Cavalier Healthcare of England
400 Stuttgart Highway, England, AR 72046 · Lonoke County · 70 certified beds · avg 61 residents/day · certified since Mar 11, 2011
Part of chain: CAVALIER HEALTHCARE (4 facilities, chain avg rating 2.5★)
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, one-off · Jan 31, 2024 · 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 (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: Jan 28, 2024 (Past Non-Compliance)
All citations in the current public record (23)
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 3, 2025 | 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. |
| Jul 3, 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 3, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 3, 2025 | 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. |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jul 3, 2025 | D · Potential for harm, one-off | 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 11, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Apr 4, 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. |
| Apr 4, 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. |
| Apr 4, 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. |
| Apr 4, 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. |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 4, 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. |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · from a complaint |
| Jan 31, 2024 | ▲ J · Immediate jeopardy, 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 |
| Jan 19, 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. |
| Jan 19, 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. |
| Jan 19, 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. |
| Jan 19, 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. |
| Jan 19, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 19, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 9 | 1 | J ▲ |
| 2025 | 8 | 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)
2 fines totaling $18,356.
| Date | Type | Amount / length |
|---|---|---|
| Jan 31, 2024 | Fine | $8,160 |
| Jan 31, 2024 | Fine | $10,196 |
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) | 3.97 | 4.71 | 3.95 | bottom 11% in Arkansas; top 41% in the U.S. |
| Registered Nurse hours | 0.49 | 0.48 | 0.69 | top 37% in Arkansas; bottom 36% in the U.S. |
| Weekend total nurse staffing | 3.40 | 4.04 | 3.50 | bottom 12% in Arkansas; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.28 | 0.48 | bottom 39% in Arkansas; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 49.5 | 45.8 | top 35% in Arkansas; top 49% in the U.S. |
| RN turnover (%) | 77.8 | 44.8 | 42.9 | bottom 7% in Arkansas; bottom 7% 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 3.16, RN 0.39, weekend 2.70. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bethel Investments, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2014 |
| Cavalier Healthcare of England, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2014 |
| Cunningham, Joann | Individual | 5% or Greater Indirect Ownership Interest | — | 06/01/2014 |
| Cunningham, Michael | Individual | 5% or Greater Indirect Ownership Interest | — | 06/01/2014 |
| Hubbard, Brien | Individual | 5% or Greater Indirect Ownership Interest | — | 06/01/2014 |
| Limited Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2014 |
| Bethel Investments, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2014 |
| Cunningham, Joann | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2014 |
| Cunningham, Michael | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2014 |
| Cunningham, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2014 |
| Hubbard, Brien | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/01/2014 |
| Hubbard, Brien | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2014 |
| Hubbard, Brien | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2014 |
| Limited Holdings, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2014 |
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?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Lonoke Health and Rehab Center, LLC | 15.7 mi | Lonoke, AR | ★★★★★ | 4/5 | |
| Barnes Healthcare | 17.3 mi | Lonoke, AR | ★★☆☆☆ | 1/5 | |
| The Blossoms at White Hall Rehab & Nursing Center | 19.9 mi | White Hall, AR | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045442.