Little River County, Arkansas · Nursing home
Little River Nursing & Rehab
5 of 5 overall from CMS
162 Hwy 32-2a, Ashdown, AR 71822
At a glance
- Overall rating 5 of 5 Above the state average of 3.4
- Nurse time per resident, per day 3.78 hours Below the state average of 4.02
- Nursing staff who left in a year 40.2% Below the state average of 49.5%
- Health citations, last 3 inspection cycles 13 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 90.2% of 85 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Little River Nursing & Rehab is a 85-bed nursing home in Ashdown, Arkansas (Little River County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.78 nurse staffing hours per resident per day, below the Arkansas average of 4.02. CMS lists no fines in the past three years.
- Certified beds
- 85
- Residents per day (average)
- 76.7
- Certified since
- 1994 (32 yrs)
Government - City/county Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Little River Nursing & Rehab
Chosen from this home's public data.
- Reported nurse staffing is 3.08 hours per resident on weekends against 3.78 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.37 hours per resident per day; the Arkansas average is 0.41. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Arkansas average 3.4
- Health inspections 5 of 5 Arkansas average 3.2
- Staffing 3 of 5 Arkansas average 3.2
- Quality measures 2 of 5 Arkansas average 3.7
The vertical line marks the Arkansas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.78 h Arkansas average 4.02
- Nurse aides 2.35 h Arkansas average 2.67
- Licensed practical nurses 1.06 h Arkansas average 0.95
- Registered nurses 0.37 h Arkansas average 0.41
- All staff, weekends 3.08 h Arkansas average 3.45
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Arkansas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover40.2%
- Arkansas average49.5%
- Registered nurse turnover45.5%
- Arkansas average44.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Arkansas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Arkansas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 15.1% | 9.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.6% | 4.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 8.7% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 4.9% | 1.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.4% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% | 95.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.4% | 10.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.3% | 21.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.6% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% | 13.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 10.9% | 10.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.89 | 2.01 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.76 | 2.13 | 1.78 |
Short-stay residents
| Measure | This home | Arkansas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.5% | 82.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.9% | 77.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.6% | 24.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 26.3% | 12.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 13 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 17, 2026 | 0 | 0 |
| Jan 24, 2025 | 2 | 0 |
| Mar 1, 2024 | 11 | 1 |
Arkansas homes averaged 2.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (13)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 29, 2025)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Jan 29, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 29, 2024)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 4, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 8, 2024)
Show 8 more
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2024)
-
EPotential for more than minimal harm, pattern
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 29, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 29, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 29, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 19, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 29, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Arkansas homes averaged 0.5 fines and $9,209 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Arkansas
- Size177 of 221 by certified beds
- Arkansas average residents per day77.0
- ChainNone listed
- Resident or family councilResident
- Homes in Little River County2
Common questions
What is the CMS star rating for Little River Nursing & Rehab?
Little River Nursing & Rehab has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 3 and quality measures is 2.
How many beds does Little River Nursing & Rehab have?
Little River Nursing & Rehab has 85 certified beds. It averages 76.7 residents per day, about 90.2% of its certified beds.
How much nursing care do residents get at Little River Nursing & Rehab?
The home reports 3.78 hours of nurse staffing per resident per day, including 0.37 hours from registered nurses. The Arkansas average is 4.02 hours and 0.41 hours from registered nurses.
Has Little River Nursing & Rehab been fined?
CMS lists no fines for this home in the past three years.
Does Little River Nursing & Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Pleasant Manor Nursing & Rehab 88beds 79.8%in use 4.59nurse hours a day
- 4 of 5 Cornerstone Retirement Community 40beds 80.0%in use 4.08nurse hours a day
- 1 of 5 Avir at Cowhorn Creek 76beds 89.2%in use 3.26nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Little River County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 045244. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.