencies

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

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-04-08 · Fire 2022-04-08

20 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 2024-08-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-31

F · Potential for more than minimal harm 2024-08-01

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 2024-08-31

F · Potential for more than minimal harm 2024-08-01

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-08-31

F · Potential for more than minimal harm 2024-08-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-08-31

E · Potential for more than minimal harm 2023-07-28

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-08-25

F · Potential for more than minimal harm 2022-04-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-05-08

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-08-01

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 2024-08-31

E · Potential for more than minimal harm 2024-08-01

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 2024-08-31

E · Potential for more than minimal harm 2024-08-01

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 2024-08-31

E · Potential for more than minimal harm 2024-08-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-30

E · Potential for more than minimal harm 2024-02-15

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 2024-03-16

E · Potential for more than minimal harm 2024-02-15

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 2024-03-16

E · Potential for more than minimal harm 2024-02-15

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 2024-03-16

F · Potential for more than minimal harm 2023-07-28

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-28

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 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

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 2023-08-25

E · Potential for more than minimal harm 2023-07-28

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 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

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 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

E · Potential for more than minimal harm 2023-07-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-25

F · Potential for more than minimal harm 2022-04-08

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 2022-05-08