Ashton Place Manor
Nursing Home · Fort Smith, AR
CMS overall rating Info 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.

Ashton Place Manor

Nursing Home · Fort Smith, AR
CMS overall rating Info 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.
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Ashton Place Manor accepts Medicare, Medicaid, and private pay.

Overview of Ashton Place Manor

Ashton Place Health and Rehabilitation is a highly rated nursing home in Barling, AR, that focuses on rehabilitation and long-term care. Here, older adults find luxurious hotel-like accommodations with home-like atmosphere. Alongside its naturally lit spaces, the community provides exceptional services dedicated to residents’ welfare, including 24-hour care, respite care, and rehabilitative services. The community strives to accommodate up to 45 residents, providing them with personalized care plans.

Cooking, art classes, and exercise programs provide residents with more opportunities for leisure and interactions. A state-of-the-art rehabilitation gym, a private dining room for events, and beautiful outdoors also ensures residents can relax and remain active. The area is also surrounded by grocery stores, restaurants, churches, and schools, ensuring residents have easy access to their leisure and necessities. As one of the finest options for senior living in Arkansas, this nursing home has a wide range of care options dedicated to older adults’ well-being.

(479) 452-8181

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 27.0% Above AR avg.
Health Inspection Info 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.
▲ 38.9% Above AR avg.
Staffing Info 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.
▼ 7.7% Below AR avg.
Quality Measures Info 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.
▲ 8.1% Above AR avg.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Arkansas state averages

Total nursing care / resident Info This home is ranked 32nd out of 164 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.
5h 7m per day
Rank #32 / 164Nurse hours — state benchmarkedThis home is ranked 32nd out of 164 homes in Arkansas.Shows adjusted nurse hours per resident per day benchmarked to the Arkansas average, with a ranking across 164 Arkansas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Arkansas avg (4h 45m per day)
vs Arkansas avg
+8%

3 of 6 metrics below state avg

Standout metric Nurse Aide is +25% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 16m per day ▼ 33% State avg: 24m per day · National avg: 41m per day
LPN / LVN Info 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 8m per day ▲ 19% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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 25m per day ▲ 25% State avg: 2h 44m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info 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 44m per day ▲ 7% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▼ 50% State avg: 2m per day · National avg: 4m per day
RN (Weekend) Info 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. 8m per day ▼ 50% State avg: 16m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
135 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

44% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Privately-owned community
Home revenue
$19.3M
Profit
$838.0K
Privately-owned community
Home revenue
$19.3M Rank #5 / 161Revenue — state benchmarkedThis home is ranked 5th out of 161 homes in Arkansas.Shows this facility's annual revenue compared to the Arkansas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$838.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #5 / 161Payroll — state benchmarkedThis home is ranked 5th out of 161 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.
$8.1M
41.8% of revenue Rank #108 / 161Payroll % — state benchmarkedThis home is ranked 108th out of 161 homes in Arkansas.Shows payroll as a percentage of revenue versus the Arkansas average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.4M
Total costs $18.5M
Bed community size
122-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 19 / 100 Rank #46 / 77Walk Score — state benchmarkedThis home is ranked 46th out of 77 homes in Arkansas.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Arkansas SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
77%
Rank #69 / 166Occupancy rate — state benchmarkedThis home is ranked 69th out of 166 homes in Arkansas.Shows this facility's occupancy rate versus the Arkansas average, with its statewide rank out of 166. Higher occupancy signals strong local demand and financial stability.
Higher than the Arkansas average: 71.3%
Occupied beds
94 / 122
Average residents per home in Arkansas 77 per day

License Details

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid / Medicare)
CountySebastian
Business TypeLimited Liability Company
CMS Certification Number45419
Certification TypeXIX/VIII

Ownership & Operating Entity

Ashton Place Manor is legally operated by Ashton Place Health and Rehab, LLC, and administrated by Kristi Terry.

Type Of Units

Medicaid and Medicare
122 units
Total beds
122 units

Contact Information

Fax479-452-8183

Contact Ashton Place Manor

Inspection History

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.

Since 2022 · 4 years of data 18 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, 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.

