4/5
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.
4/5
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.
Paralea Hursh owns Johnson County Health and Rehab, a 140-bed facility on East Poplar Street in Clarksville, Arkansas, where Robin Lambert serves as the administrator. The building holds a 76 percent occupancy rate, and residents stay for about 214 days on average. This timeframe shows that the daily routine is split between short-term therapy recovery and permanent residential placements. To cover stay costs, the billing desk processes state Medicaid, traditional Medicare, and standard private pay.
The facility features private and semi-private rooms with personal climate controls, free Wi-Fi, a beauty salon, and a wheelchair-accessible garden with a covered patio. During visits, family members are welcome to share meals with residents in the dining room, and because the area has a walk score of 60, it is easy to cross a few quick errands off your list on foot.
These amenities complement a 24-hour nursing crew that delivers about 5 hours and 11 minutes of direct, hands-on attention to each resident daily, managing everything from regular clinical care and short-term respite stays to physical rehabilitation routines.
Prospective residents can look over the facility’s recent state survey results with the front office, which noted specific compliance issues regarding medication handling, care plan tracking, and resident supervision protocols. Discussing these reports with the staff is a good way to see how they handle everyday building safety and quality control. If the setup fits your needs, you can talk to the intake coordinator during the same conversation to see which rooms are currently available or to find out how the admissions paperwork works.
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.
| 15m per day | ▼ 38% 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.
| 1h 3m per day | ▲ 10% 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.
| 3h 30m per day | ▲ 29% State avg: 2h 43m per day · National avg: 2h 20m 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.
| 4h 16m per day | ▲ 23% 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 | ▼ 56% 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.
| 12m per day | ▼ 26% State avg: 16m per day · National avg: 28m per day |
Higher than the Arkansas average: 71.3%Johnson County Health and Rehab, LLC is legally operated by Johnson County Health and Rehab, LLC, and administered by Robin Lambert.
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.
| 7 | 21 | This facility has 67% fewer total deficiencies than a typical Arkansas assisted living residence (7 vs. AR avg 21).↓ 67% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 2.3 | 7 | This facility has 67% fewer deficiencies per year than a typical Arkansas assisted living residence (2.3 vs. AR avg 7).↓ 67% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 6 citations resulted from standard inspections; and 1 of 6 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 91 CNA Staff are full-time employees. No contractors work on this role.
91
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,833 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 91 | 0 | 91 | 30,979 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 28 | 0 | 28 | 9,500 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 13 | 0 | 13 | 5,854 | 92 | 100% | 8.7 |
| RN Director of Nursing | 4 | 0 | 4 | 1,799 | 74 | 80% | 8.3 |
| Clinical Nurse Specialist | 3 | 1 | 4 | 1,323 | 88 | 96% | 7.8 |
| Nurse Aide in Training | 7 | 0 | 7 | 983 | 85 | 92% | 6.6 |
| Registered Nurse | 3 | 0 | 3 | 847 | 88 | 96% | 8.2 |
| Occupational Therapy Aide | 1 | 1 | 2 | 564 | 75 | 82% | 7 |
| Speech Language Pathologist | 0 | 2 | 2 | 539 | 66 | 72% | 7.7 |
| Dietitian | 1 | 0 | 1 | 507 | 61 | 66% | 8.3 |
| Physical Therapy Aide | 0 | 3 | 3 | 503 | 65 | 71% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 471 | 60 | 65% | 7.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 158 | 67 | 73% | 2.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 105 | 47 | 51% | 2.2 |
| Qualified Social Worker | 0 | 1 | 1 | 66 | 38 | 41% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
| Medical Director | 0 | 1 | 1 | 10 | 3 | 3% | 3.3 |
Includes penalties issued in 2025
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 (Data as of Jan 2026)
68% lower than State averageState average: $26K
32% fewer fines than State averageState average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 12, 2025 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 12, 2025Last updated: Jan 2026
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.
8.0
In line with State averageState average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.2
29% worse than State averageState 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
13.7%
19% worse than State averageState average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
13.2%
In line with State averageState average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.7%
63% worse than State averageState average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
50% better than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
3.5%
25% better than State averageState average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.3%
Percent of long-stay residents who lose too much weight
7.5%
50% worse than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
11.7%
12% worse than State averageState average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.27
36% better than State averageState average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.07
5% better than State averageState 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
100.0%
24% better than State averageState average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
70% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
23% better than State averageState average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
20% better than State averageState average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.2%
10% worse than State averageState average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
27.0%
50% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.4%
8% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents meet regularly to discuss policies, care quality, and activities
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 Johnson County Health and Rehab, LLC 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Clarksville's city center to Johnson County Health and Rehab, LLC's address, calculated via Google Maps.
Add your location
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
| Johnson County Health and Rehab, LLC | NH HC RC | Clarksville | - | 140 | - | 60 | - |
| Butterfield Trail Village | NH AL IL | Fayetteville (East Joyce Boulevard) | - | 87 | A+ | 39 | Studio / 1 Bed / 2 Bed |
| Barnes Healthcare | NH MC | Lonoke | - | 141 | A+ | 38 | Private / Shared Rooms |
| The Green House Cottages of Poplar Grove | NH HC MC RC | Little Rock (Leander) | - | 120 | A+ | 31 | Private Rooms / Semi-Private Rooms |
| Timberlane Health & Rehab | NH MC RC | El Dorado | - | 106 | A+ | 33 | - |
Johnson County Health and Rehab, LLC has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Johnson County Health and Rehab, LLC's occupancy is 76%.
Johnson County Health and Rehab, LLC is registered as a for-profit in AR.
Robin Lambert is the administrator of Johnson County Health and Rehab, LLC.
Johnson County Health and Rehab, LLC has 140 beds.
Yes — there are 5 photos of Johnson County Health and Rehab, LLC in the photo gallery on this page.
Johnson County Health and Rehab, LLC is located at 1451 East Poplar Street, Clarksville, AR 72830.
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