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Little River Nursing & Rehab
162 Hwy 32-2a, Ashdown, AR 71822 (opens Google Maps) · Little River County · (870) 898-5101· 85 certified beds · avg 77 residents/day · certified since Sep 1, 1994 · 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 →
5/5
Health inspection rating (on-site)
inspected Jun 17, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.49
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: ★★★★★5/5 · CMS overall rating: 5/5 · 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 13 inspection findings. Open the full record below to read every finding.
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
The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. F-0758
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
View all 13 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 |
|---|---|---|
| Jan 24, 2025 | 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 |
| Jan 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Mar 1, 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 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 1, 2024 | 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 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Mar 1, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0805 |
| Mar 1, 2024 | 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 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Mar 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
Inspection trend by year
All citationsSerious citations (G–L)
2024
All citations: 11
Serious citations (G–L): 0
2025
All citations: 2
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 |
|---|---|---|---|
| 2024 | 11 | 0 | F |
| 2025 | 2 | 0 | D |
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: 4.49
Arkansas average: 4.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.44
Arkansas average: 0.48
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.66
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) | 4.49 | 4.71 | 3.95 | bottom 44% in Arkansas; top 23% in the U.S. |
| Registered Nurse hours | 0.44 | 0.48 | 0.69 | bottom 48% in Arkansas; bottom 29% in the U.S. |
| Weekend total nurse staffing | 3.66 | 4.04 | 3.50 | bottom 29% in Arkansas; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.28 | 0.48 | top 47% in Arkansas; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 40.2 | 49.5 | 45.8 | top 23% in Arkansas; top 37% in the U.S. |
| RN turnover (%) | 45.5 | 44.8 | 42.9 | top 50% in Arkansas; bottom 43% 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 3.78, RN 0.37, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.78 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: 2/5 · long-stay residents: 2/5 · 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 Little River Nursing & 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 →
Government - City/county
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Battiest, Dana | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/03/2015 |
| Adams, Judy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/07/2024 |
| Battiest, Dana | Individual | Corporate Director | NOT APPLICABLE | 11/03/2015 |
| Battiest, Dana | Individual | ADP of the SNF | NOT APPLICABLE | 11/03/2015 |
| Bishop, Thad | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/07/2024 |
| Grounds, Kenneth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/07/2024 |
| Henderson, Dorothy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/07/2024 |
| Steed, Karen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/24/2026 |
| Steed, Karen | Individual | Corporate Director | NOT APPLICABLE | 02/24/2026 |
| Steed, Karen | Individual | Corporate Officer | NOT APPLICABLE | 02/24/2026 |
| Steed, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/24/2026 |
| Steed, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 02/24/2026 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
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 show me an example care plan, and how are families included when it's created and updated?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
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 40% 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 |
|---|---|---|---|---|---|
| Pleasant Manor Nursing & Rehab | 0.8 mi | Ashdown, AR | ★★★★★ | 5/5 | |
| Cornerstone Retirement Community | 14.2 mi | Texarkana, TX | ★★★★☆ | 3/5 | |
| Avir at Cowhorn Creek | 14.3 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Reunion Plaza Senior Care and Rehabilitation Cente | 14.5 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| Heritage Plaza Nursing Center | 14.9 mi | Texarkana, TX | ★★★☆☆ | 3/5 | |
| Avir at Texarkana | 14.9 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Villa at Texarkana | 15.1 mi | Texarkana, TX | ★★★☆☆ | 4/5 | |
| The Cottages at Texarkana | 15.3 mi | Texarkana, AR | ★★★☆☆ | 2/5 | |
| Bailey Creek Health and Rehab | 15.6 mi | Texarkana, AR | ★★☆☆☆ | 2/5 | |
| Avir at Citizens Trail | 17.2 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| The Springs of Texarkana | 18.6 mi | Texarkana, AR | ★★★★☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 045244.