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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Van Buren Legacy, LLC has a two-component senior living campus offering independent and assisted living at 1012 Fayetteville Road in Van Buren, Arkansas, in Crawford County. The campus has served the River Valley since 2007 and is administered by LaDonna Syrock under CEO Holli Willis, a Licensed Assisted Living Administrator with nearly four decades of healthcare experience. Two distinct programs under the Van Buren Legacy entity are Legacy Heights, an all-inclusive independent and assisted living community, and Memory Lane, a full-service assisted living center holding an Arkansas-certified Alzheimer’s Special Care Unit designation. The entity is privately owned as a corporation and holds CMS Certification for the 40-bed Memory Lane component, which accepts Medicare, Medicaid, and private pay. Private pay represents 75 percent of admissions with typical stays of one to two months; Medicaid comprises 14 percent, and Medicare 11 percent. At 58.6 percent occupancy, below Arkansas’s 71.3 percent average, availability is generally good. Pricing starts around $3,850 per month per third-party aggregators.
The health inspection record is the most significant concern. Across 6 inspections since 2023, including 8 complaint investigations either standalone or combined with standard surveys, the facility totaled 52 citations against an Arkansas average of 21.8 and a per-inspection rate of 8.67 against a 5.32 state average. One critical citation is on record (Quality of Life & Care category), along with 50 moderate citations and 1 from the Abuse, Neglect, and Exploitation category. The leading deficiency clusters are Quality of Life & Care (13 deficiencies, 25 percent) and Resident Rights (11 deficiencies, 21 percent). The May 2025 inspection cited Infection Control, Quality of Care, and Care Planning violations, all at moderate severity and all corrected. The volume of complaint-triggered inspections, 8 out of 6 survey events, warrants particular attention, as it indicates recurring resident or family concerns being escalated to the state. CMS rates Van Buren Legacy the lowest tier 1 star overall, with all four rating dimensions below the Arkansas average: overall −68.3 percent, health inspection −65.3 percent, staffing −38.5 percent, and quality measures −18.9 percent. Total adjusted nursing hours are 4 hours 12 minutes per resident per day, 12 percent below Arkansas average, with weekend coverage dropping to 3 hours 8 minutes per day. Q2 2025 staffing data shows 151 staff across the 40-bed licensed census, with a staff-to-resident ratio of 1.96:1, nominally above the Arkansas average, though the small census inflates this figure. Of concern is the contractor share: 62 of 151 total staff are contractors, representing 15.3 percent of quarterly hours, with contract CNAs and LPNs covering a substantial portion of direct care shifts.
Legacy Heights provides studio, one-bedroom, and two-bedroom floor plans with an all-inclusive model. It covers utilities, cable, three home-cooked meals daily, housekeeping, laundry, 24-hour security, medication management, social and recreational programs, an on-site hair salon, a library, an event center, and a safe room for inclement weather. Memory Lane’s Alzheimer’s Special Care Unit offers specialized memory care in apartments with living rooms and kitchenettes, 24-hour trained staff, transportation, housekeeping, meals, and Wi-Fi. Family reviews highlight the memory care unit’s well-trained, caring staff and the physical environment quality. The Fayetteville Road location has a walk score of 56, with some walkable services, while Spirit Medical is around 0.4 miles away.
Van Buren Legacy, LLC, Legacy Heights, and Memory Lane may suit families seeking an Alzheimer’s special care environment in Crawford County with an all-inclusive lifestyle model and experienced leadership. However, the facility’s 1-star CMS rating, elevated citation volume, frequency of complaint investigations, and contractor staffing reliance are material factors that families should weigh. Reviewing the full inspection reports through Arkansas DHS and Medicare Care Compare and visiting in person before placement is strongly recommended.
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.
This home is ranked 142nd out of 182 homes in Arkansas. 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 |
|---|---|---|
|
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 8m per day | ▼ 9% State avg: 3h 27m per day · National avg: 3h 25m per day |
Van Buren Legacy, LLC is legally operated by Van Buren Legacy, LLC, and administrated by Ladonna Syrock.
Arkansas average 4.2
Last Health inspection on May 2025
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.