Since 2022 vs. Arkansas state average
Overall vs. AR average 0 Worse No metrics in this bucket. 2 Better Metrics better than Arkansas average:
• Total deficiencies (14% below)
• Deficiencies per year (15% below)
Latest Inspection March 27, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

MetricThis FacilityAR Averagevs. AR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1821 This facility has 14% fewer total deficiencies than a typical Arkansas nursing home (18 vs. AR avg 21).↓ 14% better
Deficiencies per year Info Average deficiencies per year since 2022. 4.55.3 This facility has 15% fewer deficiencies per year than a typical Arkansas nursing home (4.5 vs. AR avg 5.3).↓ 15% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

This facility’s inspection record is mixed, with repeated deficiencies in infection control, food safety, and failure to follow physician orders. On March 27, 2025, inspectors cited four deficiencies including missed splint treatments, poor hand hygiene, and improper food handling. The January 5, 2024 routine inspection found seven deficiencies involving medication errors, unsafe storage, and damaged equipment, showing ongoing challenges in resident care and safety.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Health Inspection History

Inspections
Total health inspections 4

Arkansas average 4.2


Last Health inspection on Mar 2025

Total health citations
17 Rank #55 / 169Health citations — state benchmarkedThis home is ranked 55th out of 169 homes in Arkansas.Shows this facility's total health deficiency citations benchmarked to the Arkansas state average, with a ranking across all 169 AR SNFs. Lower citation counts earn a better rank.

Arkansas average 21.8

Citations per inspection
4.25 Rank #52 / 169Citations per inspection — state benchmarkedThis home is ranked 52nd out of 169 homes in Arkansas.Shows average deficiency citations per CMS inspection for this facility versus the Arkansas mean across 169 SNFs with citation data. Lower is better.

Arkansas average 5.32


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 17 citations resulted from standard inspections; and 1 of 17 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical Health citations More info
0
100% better than Arkansas average

Arkansas average: 0.4


Serious Health citations More info 0
100% better than Arkansas average

Arkansas average: 0.2

0 critical citations More info Arkansas average: 0.4

0 serious citations More info Arkansas average: 0.2

16 moderate citations More info Arkansas average: 20.9

1 minor citation More info Arkansas average: 0.4
Citations history (last 4 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 27, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 27, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 27, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Jan 05, 2024
Corrected

Financial Assistance for
Nursing Home in Arkansas

Ashton Place Manor is located in Barling, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.

Get Financial aid guidance

ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability
General Arkansas resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Rural focus; possible waitlists.

Benefits
Personal care (5-7 hours/day) Meals ($7/meal) Respite care (240 hours/year) Adult day services ($60/day)

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+
General Arkansas resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AR

Limited direct funding; mostly referral-based.

Benefits
Care coordination Limited respite (up to 5 days/year) Transportation assistance (~5 trips/month)

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+
General Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple); spousal rules apply.
AR

Limited provider network; excludes Level I facilities (no nursing services).

Benefits
Personal care (~5 hours/day) Medication management Nursing Activities Transportation

Program of All-Inclusive Care for the Elderly (PACE)

Arkansas Medicaid PACE

Age 55+
General Arkansas resident, nursing home-level care, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Limited geographic availability.

Benefits
Primary/preventive care Personal care (5-7 hours/day) Meals Transportation Therapy

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Age
General Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.
Income Limits (2025) ~$1,004/month individual
Asset Limits $9,660 (individual), $14,470 (couple).
AR

No nursing home-level care requirement.

Benefits
Personal care (~4-6 hours/day) Homemaker services (e.g., meal prep)

Places of interest near Ashton Place Manor

Address 0.7 miles from city center Info Estimated distance in miles from Barling's city center to Ashton Place Manor's address, calculated via Google Maps. — 2.86 miles to nearest hospital (Mercy Emergency Department - Fort Smith)

Calculate Travel Distance to Ashton Place Manor

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 183
Employees 159
Contractors 24
Staff to resident ratio 1.65:1
0% compared with Arkansas average

Arkansas average ratio: 1.61:1

Avg staff/day 74
Average shift 8.3 hours
0% compared with Arkansas average

Arkansas average: 8 hours

Total staff hours (quarter) 55,747

Nursing staff breakdown

Registered Nurse

Manages medical care and health needs.

