501 Hudson St., El Dorado, AR 71730 · Union County · (870) 862-5511
180 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045271 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 19, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).
Of 15 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $66,632 in the last three years; the largest was $66,632, and the latest is dated December 29, 2023.
Nurses and nurse aides worked 3.91 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
29.8% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Anthony & Bryan Adams, 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 15 health citations on file.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record reviews, observations, interviews, and facility policy review the facility failed to ensure oxygen was administered at the flow rate ordered by the Physician to reduce the potential for respiratory complications for one (Resident #74) of one resident reviewed.
Inspectors wroteBased on observations, record review, and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety.
Inspectors wroteBased on observation, and interview it was determined that the facility failed to ensure the tub room door on the Memory Unit was locked to ensure vulnerable residents were free from accidents and injuries, affecting 5 (Resident #25, #41, #56, #61, and #73) sampled residents.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure menus were prepared and followed for 1 of 2 meals observed.
Inspectors wroteBased on observation, and interview, the facility failed to ensure a qualified dietitian was utilized in overseeing meal preparation, menu planning, and managing dietary operations to prevent foodborne illnesses, and sanitation. This failed practice had the potential to affect 72 residents that receive meals from the kitchen according to a list provided by the administrator on 11/02/23 at 3:34PM .
Inspectors wroteBased on observation, record review and interview, failed to ensure dented food cans were promptly removed/ discarded to prevent the growth of bacteria; 1of 1 ice scoops were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen; foods stored in the freezer, refrigerator 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; expired food items were promptly removed /discarded on or before the expiration or use by date to prevent the growth of bacteria; [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the facility provided privacy to promote dignity for 1 (R#58) of 1 sampled resident who had a catheter and for 1 (R#228) of 7 (R#228, 17, 35, 23, 27, 72, and 13) sampled residents who reside on section D hall.
Inspectors wroteBased on observation, and interview, the facility failed to ensure expired and unlabeled medications were removed from the medication cart and placed into an area for destruction to prevent potential administration to residents. This failed practice had the potential to affect 19 residents who receive medications from the D hall medication cart, according to a list provided by the Administrator on 11/03/23 at 8:39AM.
Inspectors wroteBased on record review and interview, the facility failed to provide pneumococcal immunizations as required or appropriate for 3 (Resident #49, #51, #62) of 5 (#49, #51, #62, #42, #65) sampled residents whose records were reviewed for the receipt of pneumococcal immunizations.
Inspectors wroteBased on record review and interview, the facility failed to comprehensively assess the resident's physical, mental and psychosocial needs to identify risks and impact of the resident function for 1 (Resident #51) of 16 (Resident #49, 51, 42, 44, 30, 14, 16, 67, 35, 228, 58, 70, 27, 62, 72, 13) sampled residents whose comprehensive assessments were reviewed.
Inspectors wroteBased on observation, record review and interview, the facility failed to complete a Significant Change in a Minimum Data Set (MDS) after a decline in two or more Activities of daily living (ADL) for 1 resident (R#35) of 17 sampled residents (R#s, 44, 30,14, 16, 67, 35, 228, 58, 49, 70, 51, 24, 27, 62, 72, 13, & R#42) whose MDS's were reviewed. This failed practice had the potential to affect 77 residents in the facility as documented on the Resident Listing Report provided by the Administrator on 10/30/23 at 10:37 AM.
Inspectors wroteSurveyor: [NAME], [NAME] Based on observation, interview and record review the facility failed to ensure the Minimum Data Set (MDS) was coded accurately to reflect the resident's restraint status for 1 sampled resident (R#27). This failed practice had the potential to affect 77 residents who required MDS assessments, according to the Resident Listing Report provided by the administrator on 10/30/2023 at 10:37 AM.
