3 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Harrisburg, AR
5-star overall rating with 5-star inspections with $16,467 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
204 Catherine St, Harrisburg, AR
(870) 578-2483
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-06-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.30
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
3.74
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
5.03
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
4.78
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
5.15
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
8,756
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 23.46% · Performance 25.18% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.21
Baseline 12.61% · Performance 11.30% · Measure score 1.21 · Achievement 0 · Improvement 1.21
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
6.52
Baseline 4.70 hours · Performance 4.93 hours · Measure score 6.52 · Achievement 6.52 · Improvement 1.67
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.32% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 18.31% · Lower 95% interval 8.6% |
| Discharge to community | 33.38% |
50.57%
17.2 pts worse
|
Worse than the National Rate · Eligible stays 29 · Observed rate 17.24% · Lower 95% interval 23.76% |
| Medicare spending per beneficiary | 1.5 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 61 · Denominator 61 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 61 |
| Discharge self-care score | 44.44% |
53.69%
9.2 pts worse
|
Numerator 12 · Denominator 27 |
| Discharge mobility score | 29.63% |
50.94%
21.3 pts worse
|
Numerator 8 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 3.28% |
2.29%
1 pts worse
|
Numerator 2 · Denominator 61 · Adjusted rate 2.96% |
| Healthcare-associated infections requiring hospitalization | 11.3% |
7.12%
4.2 pts worse
|
Worse than the National Rate · Eligible stays 61 · Observed rate 21.31% · Lower 95% interval 7.46% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 102 |
| Staff flu vaccination coverage | 89.68% |
42%
47.7 pts better
|
Numerator 113 · Denominator 126 |
| Discharge function score | 33.33% |
56.45%
23.1 pts worse
|
Numerator 9 · Denominator 27 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| 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 | 55.17% |
25.2%
30 pts better
|
Numerator 16 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.9 |
2.0
1.9 pts worse
|
1.9
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 5.0 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.2
0.5 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.2 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
94.9%
3.8 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 98.4% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7% |
| 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 · 4Q avg 92.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.9%
2.2 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.8% · Q4 1.8% · 4Q avg 1.7% · 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 | 0.0% |
4.9%
4.9 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 32.7% |
21.8%
10.9 pts worse
|
19.6%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 33.3% · Q3 32.1% · Q4 30.8% · 4Q avg 32.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 34.5% |
12.5%
22 pts worse
|
16.7%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 27.8% · Q3 28.9% · Q4 46.2% · 4Q avg 34.5% · 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 | 4.9% |
11.4%
6.5 pts better
|
16.3%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
10.4%
3.8 pts better
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 7.4% · Q3 3.9% · Q4 2.0% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.9% |
0.7%
4.2 pts worse
|
1.0%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 8.7% · Q3 1.5% · Q4 5.4% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.1%
0.2 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 3.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.9% |
14.6%
10.7 pts better
|
19.8%
15.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 5.1% · Q4 5.6% · 4Q avg 3.9% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
4.6%
0.3 pts worse
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.0% · Q3 6.7% · Q4 5.5% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
81.8%
17.2 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.5% |
13.8%
9.3 pts better
|
12.0%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.5% · Observed 4.0% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.4% |
1.4%
2 pts worse
|
1.6%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.6% |
77.9%
4.7 pts better
|
79.7%
2.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.5% |
25.2%
7.3 pts worse
|
23.9%
8.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 32.0% · Expected 23.4% · Used in QM five-star |
Survey summary
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-11-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-09
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 2023-09-16
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-09-16
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-06-05
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-09
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-11-09
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2024-10-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-16
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-09-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-05
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-05
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-05-06
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-05-06
Penalties and ownership
Fine · fine $3,418
Fine
Fine · fine $3,039
Fine
Fine · fine $6,836
Fine
Fine · fine $3,174
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
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