Lake Hamilton Health and Rehab

Name: Lake Hamilton Health and Rehab
Address: 120 PITTMAN ROAD, Hot Springs, AR, 71913, US
Telephone: 5017677530

120 Pittman Road, Hot Springs, AR 71913 · Garland County · 84 certified beds · avg 75 residents/day · certified since Jul 20, 2011

Part of chain: CENTRAL ARKANSAS NURSING CENTERS (38 facilities, chain avg rating 3.6★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.43

Nurse hours/resident/day (adjusted)

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 (22)

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 21, 2025	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.
May 21, 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.
May 21, 2025	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.
May 21, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Apr 12, 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 12, 2024	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 12, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 12, 2024	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.
Apr 12, 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 12, 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 12, 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.
Apr 12, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Apr 12, 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.
Apr 12, 2024	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.
Apr 28, 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.
Apr 28, 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.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 28, 2023	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Apr 28, 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.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 4).

Year	Citations	Worst severity that year
2023	8	F
2024	10	F
2025	4	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)	4.43	4.71	3.95	bottom 41% in Arkansas; top 25% in the U.S.
Registered Nurse hours	0.30	0.48	0.69	bottom 16% in Arkansas; bottom 10% 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)	0.19	0.28	0.48	bottom 28% in Arkansas; bottom 11% in the U.S.
Total nursing staff turnover (%)	48.5	49.5	45.8	bottom 49% in Arkansas; bottom 41% 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 4.20, RN 0.28, weekend 3.23. 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: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Carrington, Hunter	Individual	Operational/Managerial Control	NOT APPLICABLE	12/26/2024
Carrington, Hunter	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Central Arkansas Nursing Centers INC	Organization	ADP of the SNF	NOT APPLICABLE	10/21/2025
Country Club Manor LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/12/2024
Nursing Consultants INC	Organization	ADP of the SNF	NOT APPLICABLE	10/21/2025
Wacaster, Erica	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2014
Wacaster, Erica	Individual	ADP of the SNF	NOT APPLICABLE	10/20/2004

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 give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"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
Quapaw Care and Rehabilitation Center LLC	4.4 mi	Hot Springs, AR	★★★☆☆	3/5
The Blossoms at Hot Springs Rehab and Nursing Cent	7.1 mi	Hot Springs, AR	★★★★★	5/5
The Springs of Red Oak	7.9 mi	Hot Springs, AR	★★★☆☆	3/5
The Pines Nursing and Rehabilitation Center	8.4 mi	Hot Springs, AR	★★★★☆	3/5
The Springs of Park Ave	9.2 mi	Hot Springs, AR	★★★☆☆	3/5
Belvedere Nursing and Rehabilitation Center, LLC	11.0 mi	Hot Springs, AR	★★☆☆☆	2/5
The Blossoms at the Village Rehab & Nursing Center	13.3 mi	Hot Springs, AR	★★★☆☆	4/5
Lake Forest Senior Living at Hot Springs Village	18.9 mi	Hot Springs Village, AR	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Hot Springs →

Facility data as of CMS processing date 2026-08-01. CCN 045445.

The Care File

Visit checklist — Lake Hamilton Health and Rehab

120 Pittman Road, Hot Springs, AR 71913 · 5017677530

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 045445 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)