Inspectors wroteBased on observation, record review and interview, the facility failed to reassess the effectiveness of interventions and review and revise the care plan to meet the resident's needs for 1 (Resident #42) of 16 (#49, 51, 42, 44, 30, 14, 16, 67, 35, 228, 58, 70, 27, 62, 72, 13) sampled residents whose care plans were reviewed.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident who wore an (electronic wander management device), did not exit the building unattended for 1 (Resident #1) of 3 (Residents #1, #2 and #3) case mix residents and had the potential to affect 14 residents who wore an (electronic wander management device) and were at risk for elopement. This failed practice resulted in past noncompliance at the level of Immediate Jeopardy, which caused or could have caused serious harm, injury, or death for Resident #1. The Administrator was notified of the Past Immediate Jeopardy on 09/13/23 at 11:28 AM.
Inspectors wroteBased on interview and record review, the facility staff failed to report an elopement to the Office of Long Term Care for 1 (Resident #1) of 3 (Residents #1, #2 and #3) case mix residents who were an elopement risk.
5 fire safety citations on file: 1 on March 19, 2026, 3 on September 26, 2024, 1 on November 3, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| December 29, 2023 | Fine | $66,632 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.91 | 4.02 | 3.86 |
| Registered nurses | 0.28 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.52 | 3.45 | 3.42 |
| Nurse aides | 2.51 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 29.8% | 49.5% | 45.8% |
| Registered nurse turnover | 0.0% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.97 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 4.07 on weekdays and 3.52 on weekends, 14% 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 3.66 in April to June 2025 to 3.91 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 | 3.91 | 0.28 | 4.07 | 3.52 | 0.4% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.94 | 0.30 | 4.03 | 3.70 | 0.1% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.80 | 0.30 | 3.94 | 3.44 | 0.3% | 0 of 92 | 81 |
| Apr to Jun 2025 | 3.66 | 0.32 | 3.84 | 3.20 | 0.0% | 0 of 91 | 81 |
| 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 | 16.1 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 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 | 12.0 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.7 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.4 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.2 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Oak Ridge Health and Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. 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. 22 eligible stays.
11.6% 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. 53 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. 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. 19 eligible stays.
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: 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. 19 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. 24 residents counted.
3.5% 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. 24 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. 5 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: OR OPS INC. CMS links this home to Anthony & Bryan Adams, a group of 38 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Joiner, Ginger | Managing control - governing body | Individual | 08/01/2018 | |
| Mancell, Sandra | Managing control - governing body | Individual | 07/01/2024 | |
| McGuire, Stephen | Managing control - governing body | Individual | 08/01/2018 | |
| Adams, Anthony | Corporate officer | Individual | 04/09/2018 | |
| Adams, Bryan | Corporate officer | Individual | 04/09/2018 | |
| Mancell, Sandra | Operational/managerial control | Individual | 07/15/2024 | |
| Centennial Bank | Adp of the SNF | Organization | 07/01/2023 | |
| Home Bancshares | Adp of the SNF | Organization | 08/01/2018 | |
| Incite Rehab, LLC | Adp of the SNF | Organization | 08/01/2018 | |
| LTC Systems/Rx, LLC | Adp of the SNF | Organization | 08/01/2018 | |
| Pharmacy Consults, LLC | Adp of the SNF | Organization | 08/01/2018 | |
| Reliance Health Care, Inc. | Adp of the SNF | Organization | 08/01/2018 | |
| Sebastian Holdings, LLC | Adp of the SNF | Organization | 07/01/2023 | |
| Adams, Anthony | Adp of the SNF | Individual | 08/01/2018 | |
| Adams, Bryan | Adp of the SNF | Individual | 07/01/2023 | |
| Ellis, John | Adp of the SNF | Individual | 07/01/2004 | |
| Joiner, Ginger | Adp of the SNF | Individual | 08/01/2018 | |
| Koehler, Tobey | Adp of the SNF | Individual | 08/01/2018 | |
| Mainord, William | Adp of the SNF | Individual | 08/01/2018 | |
| Mancell, Sandra | Adp of the SNF | Individual | 07/01/2024 | |
| McGinnis, Larry | Adp of the SNF | Individual | 08/01/2018 | |
| McGuire, Stephen | Adp of the SNF | Individual | 08/01/2016 | |
| Pedigo, Rita | Adp of the SNF | Individual | 08/01/2018 | |
| Smart, Gregory | Adp of the SNF | Individual | 08/28/2024 |
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.