Willowbend Health and Rehabilitation, LLC
830 Canal Street, Marion, AR 72364 · Crittenden County · 140 certified beds · avg 110 residents/day · certified since Apr 30, 2006
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)
▲ Immediate jeopardy, one-off · Feb 6, 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 6, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Mar 28, 2024 · 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 (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: Apr 22, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 6, 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 |
| Feb 6, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 6, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 6, 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. |
| Feb 6, 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. · from a complaint |
| Feb 6, 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. · from a complaint |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 28, 2024 | ▲ J · Immediate jeopardy, 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, 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. |
| Mar 28, 2024 | E · Potential for harm, repeated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Mar 28, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 28, 2024 | 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. · from a complaint |
| Mar 28, 2024 | E · Potential for harm, repeated | 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. |
| Mar 28, 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. |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 6, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 6, 2023 | E · Potential for harm, repeated | 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. |
| Jan 6, 2023 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 6, 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. |
| Jan 6, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 10 | 1 | J ▲ |
| 2025 | 7 | 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)
2 fines totaling $30,771, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 6, 2025 | Fine | $15,129 |
| Mar 28, 2024 | Fine | $15,642 |
| Mar 28, 2024 | Payment Denial | 26 days from Apr 26, 2024 |
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) | 4.36 | 4.71 | 3.95 | bottom 35% in Arkansas; top 27% in the U.S. |
| Registered Nurse hours | 0.59 | 0.48 | 0.69 | top 21% in Arkansas; top 49% in the U.S. |
| Weekend total nurse staffing | 3.54 | 4.04 | 3.50 | bottom 21% in Arkansas; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.28 | 0.48 | top 43% in Arkansas; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 34.3 | 49.5 | 45.8 | top 11% in Arkansas; top 22% in the U.S. |
| RN turnover (%) | 27.3 | 44.8 | 42.9 | top 25% in Arkansas; top 24% 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 3.75, RN 0.51, weekend 3.05. 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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | Organization | 5% or Greater Indirect Ownership Interest | — | 08/15/2022 |
| Jej Assets LP | Organization | 5% or Greater Indirect Ownership Interest | — | 08/15/2022 |
| Ponthie, Sharlot | Individual | 5% or Greater Indirect Ownership Interest | — | 08/15/2022 |
| Alexark1 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/15/2022 |
| Ponthie, John | Individual | General Partnership Interest | NOT APPLICABLE | 08/15/2022 |
| Taylor, Jennifer | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/22/2022 |
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?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 Broadway | 3.8 mi | West Memphis, AR | ★★☆☆☆ | 2/5 | |
| The Springs of Avalon | 4.4 mi | West Memphis, AR | ★★☆☆☆ | 2/5 | |
| Harborview Post Acute | 10.4 mi | Memphis, TN | ★★★☆☆ | 2/5 | |
| Midtown Center for Health and Rehabilitation | 12.7 mi | Memphis, TN | ★★☆☆☆ | 3/5 | |
| Majestic Gardens at Memphis Rehab & SNC | 12.7 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| Parkway Health and Rehabilitation Center | 13.2 mi | Memphis, TN | ★★★☆☆ | 3/5 | |
| Graceland Rehabilitation and Nursing Care Center | 16.0 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | SFF |
| Allen Morgan Health and Rehabilitation Center | 16.0 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Highlands Health and Rehabilitation Center | 16.0 mi | Memphis, TN | ★★☆☆☆ | 2/5 | |
| Signature Healthcare of Memphis | 16.1 mi | Memphis, TN | ★★★★★ | 5/5 | |
| Ave Maria Home | 16.1 mi | Bartlett, TN | ★★☆☆☆ | 2/5 | |
| Shelby Oaks Post Acute | 18.3 mi | Memphis, TN | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045412.