Fairfield Bay, AR

The Springs Of Fairfield Bay

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

265 Dave Creek Parkway, Fairfield Bay, AR

(501) 884-3210

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

55

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Springs Arkansas

Operator or chain grouping

Approved since

1990-03-27

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

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.92

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

3.52

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.68

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

3.93

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

53%

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

6,672

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

Performance score

32.09

Composite VBP score used to determine payment impact.

Payment multiplier

0.9869

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

5.37

Performance 6.23% · Measure score 5.37 · Achievement 5.37 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

0

Baseline 48.65% · Performance 63.64% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.25

Baseline 3.65 hours · Performance 4.29 hours · Measure score 4.25 · Achievement 4.25 · Improvement 2.51

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.24%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 6.38% · Lower 95% interval 6.44%
Discharge to community	43.91%	50.57% 6.7 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 38.46% · Lower 95% interval 29.75%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	94.59%	95.27% 0.7 pts worse	Numerator 35 · Denominator 37
Falls with major injury	2.7%	0.77% 1.9 pts worse	Numerator 1 · Denominator 37
Discharge self-care score	61.54%	53.69% 7.9 pts better	Numerator 16 · Denominator 26
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 13 · Denominator 26
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 37 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.23%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 0% · Lower 95% interval 3.21%
Staff COVID-19 vaccination coverage	16.07%	8.2% 7.9 pts better	Numerator 9 · Denominator 56
Staff flu vaccination coverage	88.89%	42% 46.9 pts better	Numerator 80 · Denominator 90
Discharge function score	57.69%	56.45% 1.2 pts better	Numerator 15 · Denominator 26
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	19.05%	25.2% 6.1 pts worse	Numerator 4 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.0 0.3 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.2 0.3 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	94.9% 2.1 pts better	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	96.1% 1.3 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.9% 1.6 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 3.0% · Q4 3.2% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	1.4% 2.1 pts worse	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.3% · Q3 0.0% · Q4 3.8% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	9.2%	4.9% 4.3 pts worse	5.4% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.8% · Q3 12.5% · Q4 11.1% · 4Q avg 9.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.6%	21.8% 1.2 pts better	19.6% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 25.0% · Q3 16.0% · Q4 18.5% · 4Q avg 20.6%
Percentage of long-stay residents who received an antipsychotic medication	27.0%	12.5% 14.5 pts worse	16.7% 10.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 27.0% · 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	15.7%	11.4% 4.3 pts worse	16.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.0%	10.4% 0.4 pts better	14.9% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 12.5% · Q3 4.0% · Q4 4.0% · 4Q avg 10.0% · 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	23.7%	14.6% 9.1 pts worse	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.3% · Q2 18.6% · Q3 15.2% · Q4 12.4% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers	1.9%	4.6% 2.7 pts better	5.1% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.1%	81.8% 1.3 pts better	81.7% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 71.1% · Q2 79.5% · Q3 100.0% · Q4 88.9% · 4Q avg 83.1%
Percentage of short-stay residents who had an outpatient emergency department visit	13.9%	13.8% 0.1 pts worse	12.0% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 12.9% · Expected 10.4% · Used in QM five-star
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	71.8%	77.9% 6.1 pts worse	79.7% 7.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 71.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.2%	25.2% 12 pts better	23.9% 10.7 pts better	Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 12.9% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-06 · Fire 2024-09-06

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-10-06 · Fire 2023-10-06

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2022-07-08 · Fire 2022-07-08

2 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-06

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-10-04

F · Potential for more than minimal harm 2023-10-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-10-06

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-10-06

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-10-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-10-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-10-06

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-11-01

F · Potential for more than minimal harm 2022-07-08

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2022-07-31

F · Potential for more than minimal harm 2022-07-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-07-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-09-06

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 2024-10-04

E · Potential for more than minimal harm 2024-09-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-09-06

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 2024-10-04

E · Potential for more than minimal harm 2024-09-06

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 2024-10-04

E · Potential for more than minimal harm 2024-09-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-06

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 2024-10-04

E · Potential for more than minimal harm 2023-10-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-09

F · Potential for more than minimal harm 2022-07-08

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 2022-07-31

E · Potential for more than minimal harm 2022-07-08

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 2022-07-31

Penalties and ownership