Belvedere Nursing and Rehabilitation Center, LLC
2600 Park Ave, Hot Springs, AR 71901 · Garland County · 120 certified beds · avg 117 residents/day · certified since Nov 27, 2017
Part of chain: CENTRAL ARKANSAS NURSING CENTERS (38 facilities, chain avg rating 3.6★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Oct 13, 2023 · F-0880 · triggered by a complaint
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Dec 7, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 14, 2025 · F-0689 · triggered by a complaint
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: Jan 9, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Dec 21, 2023 · 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: Jan 4, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| May 7, 2026 | 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. |
| Mar 14, 2025 | ▲ 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. · from a complaint |
| Nov 7, 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. |
| Nov 7, 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. |
| Nov 7, 2024 | 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 7, 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. |
| Dec 21, 2023 | ▲ 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. |
| Dec 21, 2023 | E · Potential for harm, repeated | 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. |
| Dec 21, 2023 | 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. |
| Dec 21, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 21, 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. |
| Dec 21, 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. |
| Dec 21, 2023 | E · Potential for harm, repeated | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Dec 21, 2023 | E · Potential for harm, repeated | 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. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Oct 13, 2023 | ▲ L · Immediate jeopardy, facility-wide | 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 2 | L ▲ |
| 2024 | 4 | 0 | E |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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)
2 fines totaling $206,908, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 14, 2025 | Fine | $10,188 |
| Oct 13, 2023 | Fine | $196,720 |
| Oct 13, 2023 | Payment Denial | 26 days from Nov 11, 2023 |
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) | 4.94 | 4.71 | 3.95 | top 29% in Arkansas; top 14% in the U.S. |
| Registered Nurse hours | 0.30 | 0.48 | 0.69 | bottom 17% in Arkansas; bottom 10% in the U.S. |
| Weekend total nurse staffing | 4.22 | 4.04 | 3.50 | top 28% in Arkansas; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.10 | 0.28 | 0.48 | bottom 2% in Arkansas; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 50.7 | 49.5 | 45.8 | bottom 40% in Arkansas; bottom 35% 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 4.01, RN 0.25, weekend 3.42. 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Central Arkansas Nursing Centers INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Ferguson, Clay | Individual | ADP of the SNF | NOT APPLICABLE | 12/10/2024 |
| Loy, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/06/2026 |
| Loy, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 04/06/2026 |
| Morton, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Norsworthy, David | Individual | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
| Nursing Consultants INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Spring Valley Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 Springs of Park Ave | 1.9 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Blossoms at the Village Rehab & Nursing Center | 3.0 mi | Hot Springs, AR | ★★★☆☆ | 4/5 | |
| The Blossoms at Hot Springs Rehab and Nursing Cent | 5.7 mi | Hot Springs, AR | ★★★★★ | 5/5 | |
| The Pines Nursing and Rehabilitation Center | 6.0 mi | Hot Springs, AR | ★★★★☆ | 3/5 | |
| The Springs of Red Oak | 7.0 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Quapaw Care and Rehabilitation Center LLC | 8.2 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Lake Forest Senior Living at Hot Springs Village | 9.6 mi | Hot Springs Village, AR | ★★☆☆☆ | 2/5 | |
| Lake Hamilton Health and Rehab | 11.0 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Encore Healthcare and Rehabi of Malvern | 16.4 mi | Malvern, AR | ★★★☆☆ | 3/5 | |
| Arbor Oaks Healthcare and Rehabilitation Center | 16.5 mi | Malvern, AR | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 045463.