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Part of chain: SOUTHERN ADMINISTRATIVE SERVICES (35 facilities, chain avg rating 3.8★)
3/5
Health inspection rating (on-site)
inspected Apr 2, 2025
1
Serious findings on record
most recent Aug 29, 2024
$13,863
Fines, last 3 years
4.34
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 20, 2024 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
F · Potential for more than minimal harm, widespread
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. F-0812
E · Potential for more than minimal harm, pattern
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. F-0759
E · Potential for more than minimal harm, pattern
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. F-0803
View all 15 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Apr 2, 2025
F · Potential for more than minimal harm, widespread
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. · F-0812
Apr 2, 2025
E · Potential for more than minimal harm, pattern
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. · F-0759
Apr 2, 2025
E · Potential for more than minimal harm, pattern
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. · F-0803
Apr 2, 2025
D · Potential for more than minimal harm, isolated
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. · F-0880
Aug 29, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0760
Aug 29, 2024
E · Potential for more than minimal harm, pattern
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 · F-0580
Aug 29, 2024
E · Potential for more than minimal harm, pattern
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 · F-0686
Feb 23, 2024
F · Potential for more than minimal harm, widespread
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. · F-0812
Feb 23, 2024
E · Potential for more than minimal harm, pattern
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. · F-0623
Feb 23, 2024
E · Potential for more than minimal harm, pattern
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. · F-0803
Feb 23, 2024
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Dec 9, 2022
E · Potential for more than minimal harm, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Dec 9, 2022
E · Potential for more than minimal harm, pattern
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. · F-0760
Dec 9, 2022
E · Potential for more than minimal harm, pattern
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. · F-0761
Dec 9, 2022
D · Potential for more than minimal harm, isolated
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. · F-0657
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations:
4
Serious citations (G–L):
0
2024
All citations:
7
Serious citations (G–L):
1
2025
All citations:
4
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Aug 29, 2024
Fine
$13,863
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityArkansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.34
Arkansas average:
4.71
U.S. average:
3.95
Registered Nurse hours
This facility:
0.52
Arkansas average:
0.48
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.89
Arkansas average:
4.04
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.04 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for The Pines Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
All 9 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Southern Administrative Services — 35 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Facility data as of CMS processing date 2026-08-01. CCN 045243.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — The Pines Nursing and Rehabilitation Center
524 Carpenter Dam Road, Hot Springs, AR 71901 · (501) 262-4124
Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $13,863
Most serious findings on record:
▲ Aug 29, 2024 (F-0760, Immediate jeopardy, isolated): 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.
Questions for the administrator:
☐ "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?"
☐ "Your weekend nurse staffing is reported below the Arkansas midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 045243 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)