Arbor Oaks Healthcare and Rehabilitation Center
955 Division, Malvern, AR 72104 · Hot Spring County · 94 certified beds · avg 65 residents/day · certified since Feb 1, 1995
Part of chain: SOUTHERN ADMINISTRATIVE SERVICES (35 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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)
▲ Actual harm, one-off · Jun 27, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Jul 2, 2025 | 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. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Jul 2, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jun 19, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 27, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 27, 2024 | 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 27, 2024 | 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. · from a complaint |
| Jun 27, 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. |
| Jun 27, 2024 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jul 28, 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. |
| Jul 28, 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. |
| Jul 28, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 28, 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. |
| Jul 28, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 28, 2023 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jul 28, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Jul 28, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 28, 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 decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 6 | 1 | G ▲ |
| 2025 | 4 | 0 | E |
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 $8,018, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 27, 2024 | Fine | $8,018 |
| Jun 27, 2024 | Payment Denial | 11 days from Jul 26, 2024 |
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) | 4.26 | 4.71 | 3.95 | bottom 25% in Arkansas; top 30% in the U.S. |
| Registered Nurse hours | 0.40 | 0.48 | 0.69 | bottom 39% in Arkansas; bottom 23% in the U.S. |
| Weekend total nurse staffing | 3.57 | 4.04 | 3.50 | bottom 24% in Arkansas; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.28 | 0.48 | bottom 33% in Arkansas; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 47.6 | 49.5 | 45.8 | top 48% in Arkansas; bottom 43% in the U.S. |
| RN turnover (%) | 0.0 | 44.8 | 42.9 | top 1% in Arkansas; top 1% 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 3.72, RN 0.35, weekend 3.13. 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 |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2019 |
| Jej Assets LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Ponthie, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2022 |
| Ponthie, Sharlot | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Alexark1 LLC | Organization | General Partnership Interest | NOT APPLICABLE | 01/01/2022 |
| Jej Management, LLC | Organization | General Partnership Interest | NOT APPLICABLE | 01/01/2022 |
| Ponthie, John | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2019 |
| Ponthie, John | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Worthington, Chyra | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/05/2023 |
| Worthington, Chyra | Individual | ADP of the SNF | NOT APPLICABLE | 10/05/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "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 |
|---|---|---|---|---|---|
| Encore Healthcare and Rehabi of Malvern | 0.2 mi | Malvern, AR | ★★★☆☆ | 3/5 | |
| The Pines Nursing and Rehabilitation Center | 13.2 mi | Hot Springs, AR | ★★★★☆ | 3/5 | |
| The Springs of Red Oak | 13.2 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Blossoms at Hot Springs Rehab and Nursing Cent | 14.7 mi | Hot Springs, AR | ★★★★★ | 5/5 | |
| Arkansas Health Center | 15.6 mi | Benton, AR | ★★★★★ | 5/5 | |
| Quapaw Care and Rehabilitation Center LLC | 16.5 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Belvedere Nursing and Rehabilitation Center, LLC | 16.5 mi | Hot Springs, AR | ★★☆☆☆ | 2/5 | |
| The Springs of Park Ave | 16.6 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Heartland Rehabilitation and Care Center | 18.4 mi | Benton, AR | ★★★★★ | 4/5 | |
| The Blossoms at the Village Rehab & Nursing Center | 18.6 mi | Hot Springs, AR | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045270.