Rector Nursing and Rehab
1023 Highway 119, Rector, AR 72461 · Clay County · 70 certified beds · avg 41 residents/day · certified since Apr 2, 2004
Part of chain: ANTHONY & BRYAN ADAMS (38 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 26, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 26, 2025 (Past Non-Compliance)
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 |
|---|---|---|
| Feb 26, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 13, 2024 | 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. |
| Jun 13, 2024 | 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. |
| Jun 13, 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. |
| Apr 14, 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. |
| Apr 14, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 3 | 0 | E |
| 2025 | 1 | 1 | J ▲ |
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)
1 fine totaling $14,069.
| Date | Type | Amount / length |
|---|---|---|
| Feb 26, 2025 | Fine | $14,069 |
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) | 4.30 | 4.71 | 3.95 | bottom 30% in Arkansas; top 29% in the U.S. |
| Registered Nurse hours | 0.64 | 0.48 | 0.69 | top 16% in Arkansas; top 43% in the U.S. |
| Weekend total nurse staffing | 3.70 | 4.04 | 3.50 | bottom 32% in Arkansas; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.28 | 0.48 | bottom 45% in Arkansas; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 70.6 | 49.5 | 45.8 | bottom 7% in Arkansas; bottom 5% in the U.S. |
| RN turnover (%) | 71.4 | 44.8 | 42.9 | bottom 14% in Arkansas; bottom 11% 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 3.67, RN 0.54, weekend 3.16. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2013 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2013 |
| Cahoone, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/28/2024 |
| Cahoone, Patricia | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2024 |
| Cooper, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Cooper, James | Individual | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Cooper, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Health Care Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Incite Rehab, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Mainord, William | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| McGinnis, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Oliver, Crystal | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/06/2022 |
| Oliver, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/06/2022 |
| Oliver, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 04/06/2022 |
| Pedigo, Rita | Individual | ADP of the SNF | NOT APPLICABLE | 08/10/2005 |
| Pharmacy Consults, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
| Reliance Health Care, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2013 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "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 |
|---|---|---|---|---|---|
| Piggott Healthcare & Senior Living, LLC | 10.1 mi | Piggott, AR | ★☆☆☆☆ | 1/5 | |
| Heritage Nursing Center - Skilled Nursing by Ameri | 11.5 mi | Kennett, MO | ★★★★☆ | 4/5 | |
| NHC Healthcare, Kennett | 12.1 mi | Kennett, MO | ★★★★★ | 5/5 | |
| Greene Acres Nursing Home | 18.1 mi | Paragould, AR | ★★★★☆ | 4/5 | |
| The Green House Cottages of Belle Meade | 19.6 mi | Paragould, AR | ★★★☆☆ | 2/5 | |
| Campbell Healthcare & Senior Living | 19.6 mi | Campbell, MO | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045394.