5/5
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.
5/5
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.
Misty French owns Ash Flat Healthcare and Rehabilitation Center, a 105-bed nursing facility run by Sharp SNF Operations, LLC in Ash Flat, Arkansas. The building serves an average resident stay of about 133 days, meaning the day-to-day workload balances short-term post-hospital therapy with intermediate residential care. To process room rates and care costs, the billing desk accepts standard private pay, traditional Medicare, and state Medicaid.
On the floor, the nursing crew delivers an average of 4 hours and 52 minutes of direct care to each resident daily. This 24-hour team of registered nurses, practical nurses, and assistants coordinates physical therapy routines, manages an on-staff doctor, and operates an Enhanced Care Unit for residents with complex clinical needs.
For daily life, the rural campus features whirlpool baths and high-speed internet access. Because the surrounding area requires a vehicle for almost all errands, visiting families will need to drive when traveling to and from the property.
Prospective residents can call the administrative office to ask how the admissions process works or to check on current bed openings. The front desk staff can also provide details on how the team has addressed recent safety surveys from government health inspectors, who previously noted compliance issues here with clinical documentation, medication safety, and care planning processes.
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 51st out of 184 homes in Arkansas for nurse hours. 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.
| 24m per day | ■ Avg 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.
| 56m per day | ■ Avg 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 29m per day | ▼ 9% 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.
| 3h 18m per day | ▼ 5% 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 | ▼ 62% 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.
| 11m per day | ▼ 33% State avg: 16m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Ash Flat Healthcare and Rehabilitation Center is legally operated by Sharp SNF Operations, LLC, and administered by Misty French.
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.
| 18 | 21 | This facility has 14% fewer total deficiencies than a typical Arkansas nursing home (18 vs. AR avg 21).↓ 14% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 4.2
Last Health inspection on Mar 2024
State average 21.8
State average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.
100% better than State averageState average: 0.4
100% better than State averageState average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with 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.
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.
6.6 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 34 CNA Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,642 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 12,195 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 12 | 0 | 12 | 4,513 | 92 | 100% | 9.2 |
| Clinical Nurse Specialist | 4 | 3 | 7 | 1,505 | 91 | 99% | 7.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,168 | 92 | 100% | 11.8 |
| Nurse Practitioner | 3 | 0 | 3 | 533 | 66 | 72% | 7.9 |
| Dietitian | 1 | 0 | 1 | 519 | 64 | 70% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 65 | 71% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 489 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 432 | 66 | 72% | 6.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 407 | 64 | 70% | 6.2 |
| Qualified Social Worker | 0 | 2 | 2 | 163 | 39 | 42% | 4 |
| Registered Nurse | 4 | 0 | 4 | 119 | 13 | 14% | 6.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 68 | 24 | 26% | 2.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 57 | 26 | 28% | 2.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 21 | 3 | 3% | 6.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 3 | 3% | 2.5 |
| Medical Director | 0 | 1 | 1 | 7 | 3 | 3% | 2.3 |
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.
6.6
14% better than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
30% 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
8.6%
25% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
8.0%
40% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
23% better than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
10.8%
174% worse than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.8%
In line with Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
1.0%
80% better than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
6.6%
324% worse than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
1.7%
84% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
In line with Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.11
44% better than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.76
72% worse 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
75.6%
7% worse than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
25% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.1%
8% better than Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.2%
12% better than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
12% better 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.
64.0%
19% better than Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.0%
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.
34% of new residents, usually for short-term rehab.
53% 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
53Residents 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 Ash Flat Healthcare and Rehabilitation Center from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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.
