Deficiency Index

Quapaw Care and Rehabilitation Center LLC

Hot Springs, Arkansas · CCN 045338

25 surveys since 2010, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
113
Surveys
25
Harm or worse
3
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file22/25

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
126
Ownership
For profit - Corporation
Chain
CENTRAL ARKANSAS NURSING CENTERS
County
Garland
Medicare-certified since
1998

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 85 for-profit facilities of 100–127 beds in Arkansas.

Last survey on record

Jul 24, 2025

473 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.573.91
Registered-nurse hours per resident day0.23—
Annual nurse turnover43.8%49.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1144.0%E1144.0%F312.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 25 of the 113 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8042×

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

In the surveyor’s words

From the most serious findings on record at Quapaw Care and Rehabilitation Center LLC, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812May 3, 2024

    Based on observation, record review and interview, the facility failed to ensure cold food items were not maintained at the required temperatures on the pans of ice by the steam table while awaiting service to prevent potential food borne illness for the residents who received meals from 1 of 1 kitchen, failed to ensure 1 of 2 ice machines was maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received ice from the therapy room on the 500- hall. These failed practices had the potential to affect 87 residents who resided in the facility. The findings are: 1. […]

  • No harm, potential for more than minimal, widespreadF761May 5, 2023

    Based on observation, and interview, the facility failed to ensure refrigerated narcotic medications were stored in a permanently affixed compartment permitting only authorized personnel to have access. This failed practice had the ability to affect 44 residents who resided on the 400, 500 and 600 Halls who received medications from the Medication Room as documented on a list provided by the Administrator on 05/05/23 at 8:42 AM. The findings are: 1. On 05/04/23 at 2:20 PM, the following was observed in the Medication Room for the 400 Hall, 500 Hall and 600 Hall. Upon opening the medication refrigerator, a small locked black box was on the middle shelf. The box was identified as the Emergency Narcotic Box. […]

  • No harm, potential for more than minimal, widespreadF812May 5, 2023

    Based on observation, and interview, the facility failed to ensure food items stored in the refrigerator were covered and sealed; kitchen appliances (deep fryer, ovens, ceiling tiles and the shelf below the deep fryer) were cleaned and free of stains and spills; kitchen dietary staff washed their hands before handling clean equipment or food items to prevent potential for cross contamination for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed /discarded by the expiration or use by dates; walls and door frames were clean, free of debris and stains, to provide a sanitary area for food preparation and prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; and 1 of 2 ice machines were maintained in a clean and… […]

  • No harm, potential for more than minimal, widespreadF812Jan 20, 2022

    Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands and changed gloves before handling food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. This failed practice had the potential to affect 65 residents who received meals from the kitchen (Total Census: 68), according to a list provided by the Dietary Supervisor on 01/20/22 at 10:20 AM. The findings are: 1. On 01/19/22 at 4:00 PM, Dietary Employee #1 wore oven mitts over disposable gloves on his hands to remove 2 pans of [MEDICATION(S)] casserole from the oven and place them on the counter. He removed the mitts and placed them on the counter. […]

  • No harm, potential for more than minimal, patternF803Jul 24, 2025

    Based on observation, record review, interview and facility policy review, the facility failed to ensure meals were prepared and served according to the planned written menus to meet the nutritional needs of the residents for one of one meal observed. Based on observation, record review, interview and facility policy review, the facility failed to ensure meals were prepared and served according to the planned written menus to meet the nutritional needs of the residents for one of one meal observed. […]

Read 23 findings in full →The most serious and the most recent: 23 of 113 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 24, 2025Standard5 findings
  • May 3, 2024Standard8 findings
  • May 5, 2023Standard12 findings
  • Jun 14, 2022Complaint1 finding
  • Jan 20, 2022Standard5 findings
  • Jul 9, 2021Complaint1 finding
  • Nov 20, 2020Standard11 findings
  • Jun 7, 2019Standard6 findings
Show the 17 earlier surveys
  • Aug 3, 2018Standard and complaint17 findings
  • Nov 29, 2017Complaint1 finding
  • Sep 22, 2017Standard3 findings
  • Sep 16, 2016Standard8 findings
  • Jun 30, 2016Complaint1 finding
  • Nov 13, 2015Standard4 findings
  • Jul 24, 2015Complaint1 finding
  • Nov 26, 2014Complaint1 finding
  • Oct 3, 2014Standard5 findings
  • Feb 6, 2014—1 finding
  • Sep 26, 2013—1 finding
  • Aug 2, 2013—5 findings
  • Jul 20, 2012—1 finding
  • Jun 15, 2012—2 findings
  • Dec 27, 2011—1 finding
  • Apr 22, 2011—6 findings
  • Sep 14, 2010—6 findings · 3 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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