Nightingale at Arkadelphia
2701 Twin Rivers Drive, Arkadelphia, AR 71923 · Clark County · 100 certified beds · avg 77 residents/day · certified since Aug 23, 1999 · 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: NIGHTINGALE (5 facilities, chain avg rating 3.8★)
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 (6)
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 |
|---|---|---|
| Jun 20, 2024 | C · Minimal risk, facility-wide | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Aug 31, 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. |
| Aug 31, 2023 | 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. |
| Aug 31, 2023 | E · Potential for harm, repeated | 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. |
| Aug 31, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Aug 31, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 1 | 0 | C |
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) | 4.02 | 4.71 | 3.95 | bottom 12% in Arkansas; top 39% in the U.S. |
| Registered Nurse hours | 0.60 | 0.48 | 0.69 | top 19% in Arkansas; top 48% in the U.S. |
| Weekend total nurse staffing | 3.71 | 4.04 | 3.50 | bottom 32% in Arkansas; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.28 | 0.48 | top 12% in Arkansas; top 39% in the U.S. |
| Total nursing staff turnover (%) | 39.5 | 49.5 | 45.8 | top 19% in Arkansas; top 35% in the U.S. |
| RN turnover (%) | 23.1 | 44.8 | 42.9 | top 19% in Arkansas; top 18% 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 3.59, RN 0.54, weekend 3.32. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ardj LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 07/01/2022 |
| Cutlass Op Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 45% | 07/01/2022 |
| Barnhill, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
| Barnhill, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2022 |
| Braun, Dov | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
| Isaac, Steven | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
| Jakobowitch, David | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Twin Rivers Rehabilitation and Healthcare Center | 0.3 mi | Arkadelphia, AR | ★★★★☆ | 3/5 |
Compare this facility with the 1 closest →
All facilities in Arkadelphia →
Facility data as of CMS processing date 2026-08-01. CCN 045350.