Home / Arkansas / North Little Rock
2323 McCain Boulevard, North Little Rock, AR 72116 · Pulaski County · (501) 791-2323
85 certified beds, about 70 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045202 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 25, 2025, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).
None of its 26 health citations since August 2023 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 4.28 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.18 of those hours.
69.8% 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 26 health citations on file.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interviews, the facility failed to ensure signing of the facility Arbitration Agreement was not a condition of admission and the agreement contained the stipulation that it could be rescinded within 30 days of being signed for two (Resident #19 and Resident #56) of three residents reviewed.
Inspectors wroteBased on observation and interview, the facility failed to ensure raw meat was thawed properly to prevent a potential foodborne illness; failed to ensure food stored in the freezer, refrigerator and dry storage area were covered, sealed and dated the day received and when opened to assure first in, first out usage to prevent potential for food bone illness, failed to ensure manufacturer specification was followed in order to prevent food spoilage, expired food items were promptly removed from stock in order to reduce the risk of food-borne illness for residents who received meal trays from 1 of 1 kitchen, 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 These failed practices had the potential to affect 72 residents who received meals from the kitchen.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained a palatable appearance, and at temperatures acceptable to the residents during 2 of 2 meals observed. This failed practice had the potential to affect 15 residents who receive meal trays in their rooms on the 100 Hall,10 residents who receive meal trays on the 200 hall, 15 residents who receive meal trays on 300 hall and 13 residents who receive meal trays in their room on the 400 -hall.
Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 1 of 2 meals observed. This failed practice had the potential to affect 3 residents who received pureed diet.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure nail care was consistently provided to promote good grooming and personal hygiene for 1 (Resident #39) of 2 (Resident #39 and #223) sampled residents who were reviewed for activities of daily living (ADL) care.
Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure an assessment for siderail use was completed for Resident #60 prior to installing siderails; to ensure an assessment of the bed, mattress and siderails was completed prior to the use of the siderails; to review the risks and benefits of siderails with Resident # 60; to obtain informed consent prior to the installation of the siderails on Resident #60 bed; to attempt the use of appropriate alternatives prior to installing siderails.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure an inhaler was properly stored after use for 1 (Resident #35) of 1 sampled resident who had an inhaler on an over-bed table.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure enhanced barrier precautions (EBP) were consistently followed when administering medication and enteral feeding through a Percutaneous Endoscopic Gastrostomy (PEG) tube for 1 (Resident #42) of 1 sampled resident who was on enhanced barrier precautions.
Inspectors wroteBased on observation and interview, the facility failed to ensure resident privacy and confidentiality of personal and medical information by posting photographs of residents to the facility's social media site without the written consent of the resident or the residents designated representative.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the smoking policy of securing smoking materials for all residents.
Inspectors wroteBased on observation and interview, the facility failed to ensure foods stored in the refrigerator, 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, failed to ensure foods were dated the day received and when opened to assure first in, first out usage to prevent potential for food bone illness, expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of I kitchen, 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, failed to ensure 1 of 2 ice machines and 2 of 2 ice scoop holders were maintained in clean and sanitary condition to prevent contamination of airborne particles. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure residents and family representatives were involved in care plan meetings for 3 (Resident # 21, # 28, and #32) of 3 sampled residents
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure dependent residents were provided nail care for 2 (Resident #41 and Resident #277) sampled residents and failed to ensure that 1 of 1 sampled resident (Resident #64) was free from facial hair.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1 (Resident #36) resident received the physician ordered flow rate of oxygen and the failed to ensure respiratory equipment tubing were changed and bagged in a closed container and failed to obtain a physician's order for oxygen and continuous positive airway pressure (CPAP) for 2 (Resident #21, and #276) residents, and failed to ensure portable oxygen cylinder was stored safely for 1 (Resident #276). These failed practices had the potential to affect 18 residents in the facility who received respiratory treatments as documented on a list provided by the Director of Nursing on 8/16/23 at 4:17 PM.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure licensed nurses demonstrated competency with administering medications through a gastrostomy tube and providing respiratory services. This failed practice had the potential to affect all 83 residents in the facility as documented on the Resident Census and Conditions of Residents which was provided by the MDS Coordinator on 8/15/23 at 9:49 a.m.
Inspectors wroteBased on observation, record review and interview the facility medication error rate was 15.38%. The failed practice had the potential to affect 28 residents who received medications from the 300 hall Medication Cart, as documented on a list provided by the Director of Nursing (DON) on 8/17/23 at 8:45 a.m.
