Mccrory, AR

Woodruff County Health Center

4-star overall rating with 3-star inspections with $12,735 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

139 West Highway 64, Mccrory, AR

(870) 731-2543

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

91

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-11-19

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

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.00

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

4.33

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.97

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

4.96

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,056

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

Performance score

46.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9996

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.81

Baseline 26.56% · Performance 20.54% · Measure score 5.81 · Achievement 1.92 · Improvement 5.81

Healthcare-associated infections

2.34

Baseline 9.04% · Performance 7.89% · Measure score 2.34 · Achievement 0 · Improvement 2.34

Total nurse turnover

5.57

Baseline 50.00% · Performance 40.91% · Measure score 5.57 · Achievement 5.57 · Improvement 3.11

Adjusted total nurse staffing

4.76

Baseline 4.23 hours · Performance 4.43 hours · Measure score 4.76 · Achievement 4.76 · Improvement 0.83

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.41%
10.72%
2.7 pts worse
No Different than the National Rate · Eligible stays 149 · Observed rate 16.78% · Lower 95% interval 9.08%
Discharge to community 48.37%
50.57%
2.2 pts worse
No Different than the National Rate · Eligible stays 96 · Observed rate 42.71% · Lower 95% interval 37.17%
Medicare spending per beneficiary 0.83
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 79 · Denominator 79
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 79
Discharge self-care score 40%
53.69%
13.7 pts worse
Numerator 20 · Denominator 50
Discharge mobility score 44%
50.94%
6.9 pts worse
Numerator 22 · Denominator 50
Pressure ulcers or injuries, new or worsened 6.33%
2.29%
4 pts worse
Numerator 5 · Denominator 79 · Adjusted rate 5.8%
Healthcare-associated infections requiring hospitalization 7.89%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 70 · Observed rate 8.57% · Lower 95% interval 4.45%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 88
Staff flu vaccination coverage 96.67%
42%
54.7 pts better
Numerator 87 · Denominator 90
Discharge function score 50%
56.45%
6.5 pts worse
Numerator 25 · Denominator 50
Transfer of health information to provider 97.67%
95.95%
1.7 pts better
Numerator 42 · Denominator 43
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 21.95%
25.2%
3.2 pts worse
Numerator 9 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 4.7
2.0
2.7 pts worse
1.9
2.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.7 · Observed 4.0 · Expected 1.6 · 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 2.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
94.9%
4.6 pts better
93.4%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 5.4%
3.9%
1.5 pts worse
3.3%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 6.2% · Q3 4.3% · Q4 4.6% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.0%
1.4%
0.4 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight 9.6%
4.9%
4.7 pts worse
5.4%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.6% · Q3 9.3% · Q4 3.8% · 4Q avg 9.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.0%
21.8%
5.2 pts worse
19.6%
7.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 25.0% · Q3 28.4% · Q4 28.8% · 4Q avg 27.0%
Percentage of long-stay residents who received an antipsychotic medication 13.5%
12.5%
1 pts worse
16.7%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.8% · Q3 15.4% · Q4 19.4% · 4Q avg 13.5% · 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 12.6%
11.4%
1.2 pts worse
16.3%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 27.9% · Q4 0.0% · 4Q avg 12.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.9%
10.4%
12.5 pts worse
14.9%
8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 18.7% · Q3 33.3% · Q4 19.0% · 4Q avg 22.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1%
0.7%
0.4 pts worse
1.0%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 5.0%
1.1%
3.9 pts worse
1.7%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.1% · Q3 7.8% · Q4 5.8% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.4%
14.6%
7.8 pts worse
19.8%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 24.1% · Q3 26.6% · Q4 16.4% · 4Q avg 22.4%
Percentage of long-stay residents with pressure ulcers 5.3%
4.6%
0.7 pts worse
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.5% · Q3 5.3% · Q4 7.3% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.3%
81.8%
11.5 pts better
81.7%
11.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 88.9% · Q3 89.7% · Q4 97.4% · 4Q avg 93.3%
Percentage of short-stay residents who had an outpatient emergency department visit 5.9%
13.8%
7.9 pts better
12.0%
6.1 pts better
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 6.4% · Expected 12.2% · 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 88.9%
77.9%
11 pts better
79.7%
9.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.7%
25.2%
0.5 pts worse
23.9%
1.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 32.1% · Expected 29.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-18 · Fire 2025-09-18

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-05-31 · Fire 2024-05-31

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-18

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 2025-11-01

F · Potential for more than minimal harm 2025-09-18

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-11-01

F · Potential for more than minimal harm 2025-09-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-11-01

E · Potential for more than minimal harm 2023-03-10

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-04-09

Inspection history

Recent health citations

G · Actual harm 2025-09-18

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 2025-05-12

E · Potential for more than minimal harm 2025-09-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-01

E · Potential for more than minimal harm 2024-05-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-06-30

E · Potential for more than minimal harm 2024-05-31

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 2024-06-30

E · Potential for more than minimal harm 2024-05-31

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-06-30

E · Potential for more than minimal harm 2024-05-31

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 2024-06-30

E · Potential for more than minimal harm 2024-05-31

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 2024-06-30

D · Potential for more than minimal harm 2024-05-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-31

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-31

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 2024-06-30

D · Potential for more than minimal harm 2024-05-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-30

F · Potential for more than minimal harm 2023-03-10

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 2023-04-09

E · Potential for more than minimal harm 2023-03-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-09

E · Potential for more than minimal harm 2023-03-10

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 2023-04-09

D · Potential for more than minimal harm 2023-03-10

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 2023-04-09

D · Potential for more than minimal harm 2023-03-10

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-04-09

Penalties and ownership

What sits behind the stars

$12,735 2025-09-18

Fine

Fine · fine $12,735

Fine

Ownership

Cain, Bari

Corporate Director · Individual

0% 1 facilities 2013-01-01
Chapple, Beverly

Corporate Director · Individual

0% 1 facilities 2013-01-01
Collier, Steven

Operational/Managerial Control · Individual

0% 1 facilities 2015-01-01
Files, Marilyn

Operational/Managerial Control · Individual

0% 1 facilities 2015-12-03
Files, Marilyn

Corporate Director · Individual

0% 1 facilities 2025-12-03
Key, Brenda

Corporate Director · Individual

0% 1 facilities 2013-01-01
Ray, Martha

Corporate Director · Individual

0% 1 facilities 2007-06-11
Ray, Martha

Corporate Officer · Individual

0% 1 facilities 2013-01-01
Thompson, Betty

Corporate Director · Individual

0% 1 facilities 2013-01-01
Woodruff County Health Center

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2013-07-11

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