Pleasant Manor Nursing & Rehab
950 Homestead, Ashdown, AR 71822 · Little River County · 88 certified beds · avg 70 residents/day · certified since Dec 1, 1993
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 (9)
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 |
|---|---|---|
| Jul 18, 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. |
| Jul 18, 2024 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jul 18, 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. |
| Jul 18, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 18, 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. |
| Sep 22, 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. |
| Sep 22, 2023 | E · Potential for harm, repeated | 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. |
| Sep 22, 2023 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2024 | 6 | 0 | F |
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) | 5.72 | 4.71 | 3.95 | top 10% in Arkansas; top 6% in the U.S. |
| Registered Nurse hours | 0.84 | 0.48 | 0.69 | top 6% in Arkansas; top 24% in the U.S. |
| Weekend total nurse staffing | 3.89 | 4.04 | 3.50 | bottom 47% in Arkansas; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.28 | 0.48 | top 37% in Arkansas; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 51.8 | 49.5 | 45.8 | bottom 37% in Arkansas; bottom 32% in the U.S. |
| RN turnover (%) | 46.2 | 44.8 | 42.9 | bottom 49% in Arkansas; bottom 42% 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 4.59, RN 0.68, weekend 3.12. 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hill, Lori | Individual | 5% or Greater Direct Ownership Interest | — | 08/01/2011 |
| Pickett, James | Individual | 5% or Greater Direct Ownership Interest | — | 08/01/2011 |
| Hill, Lori | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Little River Nursing & Rehab | 0.8 mi | Ashdown, AR | ★★★★★ | 5/5 | |
| Cornerstone Retirement Community | 13.5 mi | Texarkana, TX | ★★★★☆ | 3/5 | |
| Avir at Cowhorn Creek | 13.6 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Reunion Plaza Senior Care and Rehabilitation Cente | 13.8 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| Heritage Plaza Nursing Center | 14.2 mi | Texarkana, TX | ★★★☆☆ | 3/5 | |
| Avir at Texarkana | 14.2 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Villa at Texarkana | 14.3 mi | Texarkana, TX | ★★★☆☆ | 4/5 | |
| The Cottages at Texarkana | 14.6 mi | Texarkana, AR | ★★★☆☆ | 2/5 | |
| Bailey Creek Health and Rehab | 14.9 mi | Texarkana, AR | ★★☆☆☆ | 2/5 | |
| Avir at Citizens Trail | 16.5 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| The Springs of Texarkana | 17.8 mi | Texarkana, AR | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045227.