The Pines Nursing and Rehabilitation Center
524 Carpenter Dam Road, Hot Springs, AR 71901 · Garland County · 125 certified beds · avg 73 residents/day · certified since Sep 1, 1994
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: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Aug 29, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Aug 20, 2024 (Past Non-Compliance)
All citations in the current public record (15)
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 2, 2025 | 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 2, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 2, 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. |
| Apr 2, 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. |
| Aug 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Aug 29, 2024 | 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 |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Feb 23, 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. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 23, 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. |
| Feb 23, 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. |
| Dec 9, 2022 | 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. |
| Dec 9, 2022 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Dec 9, 2022 | 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. |
| Dec 9, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2024 | 7 | 1 | J ▲ |
| 2025 | 4 | 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)
1 fine totaling $13,863.
| Date | Type | Amount / length |
|---|---|---|
| Aug 29, 2024 | Fine | $13,863 |
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) | 4.34 | 4.71 | 3.95 | bottom 33% in Arkansas; top 28% in the U.S. |
| Registered Nurse hours | 0.52 | 0.48 | 0.69 | top 30% in Arkansas; bottom 41% in the U.S. |
| Weekend total nurse staffing | 3.89 | 4.04 | 3.50 | bottom 46% in Arkansas; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.28 | 0.48 | bottom 13% in Arkansas; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 48.4 | 49.5 | 45.8 | bottom 50% in Arkansas; bottom 41% in the U.S. |
| RN turnover (%) | 45.5 | 44.8 | 42.9 | top 50% in Arkansas; bottom 43% 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 4.04, RN 0.48, weekend 3.62. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
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% | 09/01/2019 |
| Jej Assets LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Ponthie, Sharlot | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2022 |
| Alexark1 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Higgs, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/21/2024 |
| Higgs, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/21/2024 |
| Jej Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Ponthie, John | Individual | Corporate Director | NOT APPLICABLE | 09/01/2019 |
| Ponthie, John | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "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 |
|---|---|---|---|---|---|
| The Springs of Red Oak | 1.0 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Blossoms at Hot Springs Rehab and Nursing Cent | 1.5 mi | Hot Springs, AR | ★★★★★ | 5/5 | |
| Quapaw Care and Rehabilitation Center LLC | 4.1 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Springs of Park Ave | 4.8 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| Belvedere Nursing and Rehabilitation Center, LLC | 6.0 mi | Hot Springs, AR | ★★☆☆☆ | 2/5 | |
| Lake Hamilton Health and Rehab | 8.4 mi | Hot Springs, AR | ★★★☆☆ | 3/5 | |
| The Blossoms at the Village Rehab & Nursing Center | 9.0 mi | Hot Springs, AR | ★★★☆☆ | 4/5 | |
| Encore Healthcare and Rehabi of Malvern | 13.1 mi | Malvern, AR | ★★★☆☆ | 3/5 | |
| Arbor Oaks Healthcare and Rehabilitation Center | 13.2 mi | Malvern, AR | ★★★☆☆ | 3/5 | |
| Lake Forest Senior Living at Hot Springs Village | 15.6 mi | Hot Springs Village, AR | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 045243.