Show Inspection Reports
Total health inspections
5
Arkansas average 4.2
Last Health inspection on Mar 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Hot Springs
CMS overall rating
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.
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.
Belvedere Nursing and Rehabilitation Center, LLC
Nursing Home in Hot Springs
CMS overall rating
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.
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.
Belvedere Nursing and Rehabilitation Center, LLC
Belvedere Nursing and Rehabilitation Center, LLC is located in Hot Springs, Arkansas, on the historic Belvedere Golf Course. It is a skilled nursing and long-term care facility that offers private and semi-private rooms, rehabilitation services, and a secure unit for residents at risk for elopement. The facility provides a variety of activities and fine dining options for residents.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.2%
Residents per day (avg)
117
Occupancy rate
94.2%
Residents per day (avg)
117
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
53% of new residents, often for short stays.
Typical stay
3 months
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$18.8M
Profit
$2.8M
Privately-owned community
Home revenue
$18,755,641.00
Profit
$2,824,079.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.9M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeSkilled Nf With (medicare/medicaid) Beds
CountyGarland
CMS Certification Number045463
Certification TypeXIX/XVIII
Belvedere Nursing and Rehabilitation Center, LLC is administrated by Bobby Lamb.
Owner NameBelvedere Nursing and Rehabilitation Center, LLC
Profit StatusLimited Liability Company
Secured Perimeter
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Fax501-609-9391
Private Rooms
Fine Dining
Social Events
Rehab Gym
24 Hour Nursing Services
Free Wireless Internet
Beauty Salon Services
Laundry And Housekeeping Services
Physician Services 24/7
ActivitiesA glance of our activity calendar will show the wide variety of activities provided for the residents’ enjoyment.
Specific ProgramsLong Term Care, Short Term Rehabilitation, Secure Unit, Activities, Fine Dining
Food DescriptionFine dining with a variety of fresh fruits, vegetables, beautiful desserts, and entrees.
Meals IncludedYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
Health Inspection History
Inspections
Total health citations
25
Arkansas average 21.8
Citations per inspection
5
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 25 citations resulted from standard inspections; and 2 of 25 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
150% worse than Arkansas averageArkansas average: 0.4
Serious Health citations
2
2
900% worse than Arkansas averageArkansas average: 0.2
1 critical citation
2 serious citations
22 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 14, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 14, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 07, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 07, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 07, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 07, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 07, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 07, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Hot Springs The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
Filter by care type
Quapaw Care and Rehabilitation Center, 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.
Hot Springs
126
78.2%
+10%
5.72
+22%
0
25
8.3
0
98
-
Farmer, Cindy
$14.1M
$5.0M
35.1%
45338
Lake Hamilton Health and Rehab
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.
Hot Springs
84
88.5%
+24%
4.72
+1%
0
22
7.3
0
75
-
Levato, Amanda
$13.9M
$3.3M
23.7%
45445
Belvedere Nursing and Rehabilitation Center, 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.
Hot Springs
120
94.2%
+32%
4.66
0%
2
25
5.0
3
117
-
-
$18.8M
$5.3M
28%
45463
Fortress Living
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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
Hot Springs
-
-
-
-
-
0
0
0.0
0
-
1
-
-
-
-
-
The Caring Place of Hot Springs, Inc.
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.
