401 Heather Lane, Alma, AR 72921 · Crawford County · (479) 632-4343
105 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045370 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 10, 2026, inspectors cited 2 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
Of 10 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $17,027 in the last three years; the largest was $17,027, and the latest is dated March 10, 2026.
Nurses and nurse aides worked 4.43 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
50.5% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Central Arkansas Nursing Centers, an affiliated group of 38 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to identify an incident of sexual abuse and to ensure interventions were put in place and effectively implemented to prevent subsequent incidents from occurring to protect one (Resident #16) of one resident from further sexual abuse. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.10(c)(3) (Comprehensive Care Plans) at a scope and severity of J. The IJ began on 02/12/2026 at 10:35 AM, when Resident #89 was witnessed rubbing Resident #16's right inner thigh by facility staff. There were no interventions put in place to prevent subsequent incidents of sexual abuse to Resident #16. [...]
Inspectors wroteBased on record review, facility document review, facility policy review, it was determined that the facility failed to ensure one (Resident #50) of one resident reviewed was not pulled backwards in a wheelchair.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect residents 6 residents on pureed diets and 21 residents on fortified food who received pureed diets from 1 of 1 kitchen according to a list provided by the Dietary Manager.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure dietary staff washed their hands before handling clean equipment to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen, the ice machine was maintained in clean and sanitary condition, and expired dressing products were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria. The failed practices had the potential to affect 74 residents who received meals from the kitchen (total census: 74), as indicated on a list provided by the Dietary Manager.
Inspectors wroteBased on observation, and interview, the facility failed to ensure cold food items were maintained at or above 41 degrees Fahrenheit while awaiting to be served to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; foods stored in the freezer and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; ice machine and ice scoop holder were maintained in clean and sanitary condition and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure nail care and facial grooming was regularly provided or offered to maintain good hygiene for 1 (Resident #11) of 20 (Residents #11, #17, #19, #22, #25, #28, #29, #30, #32, #34, #43, #55, #56, #59, #61, #65, #68, #74, #285 and #290) sampled residents who required assistance with nail care and facial grooming. This failed practice had the potential to affect 74 residents who required staff assistance for nail care as documented on a list provided by the Director of Nursing (DON) on 06/08/23 at 11:44 AM.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a Physician's Order before administering supplemental oxygen to 1 (Resident #56) of 3 (Residents #19, #34 and #43) sampled residents who received oxygen therapy as documented on a list provided by the Director of Nursing (DON) on 06/08/23 at 11:45 AM.
Inspectors wroteBased on observation, record review, and an interview, the facility failed to ensure fortified food was prepared and served according to the planned written Quantified recipe and or menu to meet the nutritional needs of the residents for 2 of 2 meals observed. This failed practice had the potential to affect 8 residents who received fortified foods and 6 residents who received a pureed diet from 1 of 1 kitchen according to a list provided by the Assistant Administrator on 06/08/23.
Inspectors wroteBased on observation, interview, and record review, the facility failed to pull the privacy curtain when providing care for one (Resident #17) of 20 (Residents #8, #11, #17, #19, #22, #25, #28, #29, #30, #32, #34, #43, #55, #56, #59, #61, #65, #68, #74 and #290) sampled residents who required privacy.
Inspectors wroteBased on interview, and record review, the facility failed to ensure a Level II Preadmission Screening and Resident Review (PASARR) screening was readily available in the electronic record for 1 (Resident #59) of 1 sampled resident.
1 fire safety citation on file: 1 on March 10, 2026.
| Date | Penalty | Amount or length |
|---|---|---|
| March 10, 2026 | Fine | $17,027 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.43 | 4.02 | 3.86 |
| Registered nurses | 0.44 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.72 | 3.45 | 3.42 |
| Nurse aides | 3.11 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 50.5% | 49.5% | 45.8% |
| Registered nurse turnover | 37.5% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.72 on weekdays and 3.72 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.55 in April to June 2025 to 4.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.43 | 0.44 | 4.72 | 3.72 | 1.0% | 0 of 90 | 86 |
| Oct to Dec 2025 | 4.75 | 0.42 | 5.02 | 4.06 | 1.2% | 0 of 92 | 80 |
| Jul to Sep 2025 | 4.58 | 0.40 | 4.89 | 3.79 | 1.4% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.55 | 0.35 | 4.88 | 3.70 | 1.4% | 0 of 91 | 69 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Arkansas, all employers | |||
| CNAs (nursing assistants) | $16.55 | $14.52 to $17.34 | 17,260 |
| LPNs and LVNs | $27.22 | $23.82 to $29.43 | 10,010 |
| Registered nurses | $37.95 | $32.04 to $43.40 | 29,400 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.5 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.9 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.2 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.4 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.4 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Alma Nursing and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.9% this home
No different from the national rate
US median of homes 51.5% · Arkansas: 7 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 121 eligible stays.
8.8% this home
No different from the national rate
US median of homes 10.7% · Arkansas: 0 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 141 eligible stays.
10.4% this home
No different from the national rate
US median of homes 7.1% · Arkansas: 0 better, 7 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 75 eligible stays.
41.7% this home
Median of homes: Arkansas64.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 72 residents counted.
0.0% this home
Median of homes: Arkansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 99 residents counted.
1.8% this home
Median of homes: Arkansas2.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 99 residents counted.
100.0% this home
Median of homes: Arkansas98.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 41 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ALMA NURSING AND REHAB, LLC. CMS links this home to Central Arkansas Nursing Centers, a group of 38 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| George-Fort, Debra | Operational/managerial control | Individual | 12/10/2024 | |
| Alma Estates LLC | Adp of the SNF | Organization | 12/12/2024 | |
| Central Arkansas Nursing Centers Inc | Adp of the SNF | Organization | 01/01/2025 | |
| Nursing Consultants Inc | Adp of the SNF | Organization | 01/01/2025 | |
| George-Fort, Debra | Adp of the SNF | Individual | 10/20/2024 | |
| Morton, Michael | Adp of the SNF | Individual | 12/12/2024 | |
| Norsworthy, David | Adp of the SNF | Individual | 08/01/2025 | |
| Rana, Javed | Adp of the SNF | Individual | 12/10/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.