Maumelle, AR

The Lakes At Maumelle Health And Rehabilitation

3-star overall rating with 3-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

103 Alexandria Drive, Maumelle, AR

(501) 734-1400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Anthony & Bryan Adams

Operator or chain grouping

Approved since

2007-04-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing

LPN hours / resident day

1.05

Licensed practical nurse staffing

Aide hours / resident day

3.06

Nurse aide staffing

Weekend hours

3.88

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

79%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
2.0
0.7 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.8
2.2
1.6 pts worse
1.8
2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
94.9%
0.5 pts worse
93.4%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.2%
96.1%
3.9 pts worse
95.5%
3.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.7%
3.9%
2.8 pts worse
3.3%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 2.8%
4.9%
2.1 pts better
5.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 5.4%
21.8%
16.4 pts better
19.6%
14.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 1.0%
12.5%
11.5 pts better
16.7%
15.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 8.9%
11.4%
2.5 pts better
16.3%
7.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 4.9%
10.4%
5.5 pts better
14.9%
10 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 9.5%
14.6%
5.1 pts better
19.8%
10.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.8%
4.6%
1.8 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.7%
81.8%
0.1 pts worse
81.7%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 33.9%
13.8%
20.1 pts worse
12.0%
21.9 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 75.9%
77.9%
2 pts worse
79.7%
3.8 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.3%
25.2%
1.9 pts better
23.9%
0.6 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-25 · Fire 2025-11-25

2 health deficiencies

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

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-06-05 · Fire 2024-06-05

11 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-06-29 · Fire 2023-06-29

9 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-12-24

F · Potential for more than minimal harm 2025-11-25

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 2025-12-24

F · Potential for more than minimal harm 2025-11-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-24

F · Potential for more than minimal harm 2024-06-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-03

F · Potential for more than minimal harm 2024-06-05

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-07-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-25

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 2025-12-24

D · Potential for more than minimal harm 2025-11-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-24

F · Potential for more than minimal harm 2024-06-05

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 2024-07-03

E · Potential for more than minimal harm 2024-06-05

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 2024-07-03

E · Potential for more than minimal harm 2024-06-05

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 2024-07-03

E · Potential for more than minimal harm 2024-06-05

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 2024-07-03

E · Potential for more than minimal harm 2024-06-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-05

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-05

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-05

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-05

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-07-03

D · Potential for more than minimal harm 2023-11-29

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-11-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-04

F · Potential for more than minimal harm 2023-06-29

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 2023-07-28

E · Potential for more than minimal harm 2023-06-29

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 2023-07-28

E · Potential for more than minimal harm 2023-06-29

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 2023-07-28

E · Potential for more than minimal harm 2023-06-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-29

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-06-29

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-07-28

E · Potential for more than minimal harm 2023-06-09

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-06-08

Penalties and ownership

What sits behind the stars

Ownership

Ovation Health Systems, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2012-11-13
Adams, Anthony

5% Or Greater Indirect Ownership Interest · Individual

50% 38 facilities 2012-11-13
Adams, Anthony

Corporate Officer · Individual

0% 38 facilities 2012-11-13
Adams, Bryan

5% Or Greater Indirect Ownership Interest · Individual

0% 38 facilities 2012-11-13
Adams, Bryan

Corporate Officer · Individual

0% 38 facilities 2012-11-13
Edala, Arpana

Operational/Managerial Control · Individual

0% 5 facilities 2024-08-23
Kintner, Andrea

Operational/Managerial Control · Individual

0% 1 facilities 2021-06-01
Kintner, Andrea

W-2 Managing Employee · Individual

0% 1 facilities 2021-06-01

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3-star overall rating with 3-star inspections with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

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3 / 5
Health
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Staffing
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Fines
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#3

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3-star overall rating with 3-star inspections with 1 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
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