Randolph County Nursing Home

Name: Randolph County Nursing Home
Address: 500 CAMP ROAD, Pocahontas, AR, 72455, US
Telephone: 8708925214

500 Camp Road, Pocahontas, AR 72455 · Randolph County · 140 certified beds · avg 128 residents/day · certified since Jul 14, 2011

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.98

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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 (16)

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
Apr 3, 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.
Jan 11, 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.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 11, 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.
Jan 11, 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.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 11, 2024	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.
Jan 11, 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.
Jan 11, 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.
Jan 11, 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.
Jan 11, 2024	D · Potential for harm, one-off	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.
Sep 14, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
Sep 14, 2023	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 13, 2022	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.
Oct 13, 2022	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 1).

Year	Citations	Worst severity that year
2022	2	F
2023	2	E
2024	11	F
2025	1	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)	4.98	4.71	3.95	top 26% in Arkansas; top 13% in the U.S.
Registered Nurse hours	0.82	0.48	0.69	top 6% in Arkansas; top 26% in the U.S.
Weekend total nurse staffing	3.96	4.04	3.50	top 47% in Arkansas; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.28	0.48	top 19% in Arkansas; top 50% in the U.S.
Total nursing staff turnover (%)	40.1	49.5	45.8	top 22% in Arkansas; top 37% in the U.S.
RN turnover (%)	11.1	44.8	42.9	top 5% in Arkansas; top 4% 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 4.02, RN 0.66, weekend 3.20. Staffing rating: 5/5.

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: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Saylors, Paula	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2006
Saylors, Paula	Individual	ADP of the SNF	NOT APPLICABLE	04/08/2025
Sullivan, Dawn	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2019
Wicker, Ben	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023

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?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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?"
"Where do you post your daily staffing numbers, and can I see today's?"
"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
Pocahontas Healthcare and Rehabilitation Center	0.2 mi	Pocahontas, AR	★★★☆☆	3/5
The Green House Cottages of Walnut Ridge	14.9 mi	Walnut Ridge, AR	★★★★★	5/5
Lawrence Hall Health & Rehabilitation	15.2 mi	Walnut Ridge, AR	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Pocahontas →

Facility data as of CMS processing date 2026-08-01. CCN 045443.

The Care File

Visit checklist — Randolph County Nursing Home

500 Camp Road, Pocahontas, AR 72455 · 8708925214

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "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?"

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 045443 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)