Bailey Creek Health and Rehab
1621 East 42nd St, Texarkana, AR 71854 · Miller County · 74 certified beds · avg 87 residents/day · certified since Sep 1, 1994
Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.61
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
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 |
|---|---|---|
| Apr 9, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 20, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Sep 6, 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. |
| Sep 6, 2024 | 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. |
| Sep 6, 2024 | 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. |
| Sep 6, 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. |
| Sep 6, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Sep 6, 2024 | 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. |
| Sep 6, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Sep 6, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Sep 6, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 27, 2024 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jan 3, 2024 | D · Potential for 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. · from a complaint |
| Nov 3, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 3, 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. |
| Nov 3, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 3, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 11 | 0 | F |
| 2026 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.61 | 4.71 | 3.95 | top 48% in Arkansas; top 20% in the U.S. |
| Registered Nurse hours | 0.44 | 0.48 | 0.69 | bottom 47% in Arkansas; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.70 | 4.04 | 3.50 | bottom 31% in Arkansas; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.28 | 0.48 | bottom 30% in Arkansas; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 49.5 | 45.8 | bottom 44% in Arkansas; bottom 38% in the U.S. |
| RN turnover (%) | 50.0 | 44.8 | 42.9 | bottom 49% in Arkansas; bottom 39% 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 3.53, RN 0.33, weekend 2.83. Staffing rating: 3/5.
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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3b Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2021 |
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 03/14/2008 |
| Adams, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 01/21/2021 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 03/14/2008 |
| Adams, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2008 |
| Ellis, John | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2004 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2008 |
| Ferguson, Clay | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2024 |
| Ferguson, Clay | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2024 |
| Gaither, Sarah | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/22/2024 |
| Gaither, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2024 |
| Joiner, Ginger | Individual | ADP of the SNF | NOT APPLICABLE | 01/22/2024 |
| Koehler, Tobey | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2008 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2008 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2008 |
| McGinnis, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2008 |
| McGuire, Stephen | Individual | Corporate Director | NOT APPLICABLE | 01/21/2024 |
| McGuire, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 01/22/2024 |
| Miller NH, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2021 |
| Pharmacy Consults, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2008 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| The Cottages at Texarkana | 0.3 mi | Texarkana, AR | ★★★☆☆ | 2/5 | |
| Heritage Plaza Nursing Center | 1.3 mi | Texarkana, TX | ★★★☆☆ | 3/5 | |
| The Villa at Texarkana | 1.4 mi | Texarkana, TX | ★★★☆☆ | 4/5 | |
| Avir at Texarkana | 1.4 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuse |
| Reunion Plaza Senior Care and Rehabilitation Cente | 2.1 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| The Springs of Texarkana | 3.0 mi | Texarkana, AR | ★★★★☆ | 3/5 | |
| Avir at Cowhorn Creek | 3.0 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Avir at Citizens Trail | 3.9 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| Cornerstone Retirement Community | 3.9 mi | Texarkana, TX | ★★★★☆ | 3/5 | |
| Pleasant Manor Nursing & Rehab | 14.9 mi | Ashdown, AR | ★★★★★ | 5/5 | |
| Little River Nursing & Rehab | 15.6 mi | Ashdown, AR | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045241.