Total count 3
Average shift length Info 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.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 89
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

5.5%

3,081 contractor hours this quarter

Speech Language Pathologist: 8 Physical Therapy Aide: 7 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Clinical Nurse Specialist: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Certified Nursing Assistant8908926,54491100%8.1
Licensed Practical Nurse2602611,03091100%9.5
Medication Aide/Technician130136,41291100%9.3
Nurse Aide in Training150152,0558492%7.1
Clinical Nurse Specialist3141,9729099%8.6
Occupational Therapy Aide2131,1166976%8.6
RN Director of Nursing2029346673%7.6
Speech Language Pathologist0889046774%5.8
Physical Therapy Aide0775326976%5.4
Mental Health Service Worker1015216268%8.4
Dietitian1015055965%8.6
Administrator1014725965%8
Physical Therapy Assistant0224476673%6.8
Nurse Practitioner1014405560%8
Dental Services Staff1014345965%7.4
Registered Nurse3034184853%8.2
Qualified Social Worker0223556268%5.3
Other Dietary Services Staff1013514954%7.2
Respiratory Therapy Technician0222846268%4.1
Occupational Therapy Assistant0112333%7.5
89 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
15 Nurse Aide in Training
% of Days 92%
4 Clinical Nurse Specialist
% of Days 99%
3 Occupational Therapy Aide
% of Days 76%
2 RN Director of Nursing
% of Days 73%
8 Speech Language Pathologist
% of Days 74%
7 Physical Therapy Aide
% of Days 76%
1 Mental Health Service Worker
% of Days 68%
1 Dietitian
% of Days 65%
1 Administrator
% of Days 65%
2 Physical Therapy Assistant
% of Days 73%
1 Nurse Practitioner
% of Days 60%
1 Dental Services Staff
% of Days 65%
3 Registered Nurse
% of Days 53%
2 Qualified Social Worker
% of Days 68%
1 Other Dietary Services Staff
% of Days 54%
2 Respiratory Therapy Technician
% of Days 68%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 111
Medicare
18
16.2% of residents
Medicaid
54
48.6% of residents
Private pay or other
39
35.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.9
10% better than Arkansas average

Arkansas average: 7.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.9
11% better than Arkansas average

Arkansas average: 13.3

Long-stay resident measures
Significantly above average Arkansas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.2%
37% better than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.8%
18% worse than Arkansas average

Arkansas average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 12.6%
17% better than Arkansas average

Arkansas average: 15.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
29% better than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.2%
9% worse than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
30% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.2%
70% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Arkansas average

Arkansas average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Arkansas average

Arkansas average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.02
In line with Arkansas average

Arkansas average: 1.97

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.18
In line with Arkansas average

Arkansas average: 2.18

Short-stay resident measures
Below average Arkansas avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
23% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
27% better than Arkansas average

Arkansas average: 77.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 28.1%
12% worse than Arkansas average

Arkansas average: 25.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.4%
19% worse than Arkansas average

Arkansas average: 13.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Arkansas average

Arkansas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 54.4%
In line with Arkansas average

Arkansas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.0%
In line with Arkansas average

Arkansas average: 50.6%

Penalties and fines

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.

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Frequently Asked Questions about Ashton Place Manor

What neighborhood is Ashton Place Manor in?

Ashton Place Manor is in the Barling neighborhood of Barling.

Who is the owner of Ashton Place Manor?

The legal owner and operator of Ashton Place Manor is Ashton Place Health and Rehab, LLC.

Is Ashton Place Manor in a walkable area?

Ashton Place Manor has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Ashton Place Manor?

Ashton Place Manor's occupancy is 77%.

Who is the administrator of Ashton Place Manor?

Kristi Terry is the administrator of Ashton Place Manor.

How many beds does Ashton Place Manor have?

Ashton Place Manor has 122 beds.

What is the phone number of Ashton Place Manor?

(479) 452-8181 will put you in contact with the team at Ashton Place Manor.

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