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Lake Hamilton Health and Rehab
120 Pittman Road, Hot Springs, AR 71913 (opens Google Maps) · Garland County · (501) 767-7530· 84 certified beds · avg 75 residents/day · certified since Jul 20, 2011 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CENTRAL ARKANSAS NURSING CENTERS (38 facilities, chain avg rating 3.6★)
3/5
Health inspection rating (on-site)
inspected May 21, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.43
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
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. F-0550
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. F-0812
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. F-0880
View all 22 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| May 21, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| May 21, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| May 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Apr 12, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 12, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Apr 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Apr 12, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Apr 12, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Apr 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Apr 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Apr 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Apr 28, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0695 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0725 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 4).
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 10 | 0 | F |
| 2025 | 4 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityArkansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.43
Arkansas average: 4.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.30
Arkansas average: 0.48
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.40
Arkansas average: 4.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.20 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lake Hamilton Health and Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Central Arkansas Nursing Centers — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Lakewood Health and Rehab, LLC — North Little Rock, AR · overall 4/5
- Legacy Heights Nursing and Rehab, LLC — Russellville, AR · overall 5/5
- Lonoke Health and Rehab Center, LLC — Lonoke, AR · overall 5/5
- Nursing and Rehabilitation Center at Good Shepherd — Little Rock, AR · overall 5/5
- Oak Manor Nursing and Rehabilitation Center INC — Booneville, AR · overall 5/5
- Perry County Nursing and Rehabilitation Center — Perryville, AR · overall 5/5
- Quapaw Care and Rehabilitation Center LLC — Hot Springs, AR · overall 3/5
- Robinson Nursing and Rehabilitation Center LLC — North Little Rock, AR · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Arkansas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 | 8.3 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 |
Facility data as of CMS processing date 2026-08-01. CCN 045445.