38 of 52 citations resulted from standard inspections; 8 of 52 resulted from complaint investigations; and 6 of 52 came from combined inspections (standard and complaint).
150% worse than Arkansas average
Arkansas average: 0.4
100% better than Arkansas average
Arkansas average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
37% better than Arkansas average
0% compared with Arkansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,557 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 15 | 80 | 19,301 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 22 | 18 | 40 | 6,514 | 92 | 100% | 8.1 |
| RN Director of Nursing | 5 | 0 | 5 | 2,084 | 75 | 82% | 8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,471 | 74 | 80% | 9.6 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,153 | 69 | 75% | 7.2 |
| Clinical Nurse Specialist | 4 | 3 | 7 | 1,094 | 77 | 84% | 7.2 |
| Qualified Social Worker | 0 | 5 | 5 | 627 | 72 | 78% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 597 | 65 | 71% | 8.8 |
| Nurse Practitioner | 1 | 0 | 1 | 536 | 67 | 73% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 480 | 58 | 63% | 8.3 |
| Nurse Aide in Training | 3 | 0 | 3 | 327 | 38 | 41% | 7.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 156 | 40 | 43% | 3.9 |
| Occupational Therapy Aide | 0 | 2 | 2 | 152 | 37 | 40% | 4.1 |
| Registered Nurse | 3 | 0 | 3 | 148 | 18 | 20% | 8.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 107 | 53 | 58% | 2 |
| Medical Director | 1 | 0 | 1 | 78 | 26 | 28% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 38 | 8 | 9% | 4.8 |
| Physician Assistant | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
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)
51% lower than Arkansas average
Arkansas average: $26K
32% fewer fines than Arkansas average
Arkansas 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 Arkansas average
Arkansas average: 0.2
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.
8.4
9% worse than Arkansas average
Arkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
8% better than Arkansas average
Arkansas average: 13.3
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
In line with Arkansas average
Arkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
9.0%
32% better than Arkansas average
Arkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.9%
5% worse than Arkansas average
Arkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
14% worse than Arkansas average
Arkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
6.9%
45% worse than Arkansas average
Arkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.8%
41% better than Arkansas average
Arkansas average: 1.3%
Percent of long-stay residents who lose too much weight
9.9%
98% worse than Arkansas average
Arkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas average
Arkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
17.8%
70% worse than Arkansas average
Arkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Arkansas average
Arkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Arkansas average
Arkansas average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
11% better than Arkansas average
Arkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
39% worse than Arkansas average
Arkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.4%
14% better than Arkansas average
Arkansas average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
11% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77
Residents 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 Van Buren Legacy, LLC based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #80 / 181Payroll — State benchmarkedThis home is ranked 80th out of 181 homes in Arkansas. Shows total annual staff payroll benchmarked to the Arkansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
0.0 miles from city center
Estimated distance in miles from Van Buren's city center to Van Buren Legacy, LLC's address, calculated via Google Maps.
Add your location
Van Buren Legacy, LLC is located in Van Buren, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
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| Butterfield Trail Village |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. |
Fayetteville (East Joyce Boulevard) | 87 | 46.0% | -35% | 7.73 | +19% | +65% | $89.2k | 21 | 3.0 | 3 | 42 | A+ | 39 | Michael Spears | $21.9M | $9.8M | 44.8% | 45125 | ||||
| Van Buren Legacy, LLC |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Van Buren | 40 | 58.6% | -18% | 4.19 | -67% | -10% | $12.6k | 52 | 8.7 | 1 | 80 | - | 56 | Van Buren Legacy, LLC | $10.4M | $4.6M | 44% | 45326 |
Van Buren Legacy, LLC has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Ladonna Syrock is the administrator of Van Buren Legacy, LLC.
Van Buren Legacy, LLC has 40 beds.
Yes — there are 13 photos of Van Buren Legacy, LLC in the photo gallery on this page.
Van Buren Legacy, LLC is located at 1012 Fayetteville Road.
(479) 474-7233 will put you in contact with the team at Van Buren Legacy, LLC.
Van Buren Legacy, LLC is in Crawford County.
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