The Springs of Texarkana
2107 Dudley Street, Texarkana, AR 71854 · Miller County · (870) 772-4427
173 certified beds, about 91 residents a day · For profit - Individual · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045211 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2026, inspectors cited 2 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
Of 13 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $14,665 in the last three years; the largest was $14,665, and the latest is dated February 26, 2025.
Nurses and nurse aides worked 3.72 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.21 of those hours.
52.6% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to The Springs Arkansas, an affiliated group of 26 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.
511/23
410/24
102/25
103/25
204/26
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
4E
0F
Potential for minimal harm
0A
0B
0C
April 2, 2026Standard inspection · 2 citations
- E 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 review, interview, and facility policy review, it was determined the ice machine was not maintained in a clean and sanitary condition to prevent potential contamination of residents' food and beverages, and to minimize the potential for waterborne illness for 84 of 91 residents who received ice from the kitchen. Seven residents did not receive ice from the kitchen, six residents received thickened liquids and one resident was NPO (Nothing by Mouth).
- D 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 observations, interviews, record review, and facility policy review, the facility failed to develop and implement a Comprehensive Person-Centered Care Plan for one (Resident # 12) of three residents reviewed. Specifically, the facility failed to ensure Resident #12's smoking safety was addressed in the Care Plan to prevent accidents or injuries.
March 11, 2025Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews, record review, and facility policy review, it was determined the facility failed to notify a resident's family member/responsible party of the resident's fall and change in condition for 1 (Resident #2) of 5 residents reviewed for falls.
February 26, 2025Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record review, and the operational manual review for a borrowed lift van, the facility failed to ensure 1 (Resident #3) of 3 sampled residents received adequate supervision and assistance devices to prevent an accident; and, failed to ensure the Transport Driver (CNA #2) was properly trained in the use of a borrowed van with lift prior to Certified Nursing Aide (CNA) #2 transporting Resident #3 to an appointment, putting the resident at risk for serious harm, serious injury, serious impairment, or death. 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, 483.25(d) (Accidents and Hazards) at a scope and severity of J. [...]
October 10, 2024Standard inspection · 4 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, interview, and facility policy review, it was determined the facility failed to ensure lift pads were in appropriate working order, free of fraying and loose strings to prevent potential accidents or injury for 1 sampled (Resident #10) resident; aerosol disinfectant was not stored at the bedside to prevent accidents or injury for 1 sampled (Resident #84); and failed to ensure the resident's environment remained free of accidents as possible and each resident received adequate supervision to prevent accidents for 1 sampled (Resident #69).
- 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, record review, interview, and facility policy review, it was determined the facility failed to ensure medication carts were locked when left unattended to prevent accidents, or the misappropriation of medications on the 600 Hall; doctor ' s orders were followed; and a feeding tube was flushed before and after giving medications through a feeding tube for 1 sampled (Resident #306) resident of 3 sampled (Resident #76, #101, #306) residents reviewed for tube feeding.
- E 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, the facility failed to ensure dietary staff washed their hands before handling clean equipment when contaminated; the ice machine was maintained in clean and sanitary condition, and cold food items were maintained at 41 degrees Fahrenheit or below.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, record review, interview, and facility policy review, it was determined the facility failed to ensure a resident's personal and medical information was protected from potential unauthorized persons for 1 (Resident #306) sampled resident.
November 9, 2023Standard inspection · 5 citations
- D 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 ensure residents were treated with respect and dignity to promote a dignified existence affecting 1 resident (Resident #7) of 3 sampled residents (Resident #7, Resident #13, Resident #46) residing on the 600 Hall, with the potential to affect 11 residents that live on the 600 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, interview, and record review, the facility failed to ensure that the resident had functioning running hot water. This failed practice affected 1 (Resident #34) of 1 sampled resident and had the potential to affect 11 residents who resided on the 500 Hall.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the Minimum Data Set (MDS) accurately reflected on section A1500 the Preadmission Screening and Resident Review (PASRR) a serious mental illness and/or intellectual disability affecting 2 (Residents #13 and #37) of 3 sampled residents (Residents #13, #25 and #37) with a level II PASRR. This failed practice had the potential to affect 14 residents with a level II PASRR.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had sufficient water at the bedside to maintain hydration and health. This failed practice affected 1 (Resident #61) of 3 sampled residents (Residents #6, #61 and #62) who resided on the 400 Hall and had the potential to affect 7 residents who resided on the 400 Hall without fluid restrictions.
