Encore Healthcare and Rehabi of Malvern
1820 West Moline Street, Malvern, AR 72104 · Hot Spring County · 108 certified beds · avg 84 residents/day · certified since Nov 16, 2003
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.
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 |
|---|---|---|
| Nov 18, 2025 | E · Potential for harm, repeated | 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 |
| Nov 18, 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 7, 2025 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 7, 2025 | 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 7, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Nov 21, 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. |
| Nov 21, 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. |
| Nov 21, 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | 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. |
| Nov 9, 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. |
| Nov 9, 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. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 9, 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. |
| Nov 9, 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. |
| Nov 9, 2023 | 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. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 9, 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. |
| Oct 27, 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. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | F |
| 2024 | 4 | 0 | F |
| 2025 | 5 | 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) | 4.07 | 4.71 | 3.95 | bottom 16% in Arkansas; top 37% in the U.S. |
| Registered Nurse hours | 0.39 | 0.48 | 0.69 | bottom 35% in Arkansas; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.37 | 4.04 | 3.50 | bottom 10% in Arkansas; top 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.28 | 0.48 | bottom 27% in Arkansas; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 49.0 | 49.5 | 45.8 | bottom 46% in Arkansas; bottom 39% in the U.S. |
| RN turnover (%) | 44.4 | 44.8 | 42.9 | top 48% in Arkansas; bottom 45% 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 3.64, RN 0.35, weekend 3.02. 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 |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/14/2022 |
| Jej Assets LP | Organization | 5% or Greater Indirect Ownership Interest | — | 06/14/2022 |
| Ponthie, Sharlot | Individual | 5% or Greater Indirect Ownership Interest | — | 06/14/2022 |
| Alexark1 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/14/2022 |
| Bates, Hope | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/15/2022 |
| Jej Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/14/2022 |
| Ponthie, John | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| Arbor Oaks Healthcare and Rehabilitation Center | 0.2 mi | Malvern, AR | ★★★☆☆ | 3/5 | |
| The Pines Nursing and Rehabilitation Center | 13.1 mi | Hot Springs, AR | ★★★★☆ | 3/5 | |
| The Springs of Red Oak | 13.1 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Blossoms at Hot Springs Rehab and Nursing Cent | 14.5 mi | Hot Springs, AR | ★★★★★ | 5/5 | |
| Arkansas Health Center | 15.8 mi | Benton, AR | ★★★★★ | 5/5 | |
| Quapaw Care and Rehabilitation Center LLC | 16.3 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Belvedere Nursing and Rehabilitation Center, LLC | 16.4 mi | Hot Springs, AR | ★★☆☆☆ | 2/5 | |
| The Springs of Park Ave | 16.6 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Blossoms at the Village Rehab & Nursing Center | 18.5 mi | Hot Springs, AR | ★★★☆☆ | 4/5 | |
| Heartland Rehabilitation and Care Center | 18.5 mi | Benton, AR | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045393.