Federal inspection record · CMS data as of October 1, 2026
The Springs Of Hillcrest
1421 West Second St North, Prescott, AR · (870) 887-3811
- CMS high-performer trophy
- Certified beds
- 90
- Residents per day
- 69
- Ownership
- For-Profit
- Chain
- The Springs Arkansas
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1996
1
How this home got 5 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
★★★★★+1 star
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
The Springs Of Hillcrest carries 23 inspection points. That is fewer than 52% 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
19 health citations on record since 2023. 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights4E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Quality of Life and Care3E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service2E
- D
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.
- 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.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Nursing and Physician Services1E
- 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 Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-08-14
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-05-23
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-07-07
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 57 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 0% 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
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 days0.7 pts better | 1.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 100.0% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts better | 96.1% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 2.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts better | 0.4% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 1.7% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse | 28.6% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.2 pts better | 3.7% | 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 worsened2.4 pts better | 6.8% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better | 4.2% | 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 infection0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 15.9% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts worse | 6.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.6 pts better | 92.5% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.9 pts better | 2.8% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.2 pts better | 87.1% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission14 pts better | 9.4% | 23.4% | 23.4% |
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Who owns and runs it
7 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 |
|---|---|---|---|
| Applegate, Misty | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Applegate, Misty | Adp Of The SNF · Individual | 0% | 1 facilities |
| Blue River Healthcare LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Blue River Healthcare LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Hillcrest Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Young, Michael | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Young, Michael | Adp Of The SNF · Individual | 0% | 5 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have an alternate power supply for its alarm system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress3F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have properly located and lighted "Exit" signs.
- E
Have exits that are accessible at all times.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure proper usage of power strips and extension cords.
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