- 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 record review, the facility failed to ensure staff distributed and served food in a safe and sanitary manner. This failed practice affected 1 (Resident #3) of 3 sampled residents (Residents #3, #61 and #74) and with the potential to affect 13 residents that eat in the Dining Room.
Fire safety inspections
1 fire safety citation on file: 1 on April 2, 2026.
Every fire safety citation1 citation
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 26, 2025 | Fine | $14,665 |
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) | 3.72 | 4.02 | 3.86 |
| Registered nurses | 0.21 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.45 | 3.42 |
| Nurse aides | 2.47 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 52.6% | 49.5% | 45.8% |
| Registered nurse turnover | 66.7% | 44.8% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.35 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 3.85 on weekdays and 3.38 on weekends, 12% lower 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 3.49 in April to June 2025 to 3.72 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 | 3.72 | 0.21 | 3.85 | 3.38 | 0.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.82 | 0.21 | 3.93 | 3.53 | 0.0% | 0 of 92 | 93 |
| Jul to Sep 2025 | 3.61 | 0.24 | 3.76 | 3.24 | 0.0% | 0 of 92 | 101 |
| Apr to Jun 2025 | 3.49 | 0.33 | 3.70 | 2.96 | 0.0% | 0 of 91 | 99 |
| 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 | 5.8 | 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 | 0.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.5 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.0 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.5 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.9 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: TEXARKANA AR OPCO LLC. CMS links this home to The Springs Arkansas, a group of 26 nursing homes averaging 3.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Red River Management LLC | Operational/managerial control | Organization | 12/30/2024 | |
| Herzberg, Chaim | Operational/managerial control | Individual | 12/13/2024 | |
| Johnson, Thomas | Operational/managerial control | Individual | 03/31/2023 | |
| Red River Management LLC | Adp of the SNF | Organization | 12/30/2024 | |
| Texarkana Propco LLC | Adp of the SNF | Organization | 12/30/2024 | |
| Ferguson, Clay | Adp of the SNF | Individual | 12/30/2024 | |
| Gutman, Isaac | Adp of the SNF | Individual | 12/13/2024 | |
| Herzberg, Chaim | Adp of the SNF | Individual | 12/13/2024 | |
| Hoffman, Alexander | Adp of the SNF | Individual | 12/13/2024 | |
| Johnson, Thomas | Adp of the SNF | Individual | 03/14/2025 | |
| Taub, Jacob | Adp of the SNF | Individual | 12/13/2024 |
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 4 problems in this area, most recently on March 11, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 2, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 26, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 2, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the Arkansas average of 3.45.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Bailey Creek Health and Rehab Texarkana, 3 mi · 2 of 5 stars · 19 citations
- Avir at Citizens Trail Texarkana, 3.3 mi · 1 of 5 stars · 52 citations
- The Cottages at Texarkana Texarkana, 3.3 mi · 3 of 5 stars · 20 citations
- The Villa at Texarkana Texarkana, 3.6 mi · 3 of 5 stars · 29 citations
- Avir at Sweetwater Texarkana, 3.7 mi · 3 of 5 stars · 16 citations
- Avir at Texarkana Texarkana, 3.7 mi · 1 of 5 stars · 33 citations
- Heritage Plaza Nursing Center Texarkana, 3.7 mi · 3 of 5 stars · 40 citations
- Reunion Plaza Senior Care and Rehabilitation Cente Texarkana, 4.3 mi · 1 of 5 stars · 90 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 The Springs of Texarkana's Medicare star rating?
- CMS rates The Springs of Texarkana 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Springs of Texarkana get at its last inspection?
- 2 health deficiencies at the standard inspection on April 2, 2026. The Arkansas average is 2.7.
- Has The Springs of Texarkana been fined?
- Yes. CMS lists 1 fine totaling $14,665 in the last three years.
- Does The Springs of Texarkana 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 The Springs of Texarkana?
- CMS lists 11 owners and managers, and links the home to The Springs Arkansas. Legal business name: TEXARKANA AR 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.