Rank #157 / 184Payroll — State benchmarkedThis home is ranked 157th out of 184 homes in Arkansas for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
Rank #78 / 184Payroll % — State benchmarkedThis home is ranked 78th out of 184 homes in Arkansas for payroll %. Shows payroll as a percentage of revenue versus the Arkansas average. Well-run Arkansas facilities typically land around 48–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 (53% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Ash Flat's city center to Ash Flat Healthcare and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the AR Dept. of Human Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Indian Rock Village | NH | Fairfield Bay | 55
Facility
55
AR AVG
84
Rank
#241 / 329 |
65.5%
Facility
65.5%
AR AVG
65.7
Rank
#91 / 165 | 0% | 4.56
Facility
4.56
AR AVG
4.67
Rank
#83 / 184 | +149% | -2% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 189 | 9
Facility
9
AR AVG
21.8
Rank
#8 / 188 | 3.0
Facility
3.0
AR AVG
5.3
Rank
#13 / 188 | - | 36 | - |
11
Facility
11
AR AVG
34
Rank
#332 / 416 | Edward Holman | $3.9MFiscal year ending 06/2024
Facility
$3.9MFiscal year ending 06/2024
AR AVG
$9.4M
Rank
#175 / 184 | $2.5MFiscal year ending 06/2024
Facility
$2.5MFiscal year ending 06/2024
AR AVG
$3.4M
Rank
#167 / 184 | 63.2%Fiscal year ending 06/2024
Facility
63.2%Fiscal year ending 06/2024
AR AVG
37.9%
Rank
#19 / 184 | 45153 | ||||
| Bear Creek Healthcare LLC | NH | De Queen | 131
Facility
131
AR AVG
84
Rank
#46 / 329 |
36.2%
Facility
36.2%
AR AVG
65.7
Rank
#150 / 165 | -45% | 5.15
Facility
5.15
AR AVG
4.67
Rank
#38 / 184 | -23% | +10% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 189 | 20
Facility
20
AR AVG
21.8
Rank
#86 / 188 | 6.7
Facility
6.7
AR AVG
5.3
Rank
#150 / 188 | - | 47 | - |
35
Facility
35
AR AVG
34
Rank
#193 / 416 | Cathy Parsons | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#92 / 184 | $3.0MFiscal year ending 12/2023
Facility
$3.0MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#156 / 184 | 55.1%Fiscal year ending 12/2023
Facility
55.1%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#175 / 184 | 45287 | ||||
| Greenhurst Nursing Center | NH RC SNF | Charleston | 113
Facility
113
AR AVG
84
Rank
#87 / 329 |
51.3%
Facility
51.3%
AR AVG
65.7
Rank
#131 / 165 | -22% | 4.57
Facility
4.57
AR AVG
4.67
Rank
#83 / 184 | -36% | -2% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 189 | 10
Facility
10
AR AVG
21.8
Rank
#10 / 188 | 3.3
Facility
3.3
AR AVG
5.3
Rank
#23 / 188 | - | 58 | A+ |
44
Facility
44
AR AVG
34
Rank
#137 / 416 | Jonas Schaffer | $9.6MFiscal year ending 06/2024
Facility
$9.6MFiscal year ending 06/2024
AR AVG
$9.4M
Rank
#82 / 184 | $4.9MFiscal year ending 06/2024
Facility
$4.9MFiscal year ending 06/2024
AR AVG
$3.4M
Rank
#49 / 184 | 51.6%Fiscal year ending 06/2024
Facility
51.6%Fiscal year ending 06/2024
AR AVG
37.9%
Rank
#32 / 184 | 45447 | ||||
| Greystone Nursing and Rehab, LLC | NH RC SNF | Cabot | 80
Facility
80
AR AVG
84
Rank
#185 / 329 |
85.0%
Facility
85.0%
AR AVG
65.7
Rank
#25 / 165 | +29% | 4.81
Facility
4.81
AR AVG
4.67
Rank
#58 / 184 | +10% | +3% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 189 | 6
Facility
6
AR AVG
21.8
Rank
#2 / 188 | 3.0
Facility
3.0
AR AVG
5.3
Rank
#13 / 188 | - | 68 | - |
67
Facility
67
AR AVG
34
Rank
#24 / 416 | Austin Wright | $9.3MFiscal year ending 12/2023
Facility
$9.3MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#50 / 184 | $3.9MFiscal year ending 12/2023
Facility
$3.9MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#90 / 184 | 41.6%Fiscal year ending 12/2023
Facility
41.6%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#161 / 184 | 45453 | ||||
| Ash Flat Healthcare and Rehabilitation Center | NH HOS MC PC RC SNF | Ash Flat | 105
Facility
105
AR AVG
84
Rank
#107 / 329 | - | - | 4.87
Facility
4.87
AR AVG
4.67
Rank
#51 / 184 | -10% | +4% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 189 | 18
Facility
18
AR AVG
21.8
Rank
#69 / 188 | 6.0
Facility
6.0
AR AVG
5.3
Rank
#133 / 188 | - | 10 | - |
16
Facility
16
AR AVG
34
Rank
#305 / 416 | Misty French | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#157 / 184 | $2.4MFiscal year ending 12/2023
Facility
$2.4MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#157 / 184 | 38.1%Fiscal year ending 12/2023
Facility
38.1%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#78 / 184 | 45155 |
Ash Flat Healthcare and Rehabilitation Center is legally operated by Sharp SNF Operations, LLC, and administered by Misty French.
Ash Flat Healthcare and Rehabilitation Center has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Ash Flat Healthcare and Rehabilitation Center's occupancy is 54.3%.
No, Ash Flat Healthcare and Rehabilitation Center has a no-pet policy.
Ash Flat Healthcare and Rehabilitation Center is registered as a for-profit in AR.
Misty French is the administrator of Ash Flat Healthcare and Rehabilitation Center.
Ash Flat Healthcare and Rehabilitation Center has 105 beds.
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