Home / Arkansas / Hot Springs Village
Lake Forest Senior Living at Hot Springs Village
121 Cortez Rd, Hot Springs Village, AR 71909 · Garland County · (501) 915-1708
50 certified beds, about 41 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045191 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 5, 2025, inspectors cited 2 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
Of 12 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $13,627 in the last three years; the largest was $13,627, and the latest is dated September 26, 2024.
Nurses and nurse aides worked 3.69 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
60.4% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Continuum Healthcare, an affiliated group of 13 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.
407/23
506/24
109/24
209/25
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
6E
1F
Potential for minimal harm
0A
0B
0C
September 5, 2025Standard inspection · 2 citations
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review, interview and facility policy review, it was determined the facility failed to ensure written notification was provided to the resident and/or the resident's representative of transfer or discharge to the hospital for two (Resident #45 and Resident #7) of two residents reviewed for transfer or discharge to the hospital.
- D Provide and implement an infection prevention and control program.
Inspectors wroteNumber of residents sampled:3Number of residents cited:2Based on observations, interviews, record review, and facility policy review, it was determined that the facility did not ensure Enhance Barrier Precautions (EBP) were implemented; and that staff donned proper Personal Protective Equipment (PPE) when care was provided for 2 (Resident #3, Resident # 52) of 3 residents, who were reviewed for PEG tube care and IV medication administration. Based on record review, observation, interview, and facility policy review, it was determined that the facility did not ensure Enhance Barrier Precautions (EBP) were implemented; and that staff donned proper Personal Protective Equipment (PPE) when care was provided for two (Resident #3, Resident # 52) of three residents, who were reviewed for Percutaneous Endoscopic Gastrostomy (PEG) tube care and Intravenous (IV) medication administration.
September 26, 2024Complaint inspection · 1 citation
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to follow residents request to initiate resuscitative measures for one (Resident #1) of five residents who had a full code status. It was determined the facility's non-compliance 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, 483.24 (Quality of Life) at a scope and severity of J. The IJ began on [DATE] at approximately 7:40 PM when Resident #1 became unresponsive in - the resident's room. No action to perform cardiopulmonary resuscitation (CPR) was taken by facility staff. Emergency Medical Services (EMS) arrived at the facility and performed CPR. Resident #1 was transported to the hospital and was pronounced expired. [...]
June 12, 2024Standard inspection · 5 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, record reviews and interviews, the facility failed to ensure serving items were properly handled, hand sanitation was utilized, the kitchen was free from buildup of unknown substances that had the potential to cross-contaminate food items to be served, equipment was in safe and useable state, open food items were properly closed or sealed and had an open date, food items were not expired.
- E Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to secure residents private health information on facility computers to prevent unauthorized sharing of electronic medical records (EMR), by leaving the EMR open in the hallway without staff present for 1 (Residents #5) of 16 sampled residents who were reviewed for protection on the electronic medical record.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure harmful chemicals, nail trimmers, and razors were stored securely to promote resident safety for 1 (Resident #135) of 1 sampled resident reviewed for accidents and hazards.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to perform proper hand hygiene during resident care for 1 (Resident #23) of 1 sampled resident reviewed for tube feeding.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement and carry out physician's orders for wound care and to identify new skin changes for 1 (Resident #18) of 1 resident reviewed for skin conditions.
July 7, 2023Standard inspection · 4 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dressings were replaced for 1 (Resident #13) of 3 (Residents #13, 15, 17) sampled residents who had a Physician's order for wound care.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an oxygen mask was covered and dated for 1(Resident #5) of 4 (Resident #5, #14, #15, and #17) sampled residents that has an order for a nebulizer, and the facility failed to ensure a sign was posted indicating that oxygen was in use for 1 (Resident #182) of 4 (Resident #5, #14, #15, and #17) sampled residents that had an order for oxygen.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteFACILITY Kitchen Based on observation and interview, the facility failed to store food items in a manner that would prevent contamination. This failed practice had the potential to affect all 29 residents residing in the facility as documented by a list provided by the Administrator on 07/07/23 at 09:16 AM.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review, the facility failed to ensure that baths were provided for 1 (Resident #184) of 7 (Residents #5, 9, 10, 17, 182, 184, 187) sampled residents that relied on the facility for bathing assistance.
Fire safety inspections
5 fire safety citations on file: 2 on June 12, 2024, 3 on July 7, 2023.
