Nightingale at Arkadelphia
2701 Twin Rivers Drive, Arkadelphia, AR 71923 · Clark County · (870) 246-5566
100 certified beds, about 77 residents a day · For profit - Partnership · Medicare and Medicaid since 1999
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045350 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 0 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 6 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 3.59 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
39.5% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Nightingale, an affiliated group of 5 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.
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 6 health citations on file.
September 18, 2025Standard inspection · 0 citations
June 20, 2024Standard inspection · 1 citation
- C Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure a refund was received by the resident or responsible party within 30 days from the date of discharge for 6 residents (Residents #277, #278, #279, #281, #282 and #284).
August 31, 2023Standard 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 and interview, the facility failed to ensure 1 ice machine and 1 scoop holder were maintained in clean and sanitary condition to prevent contamination of airborne particles; foods stored in the dry storage area refrigerator and freezer were covered and sealed 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; foods were dated the day received to assure first in, first out usage to prevent potential for food bone illness; [...]
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review and interview, the facility failed to implement the plan of care for 1 (Resident #53) of 1 sampled resident who had a fall in the last 60 days.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure nailcare was regularly provided for 2 (Residents #20 and #22) of 4 (Residents #20, #22, #53 and #57) sampled residents who required staff assistance with nail care on the 200 Hall.
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure call devices were available and within reach for 1 (Resident #27) of 14 (Residents #3, #7, #12, #14, #15, #20, #22, #27, #39, #44, #53, #57, #62 and #274) sampled residents residing on the East Hall.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview, the facility failed to repair water damage in the wall of 1 (Resident room [ROOM NUMBER]) of 1 room on the East Hall.
Fire safety inspections
8 fire safety citations on file: 3 on September 18, 2025, 2 on June 20, 2024, 3 on August 31, 2023.
Every fire safety citation8 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have an alternate power supply for its alarm system.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Properly provide smoke detection systems in areas open to corridors.
- F Ensure proper usage of power strips and extension cords.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Properly provide smoke detection systems in areas open to corridors.
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) | 3.59 | 4.02 | 3.86 |
| Registered nurses | 0.54 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.45 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 39.5% | 49.5% | 45.8% |
| Registered nurse turnover | 23.1% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.43 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 3.71 on weekdays and 3.32 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.59 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 | 3.59 | 0.54 | 3.71 | 3.32 | 0.4% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.81 | 0.53 | 4.00 | 3.34 | 0.7% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.85 | 0.52 | 3.96 | 3.57 | 0.8% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.76 | 0.47 | 3.93 | 3.32 | 0.9% | 0 of 91 | 73 |
| 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 | 6.5 | 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 | 0.8 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.5 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.4 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.9 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: COURTYARD ARKADELPHIA HEALTHCARE LLC. CMS links this home to Nightingale, a group of 5 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ardj LLC | 5% or greater direct ownership interest | Organization | 33% | 07/01/2022 |
| Cutlass Op Holdings LLC | 5% or greater direct ownership interest | Organization | 45% | 07/01/2022 |
| Braun, Dov | Corporate officer | Individual | 07/01/2022 | |
| Isaac, Steven | Corporate officer | Individual | 07/01/2022 | |
| Jakobowitch, David | Corporate officer | Individual | 07/01/2022 | |
| Barnhill, Katherine | Operational/managerial control | Individual | 07/01/2022 | |
| Barnhill, Katherine | Adp of the SNF | Individual | 07/01/2022 |
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 2 problems in this area, most recently on June 20, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 31, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 31, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 31, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.32 hours per resident per day, below the Arkansas average of 3.45.
Other nursing homes nearby
- Twin Rivers Rehabilitation and Healthcare Center Arkadelphia, 0.3 mi · 4 of 5 stars · 15 citations
- Quapaw Care and Rehabilitation Center LLC Hot Springs, 22.3 mi · 3 of 5 stars · 25 citations
- The Springs of Red Oak Hot Springs, 22.6 mi · 3 of 5 stars · 18 citations
- Encore Healthcare and Rehabi of Malvern Malvern, 22.9 mi · 3 of 5 stars · 19 citations
- Lake Hamilton Health and Rehab Hot Springs, 23 mi · 3 of 5 stars · 22 citations
- Arbor Oaks Healthcare and Rehabilitation Center Malvern, 23 mi · 3 of 5 stars · 19 citations
- The Pines Nursing and Rehabilitation Center Hot Springs, 23.5 mi · 4 of 5 stars · 15 citations
- The Blossoms at Hot Springs Rehab and Nursing Cent Hot Springs, 23.9 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 Nightingale at Arkadelphia's Medicare star rating?
- CMS rates Nightingale at Arkadelphia 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Nightingale at Arkadelphia get at its last inspection?
- 0 health deficiencies at the standard inspection on September 18, 2025. The Arkansas average is 2.7.
- Has Nightingale at Arkadelphia been fined?
- CMS lists no fines in the last three years.
- Does Nightingale at Arkadelphia 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 Nightingale at Arkadelphia?
- CMS lists 7 owners and managers, and links the home to Nightingale. Legal business name: COURTYARD ARKADELPHIA HEALTHCARE 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.