1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Clay Ferguson owns, and TXKNC, Inc operates Bailey Creek Health and Rehab, a 115-bed nursing facility on East 42nd Street in Texarkana, Arkansas. The building has been open for 31 years and currently cares for 74 residents, which puts its occupancy level at 64 percent. People stay here for an average of 158 days, a timeline showing that the daily floor routines split attention between short-term therapy recovery and permanent residential care.
The daily routine depends on a 24-hour nursing team that logs an average of 4 hours and 58 minutes of direct, hands-on attention per resident every day. Registered nurses, practical nurses, and assistants use these hours to run clinical treatments alongside specialized physical, occupational, and speech therapy routines. When visiting, keep in mind the neighborhood has a walk score of 65, making it moderately walkable so you can easily handle a few errands on foot, though most trips across town require a car.
State inspectors have previously noted compliance problems at this facility regarding care plan compliance, medication management, environmental maintenance, and infection control. Surveys also flagged issues with general dietary practices and resident privacy rules. Reviewing these older health department logs with the administrator is a direct way to see how the staff handles daily quality control monitoring.
Older adults looking into local care options can check in with the admissions coordinator to look over private room layouts with attached showers or to walk through the standard entry forms. The business office handles stay coverage through traditional Medicare, state Medicaid, or private out-of-pocket funds, and the staff can detail campus features like the enclosed outdoor courtyard with a gazebo, specialized outdoor therapy equipment, and regular group entertainment activities.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▲ 4% State avg: 24m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▼ 11% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 34m per day | ▼ 6% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 3m per day | ▼ 12% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 71% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 15m per day | ▼ 6% State avg: 16m per day · National avg: 29m per day |
Lower than the Arkansas average: 71.3%Bailey Creek Health and Rehab is legally operated by TXKNC, Inc., and administered by Sarah Gaither.
In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AR Average | vs. AR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 35 | 21 | This facility has 67% more total deficiencies than a typical Arkansas nursing home (35 vs. AR avg 21).↑ 67% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 8.8 | 5.3 | This facility has 66% more deficiencies per year than a typical Arkansas nursing home (8.8 vs. AR avg 5.3).↑ 66% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Arkansas average 4.2
Last Health inspection on Sep 2024
Arkansas average 21.8
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
100% better than Arkansas averageArkansas average: 0.4
100% better than Arkansas averageArkansas average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% fewer staff per resident than Arkansas average
11% worse than Arkansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
802 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 17,424 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 17 | 0 | 17 | 4,375 | 92 | 100% | 7.2 |
| Registered Nurse | 4 | 0 | 4 | 1,796 | 92 | 100% | 7.9 |
| RN Director of Nursing | 4 | 0 | 4 | 1,777 | 76 | 83% | 8.5 |
| Nurse Aide in Training | 3 | 0 | 3 | 1,271 | 92 | 100% | 7.2 |
| Clinical Nurse Specialist | 3 | 4 | 7 | 726 | 79 | 86% | 6.3 |
| Dietitian | 1 | 0 | 1 | 544 | 63 | 68% | 8.6 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 489 | 64 | 70% | 7.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 302 | 66 | 72% | 4.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 299 | 66 | 72% | 4.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 69 | 52 | 57% | 1.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 43 | 34 | 37% | 1.2 |
| Qualified Social Worker | 0 | 2 | 2 | 9 | 8 | 9% | 1.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.3
5% better than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.1
9% better than Arkansas averageArkansas average: 13.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.8%
50% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
15.7%
18% worse than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.8%
In line with Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
In line with Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
6.1%
29% worse than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.9%
50% worse than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
5.1%
In line with Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
7.6%
28% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
In line with Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.12
8% worse than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.38
37% better than Arkansas averageArkansas average: 2.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.3%
13% worse than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
13% better than Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.8%
26% worse than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.4%
48% worse than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.2%
21% better than Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.6%
In line with Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Bailey Creek Health and Rehab from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (66% of admissions), and a typical private pay stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Texarkana's city center to Bailey Creek Health and Rehab's address, calculated via Google Maps.
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Bailey Creek Health and Rehab is located in Texarkana, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
Bailey Creek Health and Rehab is in the Downtown neighborhood of Texarkana.
Bailey Creek Health and Rehab is legally operated by TXKNC, Inc., and administered by Sarah Gaither.
Bailey Creek Health and Rehab has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Bailey Creek Health and Rehab's occupancy is 64%.
Bailey Creek Health and Rehab is registered as a for-profit in AR.
Sarah Gaither is the administrator of Bailey Creek Health and Rehab.
Bailey Creek Health and Rehab has 115 beds.
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