9000 Hwy 71 South, Fort Smith, AR 72908 · Sebastian County · (479) 409-2450
125 certified beds, about 104 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2024
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045479 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 23, 2026, inspectors cited 8 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 9 health citations since September 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.80 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
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 9 health citations on file.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, record review and interview, the facility failed to ensure shaving and nail care services were regularly provided to promote good personal hygiene and grooming for one (Resident #91) resident reviewed for shaving and one (Resident #107) resident reviewed for nail care services.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations, record review, and interviews, the facility failed to ensure a resident with self-administration rights had the ability to follow instructions to ensure medications were not left at the bedside on three different observations for one (Resident #125) of one resident with self-administration rights reviewed.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review, interview, and facility policy review, the facility failed to report an allegation of mistreatment to the proper state agency for one (Resident #74) of two residents reviewed for an allegation of abuse.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review, interview, and facility policy review, the facility failed to maintain evidence an allegation of mistreatment was thoroughly investigated for one (Resident #74) two residents reviewed for an allegation of abuse.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interview, the facility failed to ensure a significant change Minimum Data Set (MDS) was completed within 14 days from the effective date of the hospice service election for one (Resident #91) of two residents reviewed for Hospice services.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations, interviews, record review, and facility document review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan reflecting a communication deficit of a nonverbal resident one (Resident #99) of one reviewed for comprehensive care planning.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations, record reviews and interviews, the facility failed to utilize appropriate equipment during resident transfers for one (Resident #36) of three residents reviewed for accidents to ensure residents were not put at risk for injury. Specifically, staff transferred a resident without using a gait belt resulting in a fall with knee abrasion.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations, record reviews and interviews, the facility failed to ensure scheduled orders for oxygen therapy were active before administering oxygen to a resident and failed to ensure respiratory care services in accordance with resident preferences to have humidified water for comfort, affecting one (Resident #125) of one resident reviewed for respiratory care. Specifically, Resident #125 was without humidified water for nasal comfort over three days, and on day two an empty humidified water bottle was dated 4/21/2026 when oxygen storage bag and tubing were replaced.
Inspectors wroteBased on observations, interviews, record review, facility policy review, it was determined the facility failed to obtain and implement physician orders to provide care for a post-operative surgical wound for one (Resident #2) of three residents reviewed for wound care quality. Resident #2 experienced wound dehiscence, rehospitalization, and emergency surgery.
1 fire safety citation on file: 1 on April 23, 2026.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 5.80 | 4.02 | 3.86 |
| Registered nurses | 0.30 | 0.41 | 0.69 |
| All nursing staff on weekends | 4.81 | 3.45 | 3.42 |
| Nurse aides | 3.89 | ||
| Licensed practical nurses | 1.62 | ||
| Nursing staff turnover (share who left in a year) | not reported | 49.5% | 45.8% |
| Registered nurse turnover | not reported | 44.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.36 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 6.20 on weekdays and 4.81 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.89 in April to June 2025 to 5.80 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 | 5.80 | 0.30 | 6.20 | 4.81 | 0.5% | 0 of 90 | 104 |
| Oct to Dec 2025 | 6.26 | 0.30 | 6.74 | 5.04 | 0.5% | 0 of 92 | 95 |
| Jul to Sep 2025 | 5.79 | 0.30 | 6.21 | 4.72 | 0.1% | 0 of 92 | 94 |
| Apr to Jun 2025 | 4.89 | 0.34 | 5.36 | 3.72 | 0.0% | 0 of 91 | 88 |
| 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.
| 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 | 17.1 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.7 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.3 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.5 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Brooken Hill Health and Rehab, LLC's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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.
55.2% 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. 67 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. 90 residents counted.
4.2% 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. 90 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. 39 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: BROOKEN HILL HEALTH 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 |
|---|---|---|---|---|
| Norsworthy, David | 5% or greater indirect ownership interest | Individual | 30% | 02/08/2023 |
| Morton, Michael | Corporate officer | Individual | 03/01/2024 | |
| Le, Thanh | Operational/managerial control | Individual | 08/01/2024 | |
| Terry, Kristi | Operational/managerial control | Individual | 08/01/2024 | |
| Le, Thanh | Adp of the SNF | Individual | 08/01/2024 | |
| Norsworthy, David | Adp of the SNF | Individual | 08/01/2025 | |
| Terry, Kristi | Adp of the SNF | Individual | 08/01/2024 |
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.