Cycle 1
Health 2025-07-03 · Fire 2025-07-03
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Monticello, AR
The Woods, A Nightingale Community
1-star overall rating with 1-star inspections with $15,940 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1194 N Chester St, Monticello, AR
(870) 367-6852
Overall
1 / 5
CMS overall stars
Health inspections
1 / 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
122
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Nightingale
Operator or chain grouping
Approved since
1991-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 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
0.41
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
51%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,987
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.47
Baseline 20.22% · Performance 20.75% · Measure score 1.47 · Achievement 1.47 · Improvement 0
Healthcare-associated infections
2.33
Baseline 6.63% · Performance 7.14% · Measure score 2.33 · Achievement 2.33 · Improvement 0
Total nurse turnover
1.49
Baseline 75.68% · Performance 65.56% · Measure score 1.49 · Achievement 0 · Improvement 1.49
Adjusted total nurse staffing
4.75
Baseline 4.49 hours · Performance 4.43 hours · Measure score 4.75 · Achievement 4.75 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.04% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 11.36% · Lower 95% interval 7.97% |
| Discharge to community | 25.17% |
50.57%
25.4 pts worse
|
Worse than the National Rate · Eligible stays 49 · Observed rate 12.24% · Lower 95% interval 17.41% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.5% |
95.27%
2.2 pts better
|
Numerator 39 · Denominator 40 |
| Falls with major injury | 5% |
0.77%
4.2 pts worse
|
Numerator 2 · Denominator 40 |
| Discharge self-care score | 65.38% |
53.69%
11.7 pts better
|
Numerator 17 · Denominator 26 |
| Discharge mobility score | 46.15% |
50.94%
4.8 pts worse
|
Numerator 12 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 1 · Denominator 40 · Adjusted rate 1.93% |
| Healthcare-associated infections requiring hospitalization | 7.14% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 55 · Observed rate 7.27% · Lower 95% interval 3.73% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 126 |
| Staff flu vaccination coverage | 99.28% |
42%
57.3 pts better
|
Numerator 137 · Denominator 138 |
| Discharge function score | 65.38% |
56.45%
8.9 pts better
|
Numerator 17 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
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 2.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
2.2
0.9 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
94.9%
0.2 pts better
|
93.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 90.5% · Q3 98.5% · Q4 98.7% · 4Q avg 95.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.7% |
96.1%
6.4 pts worse
|
95.5%
5.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.9%
0.9 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.6% · Q3 3.1% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
4.9%
3.7 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.4% · Q4 25.0% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.3% |
21.8%
0.5 pts better
|
19.6%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 28.9% · Q3 18.6% · Q4 12.2% · 4Q avg 21.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.8% |
12.5%
18.3 pts worse
|
16.7%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 35.7% · Q3 29.4% · Q4 30.0% · 4Q avg 30.8% · 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 | 16.2% |
11.4%
4.8 pts worse
|
16.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.6% |
10.4%
0.2 pts worse
|
14.9%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 15.4% · Q4 13.0% · 4Q avg 10.6% · 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 | 1.2% |
1.1%
0.1 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 2.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.9% |
14.6%
3.7 pts better
|
19.8%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 7.3% · Q3 11.0% · Q4 20.7% · 4Q avg 10.9% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.6%
2.3 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 1.0% · Q4 3.5% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.8% |
81.8%
1 pts better
|
81.7%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 55.4% · Q2 87.3% · Q3 93.4% · Q4 93.4% · 4Q avg 82.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.5% |
13.8%
1.7 pts worse
|
12.0%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 15.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
1.4%
1.7 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 3.4% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.0% |
77.9%
12.9 pts worse
|
79.7%
14.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.5% |
25.2%
9.3 pts worse
|
23.9%
10.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.5% · Observed 34.4% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-04 · Fire 2024-04-04
11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-03-30 · Fire 2023-03-30
15 health deficiencies
Top issue: Infection Control (4 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-03
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-07-22
F · Potential for more than minimal harm
2025-07-03
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-07-22
E · Potential for more than minimal harm
2025-07-03
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
E · Potential for more than minimal harm
2024-04-04
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-05-03
E · Potential for more than minimal harm
2024-04-04
K925 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2024-05-03
C · Minimal harm
2024-04-04
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-03
E · Potential for more than minimal harm
2023-03-30
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-04-26
C · Minimal harm
2023-03-30
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-01
Inspection history
Recent health citations
J · Immediate jeopardy
2025-07-03
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 2025-07-07
E · Potential for more than minimal harm
2025-07-03
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-07
E · Potential for more than minimal harm
2025-07-03
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-07
E · Potential for more than minimal harm
2025-07-03
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 2025-07-07
E · Potential for more than minimal harm
2025-07-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-07
D · Potential for more than minimal harm
2025-07-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-07
D · Potential for more than minimal harm
2025-07-03
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 2025-07-07
D · Potential for more than minimal harm
2025-07-03
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 2025-07-07
D · Potential for more than minimal harm
2025-03-21
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 2025-04-04
D · Potential for more than minimal harm
2025-03-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-04
E · Potential for more than minimal harm
2024-09-26
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 2024-10-25
E · Potential for more than minimal harm
2024-09-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-09-26
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-09-26
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-09-26
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 2024-10-25
F · Potential for more than minimal harm
2024-04-04
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 2024-05-03
E · Potential for more than minimal harm
2024-04-04
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-04
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 2024-05-03
D · Potential for more than minimal harm
2024-04-04
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-03
C · Minimal harm
2024-04-04
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-04-04
C · Minimal harm
2024-04-04
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-04-04
F · Potential for more than minimal harm
2023-03-30
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 2023-04-28
F · Potential for more than minimal harm
2023-03-30
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-30
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-30
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 2023-04-28
E · Potential for more than minimal harm
2023-03-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-30
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-03-30
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-30
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-30
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-30
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 2023-04-28
D · Potential for more than minimal harm
2023-03-30
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 2023-04-26
D · Potential for more than minimal harm
2023-03-30
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 2023-04-28
D · Potential for more than minimal harm
2023-03-30
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-04-26
Penalties and ownership
What sits behind the stars
$15,940
2025-07-03
Fine
Fine · fine $15,940
Fine
Ownership
Cutlass Op Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Ardj LLC
5% Or Greater Direct Ownership Interest · Organization
Sri Nightingale LLC
5% Or Greater Direct Ownership Interest · Organization
Braun, Aviva
5% Or Greater Indirect Ownership Interest · Individual
Braun, Dov
5% Or Greater Indirect Ownership Interest · Individual
Cutlass Op Family Trust I
5% Or Greater Indirect Ownership Interest · Organization
Cutlass Op Family Trust Ii
5% Or Greater Indirect Ownership Interest · Organization
Donaldson, Vickie
Operational/Managerial Control · Individual
Independence Arkansas Hcm LLC
Operational/Managerial Control · Organization
Isaac, Steven
5% Or Greater Indirect Ownership Interest · Individual
Jakobowitch, David
5% Or Greater Indirect Ownership Interest · Individual
Jakobowitch, David
Operational/Managerial Control · Individual
Portnoy, Riki
Operational/Managerial Control · Individual
Simon, Tim
Operational/Managerial Control · Individual
Sri Family Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Belle View Estates Rehabilitation And Care Center
Monticello, AR
5-star overall rating with 5-star inspections with $7,443 in total fines with 3 fire-safety deficiencies in the latest cycle
#2
Chapel Woods Health And Rehabilitation
Warren, AR
2-star overall rating with 2-star inspections with $8,281 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Dermott City Nursing Home
Dermott, AR
1-star overall rating with 1-star inspections with $31,889 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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