Alma Nursing and Rehab
401 Heather Lane, Alma, AR 72921 · Crawford County · 105 certified beds · avg 86 residents/day · certified since Jan 15, 2002
Abuse citation flag (CMS)
Part of chain: CENTRAL ARKANSAS NURSING CENTERS (38 facilities, chain avg rating 3.6★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 10, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 8, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 10, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 10, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 9, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 9, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 9, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 9, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 2 | 0 | E |
| 2026 | 2 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $26,195.
| Date | Type | Amount / length |
|---|---|---|
| Mar 10, 2026 | Fine | $26,195 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arkansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.86 | 4.71 | 3.95 | top 32% in Arkansas; top 16% in the U.S. |
| Registered Nurse hours | 0.48 | 0.48 | 0.69 | top 37% in Arkansas; bottom 35% in the U.S. |
| Weekend total nurse staffing | 4.08 | 4.04 | 3.50 | top 39% in Arkansas; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.28 | 0.48 | top 24% in Arkansas; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 50.5 | 49.5 | 45.8 | bottom 41% in Arkansas; bottom 36% in the U.S. |
| RN turnover (%) | 37.5 | 44.8 | 42.9 | top 38% in Arkansas; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.43, RN 0.44, weekend 3.72. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alma Estates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Central Arkansas Nursing Centers INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| George-Fort, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/10/2024 |
| George-Fort, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 10/20/2024 |
| Morton, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Norsworthy, David | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Nursing Consultants INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Rana, Javed | Individual | ADP of the SNF | NOT APPLICABLE | 12/10/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Van Buren Healthcare and Rehabilitation Center | 5.9 mi | Van Buren, AR | ★★★★★ | 5/5 | |
| The Blossoms at Van Buren Rehab and Nursing Center | 7.1 mi | Van Buren, AR | ★☆☆☆☆ | 1/5 | |
| Valley Springs Rehabilitation and Health Center | 7.8 mi | Van Buren, AR | ★★★★☆ | 3/5 | |
| Legacy Health and Rehabilitation Center | 9.8 mi | Fort Smith, AR | ★★☆☆☆ | 2/5 | |
| Methodist Health and Rehab | 11.1 mi | Fort Smith, AR | ★★★☆☆ | 3/5 | |
| Chapel Ridge Health and Rehab | 12.0 mi | Fort Smith, AR | ★★★★☆ | 3/5 | |
| Ashton Place Health and Rehab, LLC | 12.2 mi | Barling, AR | ★★★★☆ | 4/5 | |
| Covington Court Health and Rehabilitation Center | 13.8 mi | Fort Smith, AR | ★★★★☆ | 4/5 | |
| Riverside Health Services | 14.8 mi | Arkoma, OK | ★☆☆☆☆ | 2/5 | |
| The Blossoms at Fort Smith Rehab & Nursing Center | 15.5 mi | Fort Smith, AR | ★☆☆☆☆ | 2/5 | |
| Sequoyah East Nursing Center, LLC | 16.0 mi | Roland, OK | ★☆☆☆☆ | 1/5 | |
| Brooken Hill Health and Rehab, LLC | 16.0 mi | Fort Smith, AR | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 045370.