1569 Ar Highway 56, Calico Rock, AR 72519 · Izard County · (870) 297-3719
70 certified beds, about 47 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045401 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 23, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).
None of its 13 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
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 13 health citations on file.
Inspectors wroteBased on observation, interview and facility document review, the facility failed to ensure the food preparation equipment and environment were maintained in a clean and sanitary condition to prevent contamination and the potential development of foodborne pathogens during an observed meal service in one of one facility kitchen.
Inspectors wroteThrough observation, interviews, and policy review, the facility failed to ensure that equipment was in a clean, safe, useable condition and food was stored in a safe and sanitary manner.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure proper hand hygiene was performed between residents, failed to ensure cleaning of personal equipment (fan) to prevent contamination and failed to ensure Enhanced Barrier Precautions (EBP) were followed for a tube fed resident (Resident #7) of 1 resident reviewed for infection prevention and control.
Inspectors wroteBased on record review and record interview, it was determined that the facility failed to notify the resident/representative or Power of Attorney (POA) in writing of the resident's transfer/discharge to the hospital as required for Resident #5 of 1 resident reviewed for the process of notification at time of transfer/discharge.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to notify resident representatives or Power of Attorney (POA) in writing of the bed hold policy upon a resident's transfer to the hospital and/or discharge as required for 1 (Resident #5) of 1 resident reviewed for bed hold notification.
Inspectors wroteThrough observation, record review, and interview, the facility failed to ensure one of one resident sampled (Resident #31) environment remained free of accident hazards as was possible.
Inspectors wroteThrough investigation and record review the facility failed to employ staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service.
Inspectors wroteThrough record review, interviews and policy of arbitration agreement the facility failed to ensure that four of four residents sampled for arbitration agreements (Resident #7, #13,#16 and #22) or representative were clearly informed that arbitration is to be a neutral site that both parties agree to
Inspectors wroteBased on observation, interview and record review the facility failed to ensure Activities of Daily Living were maintained to prevent the potential for injury, infection, and to promote personal hygiene and sense of wellbeing for 3 sampled residents (Resident #15, #22, and #25). This failed practice had the potential to affect 6 case mix residents from halls 100 and 200 dependent for ADL/Nail Care based on a list provided by the Director of Nursing (DON) on 11/8/23 at 11:45 AM.
Inspectors wroteBased on observation and interview the facility failed to ensure that standard and transmission-based precautions of sanitizing, handwashing, and or donning gloves between residents during morning medication pass were followed to prevent the possible spread of infections. This failed practice had the potential to affect 26 residents administered medications during morning medication pass based on a list provided by the Director of Nursing on 11/9/23 at 915 AM.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Surety Bond was current and up to date, to assure the security of all personal funds in the resident trust funds to prevent financial loss. The failed practice had the potential to affect the 40 residents who had a trust fund account managed by the facility according to a list provided by the Business Office Manager [BOM] on [DATE] at 10:10 am.
Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a comprehensive care plan to address the need for oxygen for 1 (Resident #20) sampled resident.
Inspectors wroteBased on observations, interview and record review the facility failed to ensure that physicians orders were followed for oxygen flow rates for 2 sampled residents (Resident #20 and #22) receiving oxygen therapy. This failed practice had the potential to affect 3 sampled residents on halls 100 and 200 based on a list of residents with orders for oxygen therapy provided by the Director of Nursing (DON) on 11/8/23 at 11:45 AM.
16 fire safety citations on file: 7 on July 23, 2026, 2 on November 21, 2024, 7 on November 9, 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) | not reported | 4.02 | 3.86 |
| Registered nurses | not reported | 0.41 | 0.69 |
| All nursing staff on weekends | not reported | 3.45 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 49.5% | 45.8% |
| Registered nurse turnover | not reported | 44.8% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility did not submit staffing data.
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 October to December 2025, nursing staff hours per resident were 5.57 on weekdays and 4.55 on weekends, 18% 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 5.11 in April to June 2025 to 5.28 in October to December 2025.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Oct to Dec 2025 | 5.28 | 0.49 | 5.57 | 4.55 | 0.0% | 0 of 92 | 44 |
| Jul to Sep 2025 | 5.20 | 0.52 | 5.58 | 4.25 | 0.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 5.11 | 4.61 | 5.30 | 4.64 | 0.0% | 0 of 91 | 41 |
| United States, Oct to Dec 2025 | 3.76 | 0.62 | 3.93 | 3.34 | 5.3% | 0.5% of days | |
| Arkansas, Oct to Dec 2025 | 4.10 | 0.38 | 4.33 | 3.51 | 1.9% | 0.2% 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 | 21.8 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 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 | 5.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 11.5 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.4 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 14.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.0 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.9 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for White River Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.9% 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. 29 eligible stays.
13.7% 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. 39 eligible stays.
7.4% 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. 28 eligible stays.
41.7% 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. 24 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. 28 residents counted.
6.2% 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. 28 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. 2 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: WHITE RIVER HEALTHCARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hudson Holding Company, Inc | 5% or greater direct ownership interest | Organization | 100% | 12/13/2012 |
| Hudson, Lucas | Corporate director | Individual | 01/01/2022 | |
| Hudson, Lucas | Operational/managerial control | Individual | 01/01/2022 |
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.
Chosen from this home's own inspection record.
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.