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 4 residents who received pureed diets and 10 residents who received regular diets diets from the kitchen according to a list provided by the Assistant Dietary Supervisor on 08/16/2023.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained a palatable appearance, and at temperatures that were acceptable to the residents during 2 of 2 meals observed. This failed practice had the potential to affect 12 residents who receive meal trays in their rooms on the 100 Hall, 16 residents who receive meal trays on the 300 hall, and 17 residents who receive meal trays in their room on the 400 hall, as documented on a list provided by the Administrator on 8/17/2023 at 12:20 PM.
Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 3 of 3 meals observed. This failed practice had the potential to affect 4 residents who received pureed diets, as documented on the Diet List provided by the Dietary Employee #2 on 08/17/2023.
Inspectors wroteBased on observation and interview, the facility failed to ensure privacy and confidentiality of personal and medical information was maintained for 1 of 2 medication carts observed.
Inspectors wroteBased on record review and interview, the facility failed to ensure Resident assessments were accurately coded for oxygen for 1 (Resident #276) of 8 (Residents #13, #21, #31, #32, #36, #126, #276 and #277) sampled residents with physician orders for oxygen therapy.
Inspectors wroteBased on record review and interview, the facility failed to ensure the assessment process with the Pre-admission Screening and Resident Review (PASARR) program were completed in entirety for 2 (Resident #4 and #43) of 6 (Residents #4, #16, #25, #42, #43 and #276) sampled residents with a serious mental health diagnosis as documented on a list provided by the Director of Nursing (DON) on 08/16/23 at 04:17 PM.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a baseline care plan was accurately completed to provide effective and person-centered care for 1 (Resident #277) of 2 (Resident #276, #277) sampled residents whose baseline care plan was reviewed for oxygen therapy upon admission.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen therapy was included in the individualized comprehensive care plan for 1 (Resident #276) of 8 (Residents #13, #21, #31, #32, #36, #126, #276 and #277) sampled residents, failed to ensure an anticoagulant was included in the individualized comprehensive care plan for 1 (Resident #25) of 5 (Residents #6, #25, #75, #126 and #277) sampled residents.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure medications and respiratory treatments were administered only with a physician's order for 2 (Resident #21 and #25) of 2 sampled residents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure catheter drainage bag was positioned off the floor for 1 (Resident #70) of 2 (Resident #70 and #75) sampled residents with a catheter.
5 fire safety citations on file: 1 on September 25, 2025, 1 on July 11, 2024, 3 on August 18, 2023.
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) | 4.28 | 4.02 | 3.86 |
| Registered nurses | 0.18 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.61 | 3.45 | 3.42 |
| Nurse aides | 3.15 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 69.8% | 49.5% | 45.8% |
| Registered nurse turnover | 83.3% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.51 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 4.56 on weekdays and 3.61 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 4.88 in April to June 2025 to 4.28 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 | 4.28 | 0.18 | 4.56 | 3.61 | 1.3% | 0 of 90 | 70 |
| Oct to Dec 2025 | 4.42 | 0.14 | 4.71 | 3.67 | 0.6% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.66 | 0.17 | 4.90 | 4.05 | 0.7% | 0 of 92 | 70 |
| Apr to Jun 2025 | 4.88 | 0.22 | 5.23 | 4.02 | 0.3% | 0 of 91 | 68 |
| 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 | 8.3 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 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 | 0.4 | 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 | 12.2 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.9 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.8 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 12.5 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lakewood Health and Rehab, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.9% 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. 99 eligible stays.
12.2% 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. 117 eligible stays.
9.7% 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. 73 eligible stays.
51.3% 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. 39 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. 53 residents counted.
10.3% 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. 53 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 17 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: LAKEWOOD 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 |
|---|---|---|---|---|
| Hursh, Paralea | 5% or greater direct ownership interest | Individual | 8% | 12/12/2024 |
| Sams, Jerry | 5% or greater direct ownership interest | Individual | 8% | 12/12/2024 |
| Reichard, Jennifer | Operational/managerial control | Individual | 12/10/2014 | |
| Norsworthy, David | Limited partnership interest | Individual | 11/01/2014 | |
| Central Arkansas Nursing Centers Inc | Adp of the SNF | Organization | 01/01/2025 | |
| Lakewood Manor LLC | Adp of the SNF | Organization | 12/12/2024 | |
| Nursing Consultants Inc | Adp of the SNF | Organization | 01/01/2025 | |
| Dass, Sanjay | Adp of the SNF | Individual | 12/10/2024 | |
| Morton, Michael | Adp of the SNF | Individual | 12/12/2024 | |
| Norsworthy, David | Adp of the SNF | Individual | 12/12/2024 | |
| Reichard, Jennifer | Adp of the SNF | Individual | 10/20/2004 |
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.