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B
Good

LITTLE RIVER NURSING & REHAB

162 HWY 32-2A · ASHDOWN, AR 71822

8708985101 · Government - County

85 beds67.3 residents108 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LITTLE RIVER NURSING & REHAB receives an overall staffing grade of B (Good). With 4.3953 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6354 HPRD, below the recommended 0.75. It is 0.50 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 24.56% compared to weekdays. The facility has low agency staff usage (3.36% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6354 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.36%) — mostly permanent, familiar staff
Total Nurse HPRD
4.3953hrs/resident/day▲ 0.50
CMS benchmark: 3.48
RN HPRD
0.6354hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
24.56%
4.7231 weekday → 3.5631 weekend
⚠ Significant weekend reduction
Agency Staff
3.36%
13.59% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.624hrs/resident/day
Direct care aides
LPN HPRD
1.1359hrs/resident/day
Licensed practical nurses
Consistency
0.6376std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Little River County Average+0.14 HPRD
4.25
04.40 HPRD
vs. Arkansas State Average+0.31 HPRD
4.09
04.40 HPRD
vs. National Average+0.50 HPRD
3.90
04.40 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LITTLE RIVER NURSING & REHAB ★
ASHDOWN · This facility
—
B
4.39530.6354★★★★★
PLEASANT MANOR NURSING & REHAB
ASHDOWN
0.8 mi
A
4.10740.8234★★★★★
THE COTTAGES AT TEXARKANA
TEXARKANA
15.3 mi
B
5.30770.6799★★★★☆
BAILEY CREEK HEALTH AND REHAB
TEXARKANA
15.6 mi
C
3.63980.4001★★☆☆☆
THE SPRINGS OF TEXARKANA
TEXARKANA
18.5 mi
F
3.6130.2417★★★★☆
The Blossoms at Nashville Rehab and Nursing Center
NASHVILLE
24.7 mi
F
3.35930.246★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
16
Total Deficiencies
$0
Fines Assessed
Jan 24, 2025Health
2 deficiencies cited
▼
Mar 1, 2024Health
11 deficiencies cited
▼
Dec 30, 2022Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.