Little River Nursing & Rehab

Name: Little River Nursing & Rehab
Address: 162 HWY 32-2A, Ashdown, AR, 71822, US
Telephone: 8708985101

162 Hwy 32-2a, Ashdown, AR 71822 · Little River County · 85 certified beds · avg 77 residents/day · certified since Sep 1, 1994

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.49

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (13)

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
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	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.
Mar 1, 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.
Mar 1, 2024	E · Potential for harm, repeated	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
Mar 1, 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.
Mar 1, 2024	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.
Mar 1, 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.
Mar 1, 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.
Mar 1, 2024	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.
Mar 1, 2024	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.
Mar 1, 2024	D · Potential for harm, one-off	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.
Mar 1, 2024	D · Potential for harm, one-off	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.
Mar 1, 2024	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.

Inspection trend by year

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)

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)	4.49	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, 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. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Ashdown →

Facility data as of CMS processing date 2026-08-01. CCN 045244.

The Care File

Visit checklist — Little River Nursing & Rehab

162 Hwy 32-2a, Ashdown, AR 71822 · 8708985101

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

Questions for the administrator:

☐ "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?"
☐ "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 045244 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)