Every fire safety citation5 citations
- F Implement emergency and standby power systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 26, 2024 | Fine | $13,627 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.69 | 4.02 | 3.86 |
| Registered nurses | 0.46 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.72 | 3.45 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 1.14 | ||
| Nursing staff turnover (share who left in a year) | 60.4% | 49.5% | 45.8% |
| Registered nurse turnover | 66.7% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.95 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 3.68 on weekdays and 3.72 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.69 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 | 3.69 | 0.46 | 3.68 | 3.72 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.37 | 0.38 | 3.42 | 3.25 | 0.5% | 0 of 92 | 44 |
| Jul to Sep 2025 | 3.31 | 0.42 | 3.38 | 3.16 | 7.2% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.50 | 0.61 | 3.58 | 3.29 | 3.7% | 0 of 91 | 32 |
| 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 | 34.4 | 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 | 1.1 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.1 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.2 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.9 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: HOT SPRINGS SNF OPCO LLC. CMS links this home to Continuum Healthcare, a group of 13 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bruckstein, Daniel | 5% or greater security interest | Individual | 08/01/2024 | |
| Continuum Healthcare I Inc | Operational/managerial control | Organization | 08/01/2024 | |
| Wellsky Corporation | Operational/managerial control | Organization | 08/01/2024 | |
| Bruckstein, Daniel | Operational/managerial control | Individual | 08/01/2024 | |
| Dorn, Cheryl | Operational/managerial control | Individual | 08/01/2024 | |
| Hancock, Phyllis | Operational/managerial control | Individual | 08/01/2024 | |
| Golberg, Ephriam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/04/2025 | |
| Lieber, Joseph | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/04/2025 | |
| Tobias, Lauren | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/04/2025 | |
| Yunger, Josef | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/04/2025 | |
| Andrew Tobias 2021 Family Trust | Adp of the SNF | Organization | 08/01/2024 | |
| Ar Propco Member LLC | Adp of the SNF | Organization | 08/01/2024 | |
| Continuum Healthcare I Inc | Adp of the SNF | Organization | 08/01/2024 | |
| Crtd U-Art 4 of Daniel Bruckstein Grantor Retained Annuity Trust | Adp of the SNF | Organization | 08/01/2024 | |
| Ej Enterprises Ny LLC | Adp of the SNF | Organization | 08/01/2024 | |
| Hot Springs SNF Realty LLC | Adp of the SNF | Organization | 08/01/2024 | |
| I Lieber 2018 Family Trust | Adp of the SNF | Organization | 08/01/2024 | |
| Josef Yunger Family 2012 Trust | Adp of the SNF | Organization | 08/01/2024 | |
| Pitsy LLC | Adp of the SNF | Organization | 08/01/2024 | |
| Samzil Holdings LLC | Adp of the SNF | Organization | 08/01/2024 | |
| The Efrem Goldberg 2018 Irrevocable Gifting Trust | Adp of the SNF | Organization | 08/01/2024 | |
| Wellsky Corporation | Adp of the SNF | Organization | 08/01/2024 | |
| Bharany, Neeraj | Adp of the SNF | Individual | 08/01/2024 | |
| Bruckstein, Daniel | Adp of the SNF | Individual | 08/01/2024 | |
| Dorn, Cheryl | Adp of the SNF | Individual | 08/01/2024 | |
| Hancock, Phyllis | 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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on September 26, 2024: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 5, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- 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 September 5, 2025: "Provide and implement an infection prevention and control program."
- 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 12, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- The Blossoms at the Village Rehab & Nursing Center Hot Springs, 6.6 mi · 3 of 5 stars · 16 citations
- Belvedere Nursing and Rehabilitation Center, LLC Hot Springs, 9.6 mi · 2 of 5 stars · 17 citations
- The Springs of Park Ave Hot Springs, 11 mi · 3 of 5 stars · 23 citations
- The Blossoms at Hot Springs Rehab and Nursing Cent Hot Springs, 15.2 mi · 5 of 5 stars · 8 citations
- The Pines Nursing and Rehabilitation Center Hot Springs, 15.6 mi · 4 of 5 stars · 15 citations
- The Springs of Red Oak Hot Springs, 16.5 mi · 3 of 5 stars · 18 citations
- Quapaw Care and Rehabilitation Center LLC Hot Springs, 17.4 mi · 3 of 5 stars · 25 citations
- Lake Hamilton Health and Rehab Hot Springs, 18.9 mi · 3 of 5 stars · 22 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 Lake Forest Senior Living at Hot Springs Village's Medicare star rating?
- CMS rates Lake Forest Senior Living at Hot Springs Village 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lake Forest Senior Living at Hot Springs Village get at its last inspection?
- 2 health deficiencies at the standard inspection on September 5, 2025. The Arkansas average is 2.7.
- Has Lake Forest Senior Living at Hot Springs Village been fined?
- Yes. CMS lists 1 fine totaling $13,627 in the last three years.
- Does Lake Forest Senior Living at Hot Springs Village 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 Lake Forest Senior Living at Hot Springs Village?
- CMS lists 26 owners and managers, and links the home to Continuum Healthcare. Legal business name: HOT SPRINGS SNF OPCO LLC.
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.