The Cottages at Texarkana
4701 Jefferson Avenue, Texarkana, AR 71854 · Miller County · 140 certified beds · avg 115 residents/day · certified since May 15, 1992
Part of chain: SOUTHERN ADMINISTRATIVE SERVICES (35 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 28, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 11, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Mar 28, 2025 | ▲ G · Actual 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. · from a complaint |
| Mar 28, 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. |
| Mar 28, 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. |
| Mar 28, 2025 | 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. |
| Mar 28, 2025 | 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. |
| Jan 23, 2025 | 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. · from a complaint |
| Jan 23, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jan 23, 2025 | 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. · from a complaint |
| Mar 28, 2024 | 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. |
| Mar 28, 2024 | 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. |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Mar 28, 2024 | 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. |
| Feb 16, 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. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 16, 2023 | 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. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 16, 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. |
| Feb 16, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 5 | 0 | E |
| 2025 | 8 | 1 | G ▲ |
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 $28,022.
| Date | Type | Amount / length |
|---|---|---|
| Mar 28, 2025 | Fine | $28,022 |
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) | 6.48 | 4.71 | 3.95 | top 3% in Arkansas; top 2% in the U.S. |
| Registered Nurse hours | 0.77 | 0.48 | 0.69 | top 8% in Arkansas; top 30% in the U.S. |
| Weekend total nurse staffing | 5.73 | 4.04 | 3.50 | top 2% in Arkansas; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.28 | 0.48 | top 32% in Arkansas; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 46.8 | 49.5 | 45.8 | top 42% in Arkansas; bottom 45% in the U.S. |
| RN turnover (%) | 31.3 | 44.8 | 42.9 | top 30% in Arkansas; top 32% 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 5.12, RN 0.61, weekend 4.53. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/30/2019 |
| Alexark1 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Jej Assets LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Jej Management, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Ponthie, Sharlot | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| 4p2t1 Ops Holding LP | Organization | Limited Partnership Interest | NOT APPLICABLE | 06/30/2019 |
| Ferguson, Clay | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2019 |
| Ferguson, Clay | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2019 |
| Jej Assets LP | Organization | Limited Partnership Interest | NOT APPLICABLE | 06/30/2019 |
| Jej Assets LP | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2019 |
| Milam, Sheila | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2020 |
| Milam, Sheila | Individual | ADP of the SNF | NOT APPLICABLE | 09/03/2020 |
| Ponthie, John | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2019 |
| Ponthie, Sharlot | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Ponthie, Sharlot | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Bailey Creek Health and Rehab | 0.3 mi | Texarkana, AR | ★★☆☆☆ | 2/5 | |
| Heritage Plaza Nursing Center | 1.0 mi | Texarkana, TX | ★★★☆☆ | 3/5 | |
| Avir at Texarkana | 1.2 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Villa at Texarkana | 1.2 mi | Texarkana, TX | ★★★☆☆ | 4/5 | |
| Reunion Plaza Senior Care and Rehabilitation Cente | 1.9 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Cowhorn Creek | 2.8 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| The Springs of Texarkana | 3.3 mi | Texarkana, AR | ★★★★☆ | 3/5 | |
| Cornerstone Retirement Community | 3.7 mi | Texarkana, TX | ★★★★☆ | 3/5 | |
| Avir at Citizens Trail | 3.9 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| Pleasant Manor Nursing & Rehab | 14.6 mi | Ashdown, AR | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045194.