Quapaw Care and Rehabilitation Center LLC

Name: Quapaw Care and Rehabilitation Center LLC
Address: 138 BRIGHTON TERRACE, Hot Springs, AR, 71913, US
Telephone: 5015257140

138 Brighton Terrace, Hot Springs, AR 71913 · Garland County · 126 certified beds · avg 95 residents/day · certified since Jan 1, 1998

Part of chain: CENTRAL ARKANSAS NURSING CENTERS (38 facilities, chain avg rating 3.6★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.18

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 (25)

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 24, 2025	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.
Jul 24, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jul 24, 2025	E · Potential for harm, repeated	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 24, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 24, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 3, 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.
May 3, 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.
May 3, 2024	E · Potential for harm, repeated	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.
May 3, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 3, 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.
May 3, 2024	D · Potential for harm, one-off	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.
May 3, 2024	D · Potential for harm, one-off	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.
May 3, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 5, 2023	F · Potential for harm, facility-wide	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.
May 5, 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.
May 5, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 5, 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.
May 5, 2023	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.
May 5, 2023	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 5, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
May 5, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
May 5, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 5, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 5, 2023	D · Potential for harm, one-off	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.
May 5, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Worst severity that year
2023	12	F
2024	8	F
2025	5	E

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)	5.18	4.71	3.95	top 20% in Arkansas; top 11% in the U.S.
Registered Nurse hours	0.25	0.48	0.69	bottom 8% in Arkansas; bottom 6% in the U.S.
Weekend total nurse staffing	4.52	4.04	3.50	top 18% in Arkansas; top 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.28	0.48	bottom 20% in Arkansas; bottom 7% in the U.S.
Total nursing staff turnover (%)	43.8	49.5	45.8	top 32% in Arkansas; top 47% in the U.S.
RN turnover (%)	50.0	44.8	42.9	bottom 49% in Arkansas; bottom 39% 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 4.57, RN 0.23, weekend 3.99. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Central Arkansas Nursing Centers INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Ferguson, Clay	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2024
Morris, Troy	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2024
Morris, Troy	Individual	ADP of the SNF	NOT APPLICABLE	10/20/2004
Morton, Michael	Individual	Limited Partnership Interest	NOT APPLICABLE	12/12/2001
Morton, Michael	Individual	ADP of the SNF	NOT APPLICABLE	12/12/2024
Nursing Consultants INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Quapaw Nursing Center INC	Organization	ADP of the SNF	NOT APPLICABLE	12/12/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
The Blossoms at Hot Springs Rehab and Nursing Cent	3.0 mi	Hot Springs, AR	★★★★★	5/5
The Springs of Red Oak	3.5 mi	Hot Springs, AR	★★★☆☆	3/5
The Pines Nursing and Rehabilitation Center	4.1 mi	Hot Springs, AR	★★★★☆	3/5
Lake Hamilton Health and Rehab	4.4 mi	Hot Springs, AR	★★★☆☆	3/5
The Springs of Park Ave	6.5 mi	Hot Springs, AR	★★★☆☆	3/5
Belvedere Nursing and Rehabilitation Center, LLC	8.2 mi	Hot Springs, AR	★★☆☆☆	2/5
The Blossoms at the Village Rehab & Nursing Center	11.1 mi	Hot Springs, AR	★★★☆☆	4/5
Encore Healthcare and Rehabi of Malvern	16.3 mi	Malvern, AR	★★★☆☆	3/5
Arbor Oaks Healthcare and Rehabilitation Center	16.5 mi	Malvern, AR	★★★☆☆	3/5
Lake Forest Senior Living at Hot Springs Village	17.4 mi	Hot Springs Village, AR	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Hot Springs →

Facility data as of CMS processing date 2026-08-01. CCN 045338.

The Care File

Visit checklist — Quapaw Care and Rehabilitation Center LLC

138 Brighton Terrace, Hot Springs, AR 71913 · 5015257140

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

Questions for the administrator:

☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 045338 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)