Heather Manor Nursing and Rehabilitation Center
400 West 23rd Street, Hope, AR 71801 · Hempstead County · (870) 777-3448
128 certified beds, about 76 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045337 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).
None of its 14 health citations since April 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 4.51 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
29.5% 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.
Health inspections
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.
704/24
602/25
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
5E
1F
Potential for minimal harm
0A
0B
0C
June 25, 2026Standard inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and facility policy review, it was determined that the facility failed to ensure food in the residents' nourishment refrigerator was stored under sanitary conditions for one of one refrigerator.
February 6, 2025Standard inspection · 6 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interviews, record review, and facility document review, it was determined the facility failed to ensure written notification provided to the resident and/or the resident's representative of transfer/discharge to the hospital included all the required information for 3 (Resident #69, Resident #76, and Resident #49) out of 3 sampled residents reviewed for hospitalizations.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, interview and policy review the facility failed to ensure staff used infection control measures while providing care to 1 (Resident #70) of 1 sampled resident observed for incontinence care, and staff donned the proper Personal Protective Equipment (PPE) prior to providing high contact care to 2 (Resident #11, #64) of 2 sampled residents on Enhanced Barrier Precautions (EBP), and proper hand hygiene was followed during wound care for 1 resident (Resident #53) of 3 sampled residents reviewed for pressure ulcer care.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure privacy was protected, and dignity was maintained for 1 (Resident #70) of 1 sample resident observed for incontinence care.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure a written bed hold notification was provided prior to hospital transfer for 1 (Resident #76) of 7 sample residents reviewed for hospitalization.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure gradual psychotropic (antipsychotic) dose reductions were addressed and (anti-anxiety) dose reductions (GDR) were attempted in the absence of a physician's documented evaluation of the specific risks versus benefits of continuing the as needed (PRN) medication past 14 days and a documented explanation as to why a dose reduction attempt would be contraindicated, in order to ascertain the smallest effective dose and minimize the potential for adverse drug effects for 1 (Resident # 11) of 5 residents reviewed for unnecessary medications.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, and facility policy review, the facility failed to ensure medication was properly stored to prevent unauthorized individuals from having access.
April 4, 2024Standard inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, investigation, and record review, the facility failed to ensure that hand sanitation was performed while preparing food, that kitchen equipment was clean and properly maintained, that food was in useable condition, that food was stored at least 6 off the floor, and that dirty dishes were properly placed in the dishwasher.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to treat each resident with respect and dignity, and care for each resident in a manner and in an environment that promoted the maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 2 (Residents #25 and #50) sampled residents with the potential to affect 8 Residents dependent on staff for meal assistance.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, the facility failed to ensure combustible equipment was safely locked away from residents who wonder and/or self-propel throughout the facility. This failed practice had the potential to affect 8 (Residents #30, #68, #4, #50, #23, #28, #81, and #19) sampled residents of 38 residents who could self-propel in a wheelchair.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the storage container used to store controlled medications requiring refrigeration was permanently affixed.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 2 (Residents #12 and #23) were not served dislikes in the dining area to prevent weight loss or nutritional deficits. This failed practice had the potential to affect 79 residents that eat meals from the kitchen.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure humidifier bottles and nasal cannula tubing were dated and stored in a safe and sanitary manner to prevent infection for 2 (Resident #50 and #78) of 3 sampled residents with the potential to affect 5 residents on the 200 Hall and 2 on the 400 hall.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure intravenous medications were administered in a safe and non-contaminated manner for 1 (Resident #68) sampled resident. This failed practice had the potential to cause further infection directly into blood stream.
Fire safety inspections
4 fire safety citations on file: 1 on February 6, 2025, 3 on April 4, 2024.
Every fire safety citation4 citations
- F Ensure proper usage of power strips and extension cords.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Properly provide smoke detection systems in areas open to corridors.
- F Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 4.51 | 4.02 | 3.86 |
| Registered nurses | 0.53 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.45 | 3.42 |
| Nurse aides | 2.76 | ||
| Licensed practical nurses | 1.22 | ||
| Nursing staff turnover (share who left in a year) | 29.5% | 49.5% | 45.8% |
| Registered nurse turnover | 0.0% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.47 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.80 on weekdays and 3.79 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.62 in April to June 2025 to 4.51 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 | 4.51 | 0.53 | 4.80 | 3.79 | 1.3% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.49 | 0.46 | 4.77 | 3.78 | 1.4% | 0 of 92 | 76 |
| Jul to Sep 2025 | 4.86 | 0.50 | 5.23 | 3.91 | 1.3% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.62 | 0.51 | 4.97 | 3.76 | 1.4% | 0 of 91 | 76 |
| 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.
Quality measures
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 | 0.8 | 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 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.7 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.6 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.7 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: HEATHER MANOR CARE CENTER INC. 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 |
|---|---|---|---|---|
| Morton, Michael | Corporate director | Individual | 11/09/2004 | |
| Morton, Michael | Corporate officer | Individual | 11/09/2004 | |
| Goins, Dale | Operational/managerial control | Individual | 12/10/2024 | |
| Central Arkansas Nursing Centers Inc | Adp of the SNF | Organization | 01/01/2025 | |
| Heather Manor Care Center Inc | Adp of the SNF | Organization | 12/12/2024 | |
| Nursing Consultants Inc | Adp of the SNF | Organization | 01/01/2025 | |
| Clay, Stacy | Adp of the SNF | Individual | 12/10/2024 | |
| Goins, Dale | Adp of the SNF | Individual | 12/10/2024 | |
| Morton, Michael | Adp of the SNF | Individual | 12/12/2024 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 6, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 6, 2025: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 25, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 6, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- The Blossoms at Prescott Rehab & Nursing Center Prescott, 15.6 mi · 5 of 5 stars · 16 citations
- The Springs of Hillcrest Prescott, 16.7 mi · 5 of 5 stars · 19 citations
- The Blossoms at Stamps Rehab & Nursing Center Stamps, 20 mi · 5 of 5 stars · 8 citations
Arkansas contacts for a concern about a nursing home
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Heather Manor Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Heather Manor Nursing and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heather Manor Nursing and Rehabilitation Center get at its last inspection?
- 1 health deficiency at the standard inspection on June 25, 2026. The Arkansas average is 2.7.
- Has Heather Manor Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Heather Manor Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Heather Manor Nursing and Rehabilitation Center?
- CMS lists 9 owners and managers, and links the home to Central Arkansas Nursing Centers. Legal business name: HEATHER MANOR CARE CENTER INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.