Cycle 1
Health 2025-08-14 · Fire 2025-08-14
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Conway, AR
Superior Health & Rehab, LLC
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
625 Tommy Lewis Dr, Conway, AR
(501) 585-6800
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
118
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Central Arkansas Nursing Centers
Operator or chain grouping
Approved since
2019-06-11
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
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
0.36
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.32
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.86
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.14
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
0.37
CMS adjusted RN staffing hours
Adjusted total hours
4.41
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,949
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.20
Baseline 22.18% · Performance 20.79% · Measure score 2.20 · Achievement 1.38 · Improvement 2.20
Healthcare-associated infections
0
Baseline 5.49% · Performance 7.93% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.35
Baseline 47.96% · Performance 45.92% · Measure score 4.35 · Achievement 4.35 · Improvement 0.38
Adjusted total nurse staffing
2.24
Baseline 3.53 hours · Performance 3.71 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0.34
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.46% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 333 · Observed rate 9.31% · Lower 95% interval 8.18% |
| Discharge to community | 54.74% |
50.57%
4.2 pts better
|
No Different than the National Rate · Eligible stays 353 · Observed rate 51.27% · Lower 95% interval 49.58% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 95.69% |
95.27%
0.4 pts better
|
Numerator 222 · Denominator 232 |
| Falls with major injury | 1.29% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 232 |
| Discharge self-care score | 61.08% |
53.69%
7.4 pts better
|
Numerator 102 · Denominator 167 |
| Discharge mobility score | 59.28% |
50.94%
8.3 pts better
|
Numerator 99 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 232 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.93% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 200 · Observed rate 7.5% · Lower 95% interval 5.08% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 139 |
| Staff flu vaccination coverage | 98.92% |
42%
56.9 pts better
|
Numerator 183 · Denominator 185 |
| Discharge function score | 63.47% |
56.45%
7 pts better
|
Numerator 106 · Denominator 167 |
| Transfer of health information to provider | 94.92% |
95.95%
1 pts worse
|
Numerator 56 · Denominator 59 |
| Transfer of health information to patient | 97.89% |
96.28%
1.6 pts better
|
Numerator 139 · Denominator 142 |
| Resident COVID-19 vaccinations up to date | 1.69% |
25.2%
23.5 pts worse
|
Numerator 2 · Denominator 118 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.0
0.4 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.2
1.5 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.6 · 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 | 94.0% |
96.1%
2.1 pts worse
|
95.5%
1.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.9%
1.3 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.2% · Q3 6.0% · Q4 5.9% · 4Q avg 5.2% · 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 0.0% · Q4 1.3% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
4.9%
1 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.7% · Q3 8.3% · Q4 4.2% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.9% |
21.8%
5.1 pts worse
|
19.6%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 31.2% · Q3 27.8% · Q4 21.3% · 4Q avg 26.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.0% |
12.5%
3.5 pts better
|
16.7%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 13.5% · Q3 8.1% · Q4 8.6% · 4Q avg 9.0% · 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 | 13.4% |
11.4%
2 pts worse
|
16.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 8.2% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
10.4%
2 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.7% · Q3 8.8% · Q4 8.2% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.1%
0.5 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.4% |
14.6%
2.8 pts worse
|
19.8%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 16.1% · Q3 14.6% · Q4 16.1% · 4Q avg 17.4% |
| 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 3.2% · Q2 3.1% · Q3 3.3% · Q4 4.6% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
81.8%
17.5 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 99.0% · Q3 98.9% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
13.8%
3.3 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 10.8% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
1.4%
1.5 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.9% · Q3 3.3% · Q4 2.4% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.8% |
77.9%
10.9 pts better
|
79.7%
9.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
25.2%
3.7 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 21.6% · Expected 23.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-03 · Fire 2024-05-03
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-05-12 · Fire 2023-05-12
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-14
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 2025-09-11
F · Potential for more than minimal harm
2025-08-14
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-09-11
F · Potential for more than minimal harm
2025-08-14
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-09-11
F · Potential for more than minimal harm
2025-08-14
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-11
F · Potential for more than minimal harm
2024-05-03
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 2024-05-22
F · Potential for more than minimal harm
2024-05-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-22
F · Potential for more than minimal harm
2023-05-12
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-09
E · Potential for more than minimal harm
2023-05-12
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 2023-06-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-14
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 2025-09-11
B · Minimal harm
2025-08-14
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 2025-09-11
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 2024-05-24
D · Potential for more than minimal harm
2024-05-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-05-03
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 2024-05-24
D · Potential for more than minimal harm
2024-05-03
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-05-24
F · Potential for more than minimal harm
2023-05-12
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 2023-06-01
D · Potential for more than minimal harm
2023-05-12
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-30
D · Potential for more than minimal harm
2023-05-12
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 2023-06-01
D · Potential for more than minimal harm
2023-05-12
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 2023-06-01
Penalties and ownership
What sits behind the stars
Ownership
Morton, Michael
5% Or Greater Direct Ownership Interest · Individual
Norsworthy, David
5% Or Greater Direct Ownership Interest · Individual
Kirkemier, Vickey
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Salem Place Nursing And Rehabilitation Center, Inc
Conway, AR
4-star overall rating with 4-star inspections with 5 fire-safety deficiencies in the latest cycle
#2
Conway Healthcare And Rehabilitation Center
Conway, AR
3-star overall rating with 2-star inspections with $25,483 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Heritage Living Center
Conway, AR
4-star overall rating with 3-star inspections with 5 recent health deficiencies
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