How to file a complaint about care →
No fines or payment denials in the published 3-year window.
2701 Twin Rivers Drive, Arkadelphia, AR 71923 (opens Google Maps) · Clark County · (870) 246-5566· 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★)
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.
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
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. F-0582
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 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
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 |
|---|---|---|
| Jun 20, 2024 | C · Potential for minimal harm, widespread | 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. · F-0582 |
| Aug 31, 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 |
| Aug 31, 2023 | 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 |
| Aug 31, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Aug 31, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0919 |
| Aug 31, 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 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 4.02 | 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 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 3.59, RN 0.54, weekend 3.32.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.59 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Nightingale at Arkadelphia. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - 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 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Nightingale — 5 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.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Twin Rivers Rehabilitation and Healthcare Center | 0.3 mi | Arkadelphia, AR | ★★★★☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 045350.
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