Butterfield Trail Village
1923 East Joyce Blvd, Fayetteville, AR 72703 · Washington County · 87 certified beds · avg 41 residents/day · certified since Jun 16, 1986
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, repeated · Mar 6, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Apr 5, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 20, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Mar 3, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 26, 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: Jun 29, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 6, 2025 | ▲ H · Actual harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Nov 20, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jul 11, 2024 | 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. |
| Jul 11, 2024 | 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. |
| Jul 11, 2024 | 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. |
| Jul 11, 2024 | B · Minimal risk, repeated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| May 26, 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. |
| May 26, 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. |
| May 26, 2023 | F · Potential for harm, facility-wide | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| May 26, 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. |
| May 26, 2023 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 26, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | G ▲ |
| 2024 | 6 | 1 | G ▲ |
| 2025 | 2 | 1 | H ▲ |
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 $58,006, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 6, 2025 | Fine | $58,006 |
| Mar 6, 2025 | Payment Denial | 1 days from Apr 4, 2025 |
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) | 8.25 | 4.71 | 3.95 | top 1% in Arkansas; top 1% in the U.S. |
| Registered Nurse hours | 1.17 | 0.48 | 0.69 | top 1% in Arkansas; top 10% in the U.S. |
| Weekend total nurse staffing | 7.01 | 4.04 | 3.50 | top 1% in Arkansas; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.28 | 0.48 | top 4% in Arkansas; top 25% in the U.S. |
| Total nursing staff turnover (%) | 67.8 | 49.5 | 45.8 | bottom 9% in Arkansas; bottom 8% in the U.S. |
| RN turnover (%) | 54.5 | 44.8 | 42.9 | bottom 40% in Arkansas; bottom 29% 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 5.98, RN 0.85, weekend 5.08. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chapman, Kimberly | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Chapman, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Clark, William | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Clark, William | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Culver, Ray | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Duell, Marc | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Moore, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Nickle, Charles | Individual | Corporate Director | NOT APPLICABLE | 01/26/2022 |
| Nickle, Charles | Individual | Corporate Officer | NOT APPLICABLE | 01/26/2022 |
| Olmstead, Thomas | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Simmons, Nina | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Spears, Michael | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2024 |
| Spears, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Stults, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Vaughn-Wrobel, Beth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Williams, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Wright, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Fayetteville Health and Rehabilitation Center | 0.8 mi | Fayetteville, AR | ★★★☆☆ | 3/5 | |
| North Hills Life Care and Rehab | 1.5 mi | Fayetteville, AR | ★★★★★ | 5/5 | |
| Edgewood Health and Rehab | 2.5 mi | Springdale, AR | ★★★★★ | 4/5 | |
| Arkansas Veterans Home at Fayetteville | 3.1 mi | Fayetteville, AR | ★★☆☆☆ | 2/5 | |
| Westwood Health and Rehab, INC | 4.0 mi | Springdale, AR | ★★☆☆☆ | 1/5 | |
| Springdale Health and Rehabilitation Center | 4.8 mi | Springdale, AR | ★★☆☆☆ | 2/5 | |
| The Maples at Har-Ber Meadows | 5.5 mi | Springdale, AR | ★★★★★ | 4/5 | |
| Windcrest Health and Rehab INC | 6.0 mi | Springdale, AR | ★★★☆☆ | 2/5 | |
| Katherine's Place at Wedington | 6.0 mi | Fayetteville, AR | ★★★★☆ | 3/5 | |
| Shiloh Nursing and Rehab, LLC | 7.1 mi | Springdale, AR | ★★★★★ | 4/5 | |
| Rogers Health and Rehabilitation Center | 13.3 mi | Rogers, AR | ★★★☆☆ | 2/5 | |
| Jamestown Nursing and Rehab, LLC | 13.3 mi | Rogers, AR | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 045125.