Federal inspection record · CMS data as of October 1, 2026
The Cottages at Texarkana
4701 Jefferson Avenue, Texarkana, AR · (870) 773-7515
- Certified beds
- 140
- Residents per day
- 116
- Ownership
- For-Profit
- Chain
- Southern Administrative Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 15, 1992
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
The Cottages at Texarkana carries 20 inspection points. That is fewer than 63% of Arkansas's 218 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–18 pts
- 3★ 18–29 pts
- 2★ 29–44 pts
- 1★ over 44 pts
Bars show every rated home in Arkansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Nutrition and Dietary4E
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Quality of Life and Care3E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service2E
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
Nursing and Physician Services2E
- C
Post nurse staffing information every day.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Inspection history
2026-07-23
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2025-03-28
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-03-28
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 7 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
5 h 7 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,022 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-28 | Fine | $28,022 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts worse | 94.0% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts worse | 94.8% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 5.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts worse | 1.8% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 2.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 17.1% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.1 pts better | 3.8% | 10.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.4 pts better | 4.8% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts better | 3.7% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.3% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.9 pts better | 4.0% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 5.6% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 88.9% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 13.3% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.1 pts better | 86.0% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse | 25.6% | 23.4% | 23.4% |
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Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 4p2t1 Ops Holding LP | 5% Or Greater Direct Ownership Interest · Organization | 100% | 34 facilities |
| 4p2t1 Ops Holding LP | Limited Partnership Interest · Organization | 0% | 34 facilities |
| Alexark1 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 33 facilities |
| Ferguson, Clay | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Ferguson, Clay | Adp Of The SNF · Individual | 0% | 14 facilities |
| Jej Assets LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Jej Assets LP | Limited Partnership Interest · Organization | 0% | 34 facilities |
| Jej Assets LP | Adp Of The SNF · Organization | 0% | 34 facilities |
| Jej Management, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Milam, Sheila | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Milam, Sheila | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ponthie, John | Adp Of The SNF · Individual | 0% | 30 facilities |
| Ponthie, Sharlot | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 35 facilities |
| Ponthie, Sharlot | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Ponthie, Sharlot | Adp Of The SNF · Individual | 0% | 35 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
Services1C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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Bailey Creek Health And Rehab
Texarkana, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Heritage Plaza Nursing Center
Texarkana, TX · Stonegate Senior Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 31 min
- Fines
- $86,337
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Avir at Texarkana
Texarkana, TX · Avir Health Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 18 min
- Fines
- $95,459