Little Rock, AR

The Blossoms At West Dixon Rehab & Nursing Center

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

2821 W Dixon Rd, Little Rock, AR

(501) 888-4200

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

127

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Blossoms Rehab & Nursing Center

Operator or chain grouping

Approved since

2011-10-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

23 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 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

0.30

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.19

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

2.84

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.39

CMS adjusted RN staffing hours

Adjusted total hours

4.29

CMS adjusted total nurse staffing hours

Case-mix index

1.07

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

67%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,840

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

Performance score

15.04

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 22.21% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.60

Baseline 7.82% · Performance 7.36% · Measure score 1.60 · Achievement 1.60 · Improvement 1.15

Total nurse turnover

0.74

Baseline 53.01% · Performance 60.67% · Measure score 0.74 · Achievement 0.74 · Improvement 0

Adjusted total nurse staffing

3.68

Baseline 4.14 hours · Performance 4.13 hours · Measure score 3.68 · Achievement 3.68 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.29%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 5.68%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 22 · Denominator 22
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.36%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 9.09% · Lower 95% interval 3.88%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 80
Staff flu vaccination coverage	100%	42% 58 pts better	Numerator 136 · Denominator 136
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · 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	2.5	2.0 0.5 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.2 0.5 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.9%	94.9% 3 pts better	93.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.2% · Q3 96.4% · Q4 98.8% · 4Q avg 97.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.8%	96.1% 1.7 pts better	95.5% 2.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of long-stay residents experiencing one or more falls with major injury	0.9%	3.9% 3 pts better	3.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.2% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	1.4% 1.4 pts better	11.4% 11.4 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 who lose too much weight	1.6%	4.9% 3.3 pts better	5.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 2.5% · Q4 0.0% · 4Q avg 1.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.2%	21.8% 3.6 pts better	19.6% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 24.4% · Q3 15.9% · Q4 17.1% · 4Q avg 18.2%
Percentage of long-stay residents who received an antipsychotic medication	23.2%	12.5% 10.7 pts worse	16.7% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 21.3% · Q3 26.4% · Q4 24.5% · 4Q avg 23.2% · 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	8.0%	11.4% 3.4 pts better	16.3% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 11.8% · Q3 5.2% · Q4 8.4% · 4Q avg 8.0% · 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 11.2% · Q2 6.8% · Q3 7.6% · Q4 7.8% · 4Q avg 8.4% · 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	0.0%	1.1% 1.1 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	9.6%	14.6% 5 pts better	19.8% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 10.6% · Q3 7.8% · Q4 7.8% · 4Q avg 9.6%
Percentage of long-stay residents with pressure ulcers	2.9%	4.6% 1.7 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 1.7% · Q4 4.6% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.2%	81.8% 4.6 pts worse	81.7% 4.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 70.8% · Q3 50.0% · Q4 83.9% · 4Q avg 77.2%
Percentage of short-stay residents who had an outpatient emergency department visit	13.6%	13.8% 0.2 pts better	12.0% 1.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 15.2% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	7.9%	1.4% 6.5 pts worse	1.6% 6.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.2%	77.9% 1.3 pts better	79.7% 0.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.6%	25.2% 4.6 pts better	23.9% 3.3 pts better	Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 21.2% · Expected 24.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-15 · Fire 2026-01-15

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

11 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-09-01 · Fire 2023-09-01

17 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 2026-01-15

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2026-02-09

F · Potential for more than minimal harm 2026-01-15

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2026-02-09

F · Potential for more than minimal harm 2026-01-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-09

F · Potential for more than minimal harm 2026-01-15

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-09

F · Potential for more than minimal harm 2024-08-22

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-01

F · Potential for more than minimal harm 2023-09-01

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-10-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-15

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-02-09

E · Potential for more than minimal harm 2026-01-15

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 2026-02-09

D · Potential for more than minimal harm 2026-01-15

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-09

D · Potential for more than minimal harm 2025-07-17

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 2025-08-11

D · Potential for more than minimal harm 2025-07-17

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2025-08-11

E · Potential for more than minimal harm 2024-08-22

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 2024-10-01

E · Potential for more than minimal harm 2024-08-22

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-22

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 2024-10-01

E · Potential for more than minimal harm 2024-08-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-22

F919 · Environmental Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-22

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 2024-10-01

D · Potential for more than minimal harm 2024-08-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-22

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 2024-10-01

D · Potential for more than minimal harm 2024-08-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-22

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 2024-10-01

D · Potential for more than minimal harm 2024-08-22

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-10-01

F · Potential for more than minimal harm 2023-09-01

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 2023-09-26

E · Potential for more than minimal harm 2023-09-01

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 2023-09-26

E · Potential for more than minimal harm 2023-09-01

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 2023-09-26

E · Potential for more than minimal harm 2023-09-01

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 2023-09-26

E · Potential for more than minimal harm 2023-09-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-01

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 2023-09-26

E · Potential for more than minimal harm 2023-09-01

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 2023-09-26

E · Potential for more than minimal harm 2023-09-01