Hot Springs
50
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Places of interest near Belvedere Nursing and Rehabilitation Center, LLC
4.4 miles from city center
2600 Park Ave., Hot Springs, AR 71901
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
162
Employees
137
Contractors
25
Staff to resident ratio
1.36:1
15% worse than Arkansas averageArkansas average ratio: 1.61:1
Avg staff/day
62
Average shift
8.5 hours
6% better than Arkansas averageArkansas average: 8 hours
Total staff hours (quarter)
47,786
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
70
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.7%
2,230 contractor hours this quarter
Speech Language Pathologist: 6
Physical Therapy Aide: 6
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Qualified Social Worker: 2
Occupational Therapy Aide: 1
Clinical Nurse Specialist: 1
Staff by category
| Certified Nursing Assistant | 70 | 0 | 70 | 20,955 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 32 | 0 | 32 | 11,303 | 91 | 100% | 9.8 |
| Medication Aide/Technician | 16 | 0 | 16 | 6,409 | 91 | 100% | 9.2 |
| RN Director of Nursing | 4 | 0 | 4 | 2,167 | 67 | 74% | 8.6 |
| Clinical Nurse Specialist | 2 | 1 | 3 | 1,200 | 91 | 100% | 8.1 |
| Nurse Aide in Training | 5 | 0 | 5 | 889 | 46 | 51% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 621 | 66 | 73% | 9.4 |
| Registered Nurse | 3 | 0 | 3 | 539 | 54 | 59% | 9.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 509 | 69 | 76% | 5.2 |
| Occupational Therapy Aide | 1 | 1 | 2 | 493 | 59 | 65% | 7.7 |
| Speech Language Pathologist | 0 | 6 | 6 | 492 | 73 | 80% | 5.1 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 438 | 65 | 71% | 6.5 |
| Dietitian | 1 | 0 | 1 | 426 | 52 | 57% | 8.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 245 | 54 | 59% | 4.2 |
| Physical Therapy Assistant | 0 | 5 | 5 | 101 | 39 | 43% | 2.2 |
70 Certified Nursing Assistant
% of Days
100%
32 Licensed Practical Nurse
% of Days
100%
16 Medication Aide/Technician
% of Days
100%
4 RN Director of Nursing
% of Days
74%
3 Clinical Nurse Specialist
% of Days
100%
5 Nurse Aide in Training
% of Days
51%
1 Mental Health Service Worker
% of Days
73%
3 Registered Nurse
% of Days
59%
1 Administrator
% of Days
71%
6 Physical Therapy Aide
% of Days
76%
2 Occupational Therapy Aide
% of Days
65%
6 Speech Language Pathologist
% of Days
80%
1 Nurse Practitioner
% of Days
66%
2 Qualified Social Worker
% of Days
71%
1 Dietitian
% of Days
57%
4 Respiratory Therapy Technician
% of Days
59%
5 Physical Therapy Assistant
% of Days
43%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
119 residents
Residents by payment source
Medicare
12 residents (10.1%)
Medicaid
70 residents (58.8%)
Private pay or other
37 residents (31.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
27% better than Arkansas averageArkansas average: 7.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.0
40% better than Arkansas averageArkansas average: 13.3
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
5.7%
Percent of long-stay residents whose need for help with daily activities has increased
5.7%
50% better than Arkansas averageArkansas average: 11.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.5%
Percent of long-stay residents whose ability to move independently worsened
7.5%
44% better than Arkansas averageArkansas average: 13.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.8%
29% better than Arkansas averageArkansas average: 15.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
In line with Arkansas averageArkansas average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.3%
Percent of long-stay high risk residents with pressure ulcers
3.3%
31% better than Arkansas averageArkansas average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Arkansas averageArkansas average: 1.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
49% worse than Arkansas averageArkansas average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
38% better than Arkansas averageArkansas average: 10.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Arkansas averageArkansas average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Arkansas averageArkansas average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.84
Number of hospitalizations per 1,000 long-stay resident days.
1.84
7% better than Arkansas averageArkansas average: 1.97
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
19% better than Arkansas averageArkansas average: 2.18
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
17% better than Arkansas averageArkansas average: 80.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
35% better than Arkansas averageArkansas average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
11% better than Arkansas averageArkansas average: 77.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.9%
15% worse than Arkansas averageArkansas average: 25.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
29% better than Arkansas averageArkansas average: 13.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
27% worse than Arkansas averageArkansas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
48.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.4%
10% worse than Arkansas averageArkansas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
46.4%
Rate of successful return to home or community from a skilled nursing facility.
46.4%
8% worse than Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$209K
716% higher than Arkansas averageArkansas average: $26K
Number of fines
2
36% more fines than Arkansas averageArkansas average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
429% more payment denials than Arkansas averageArkansas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$209K
Arkansas average
$26K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2025
$13K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 13, 2023
$197K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 13, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 13, 2023
26 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Belvedere Nursing and Rehabilitation Center, LLC based on CMS SNF Cost Reports.
Occupancy Rate
94.2%
↑ 24.5pp vs 2022
Net Income
$2,824,079
↑ ~$3.3M vs 2022
Total Payroll
$6,514,684
↑ ~$1.8M vs 2022
Profit Margin
15.1%
↑ 19.3pp vs 2022
Loading trend charts...
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