Cycle 1
Health 2025-03-27 · Fire 2025-03-27
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
West Memphis, AR
The Springs Broadway
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
800 West Broadway, West Memphis, AR
(870) 735-5174
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
119
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Springs Arkansas
Operator or chain grouping
Approved since
1992-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
26 facilities
Chain averages 4 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
0.39
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
3.77
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,111
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9881
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.78
Baseline 20.73% · Performance 21.07% · Measure score 0.78 · Achievement 0.78 · Improvement 0
Healthcare-associated infections
4.82
Baseline 6.33% · Performance 6.40% · Measure score 4.82 · Achievement 4.82 · Improvement 0
Total nurse turnover
5.22
Baseline 77.90% · Performance 47.56% · Measure score 5.22 · Achievement 3.94 · Improvement 5.22
Adjusted total nurse staffing
2.77
Baseline 3.35 hours · Performance 3.87 hours · Measure score 2.77 · Achievement 2.77 · Improvement 1.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.07% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 116 · Observed rate 17.24% · Lower 95% interval 8.52% |
| Discharge to community | 24.25% |
50.57%
26.3 pts worse
|
Worse than the National Rate · Eligible stays 72 · Observed rate 12.5% · Lower 95% interval 15.9% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 67.44% |
95.27%
27.8 pts worse
|
Numerator 58 · Denominator 86 |
| Falls with major injury | 2.33% |
0.77%
1.6 pts worse
|
Numerator 2 · Denominator 86 |
| Discharge self-care score | 39.13% |
53.69%
14.6 pts worse
|
Numerator 18 · Denominator 46 |
| Discharge mobility score | 36.96% |
50.94%
14 pts worse
|
Numerator 17 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 2.33% |
2.29%
About the same
|
Numerator 2 · Denominator 86 · Adjusted rate 1.6% |
| Healthcare-associated infections requiring hospitalization | 6.39% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 3.58% |
| Staff COVID-19 vaccination coverage | 1% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 100 |
| Staff flu vaccination coverage | 20% |
42%
22 pts worse
|
Numerator 25 · Denominator 125 |
| Discharge function score | 39.13% |
56.45%
17.3 pts worse
|
Numerator 18 · Denominator 46 |
| Transfer of health information to provider | 34.48% |
95.95%
61.5 pts worse
|
Numerator 10 · Denominator 29 |
| Transfer of health information to patient | 76.92% |
96.28%
19.4 pts worse
|
Numerator 20 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 4.76% |
25.2%
20.4 pts worse
|
Numerator 2 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.0
0.2 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.4 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 6.1 |
2.2
3.9 pts worse
|
1.8
4.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 6.1 · Observed 5.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.6% |
94.9%
5.3 pts worse
|
93.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.5% · Q2 86.4% · Q3 87.7% · Q4 98.5% · 4Q avg 89.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 64.8% |
96.1%
31.3 pts worse
|
95.5%
30.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 64.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.9%
0.1 pts better
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.5% · Q3 4.6% · Q4 4.5% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
1.4%
1 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
4.9%
3.5 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.7% |
21.8%
10.1 pts better
|
19.6%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 12.5% · Q3 11.9% · Q4 12.9% · 4Q avg 11.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.7% |
12.5%
5.8 pts better
|
16.7%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.3% · Q3 2.2% · Q4 5.8% · 4Q avg 6.7% · 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 | 7.1% |
11.4%
4.3 pts better
|
16.3%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% · 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 10.6% · Q2 8.3% · Q3 5.8% · Q4 9.1% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · 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 | 6.8% |
14.6%
7.8 pts better
|
19.8%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.7% · Q3 5.5% · Q4 9.9% · 4Q avg 6.8% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
4.6%
0.5 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.8% · Q3 6.8% · Q4 4.6% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.0% |
81.8%
5.8 pts worse
|
81.7%
5.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 51.2% · Q2 74.6% · Q3 83.3% · Q4 95.1% · 4Q avg 76.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.2% |
13.8%
6.4 pts worse
|
12.0%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 23.0% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.4%
0.8 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.4% · Q4 4.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.2% |
77.9%
11.7 pts worse
|
79.7%
13.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
25.2%
1.1 pts better
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 31.1% · Expected 30.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-02 · Fire 2024-02-02
10 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-11-10 · Fire 2022-11-10
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-27
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 2025-04-20
F · Potential for more than minimal harm
2025-03-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-20
F · Potential for more than minimal harm
2025-03-27
K344 · Smoke Deficiencies
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2025-04-20
F · Potential for more than minimal harm
2024-02-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-02
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-07
F · Potential for more than minimal harm
2022-11-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-07
E · Potential for more than minimal harm
2022-11-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-05
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-27
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 2025-04-20
E · Potential for more than minimal harm
2025-03-27
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-20
E · Potential for more than minimal harm
2025-03-27
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 2025-04-20
E · Potential for more than minimal harm
2025-03-27
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 2025-04-20
D · Potential for more than minimal harm
2024-04-23
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-02-02
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 2024-03-01
E · Potential for more than minimal harm
2024-02-02
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 2024-03-01
E · Potential for more than minimal harm
2024-02-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-01
E · Potential for more than minimal harm
2024-02-02
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 2024-03-01
E · Potential for more than minimal harm
2024-02-02
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-01
E · Potential for more than minimal harm
2024-02-02
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 2024-03-01
D · Potential for more than minimal harm
2024-02-02
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 2024-03-01
D · Potential for more than minimal harm
2024-02-02
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 2024-03-01
B · Minimal harm
2024-02-02
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-02-02
F · Potential for more than minimal harm
2022-11-10
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 2022-12-05
E · Potential for more than minimal harm
2022-11-10
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-12-05
E · Potential for more than minimal harm
2022-11-10
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-11-10
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-11-10
F693 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-11-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-05
D · Potential for more than minimal harm
2022-11-10
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 2022-12-05
Penalties and ownership
What sits behind the stars
Ownership
Gutman, Isaac
5% Or Greater Direct Ownership Interest · Individual
Hoffman, Alexander
5% Or Greater Direct Ownership Interest · Individual
Taub, Jacob
5% Or Greater Direct Ownership Interest · Individual
Herzberg, Chaim
5% Or Greater Direct Ownership Interest · Individual
Anderson, April
Operational/Managerial Control · Individual
Troxel, Roger
Operational/Managerial Control · Individual
White River Healthcare LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
The Springs Of Avalon
West Memphis, AR
2-star overall rating with 2-star inspections with $12,740 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Willowbend Health And Rehabilitation, LLC
Marion, AR
2-star overall rating with 2-star inspections with $30,771 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Harborview Post Acute
Memphis, TN
2-star overall rating with 1-star inspections with 13 recent health deficiencies
Jump out