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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.
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.
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 64th out of 164 homes in Arkansas.| Staff type | Hours / day | 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.
| 11m per day | ▼ 54% 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 14m per day | ▲ 30% 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 39m per day | ▼ 3% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 19m 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.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 5m per day | ▼ 69% State avg: 16m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
34% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #16 / 161Payroll — state benchmarkedThis home is ranked 16th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Arkansas average: 71.3%Belvedere Nursing and Rehabilitation Center, LLC is administrated by Bobby Lamb.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Arkansas average: 21 deficiencies
This facility’s inspection record is mixed, showing repeated deficiencies in care planning, infection control, and safety that have not fully improved over time. The most recent inspection on March 14, 2025, substantiated a complaint where staff failed to use a gait belt during transfers, causing serious injury to a resident, resulting in one deficiency and staff termination. Prior inspections found multiple deficiencies including an immediate jeopardy for Legionella exposure on October 13, 2023, and ongoing issues with incomplete care plans, unsafe environments, and poor infection prevention.
Arkansas average 4.2
Last Health inspection on Mar 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.
23 of 25 citations resulted from standard inspections; and 2 of 25 resulted from complaint investigations.
150% worse than Arkansas averageArkansas average: 0.4
2
900% worse than Arkansas averageArkansas average: 0.2
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 14, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 07, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 07, 2024
Corrected
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.
Belvedere Nursing and Rehabilitation Center, LLC is located in Hot Springs, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
4.4 miles from city center
Estimated distance in miles from Hot Springs's city center to Belvedere Nursing and Rehabilitation Center, LLC's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
15% worse than Arkansas averageArkansas average ratio: 1.61:1
6% better than Arkansas averageArkansas average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo 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.
9.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Total hours from contractors
2,230 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
119Residents 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.
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.
5.6
27% better than Arkansas averageArkansas average: 7.7
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
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
5.7%
50% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
7.5%
44% better than Arkansas averageArkansas average: 13.4%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
In line with Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
3.3%
31% better than 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
7.5%
49% worse than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
38% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than 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.
1.84
7% better than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
19% better 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
94.8%
17% better than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
35% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
11% better than Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.9%
15% worse than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
29% better than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
27% worse than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.4%
10% worse than Arkansas averageArkansas average: 53.7%
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.
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)
716% higher than Arkansas averageArkansas average: $26K
36% more fines than Arkansas averageArkansas average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Oct 13, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 13, 2023Last updated: Jan 2026
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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 | -35% | +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 | -22% | +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 | -66% | 0% | 2 | 25 | 5.0 | 3 | 117 | - | - | $18.8M | $5.3M | 28% | 45463 | ||||
| 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 | - | - | - | - | - | - | - |
| The Pines Nursing and Rehabilitation Center | - |
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 | 125 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Historical financial and operational data for Belvedere Nursing and Rehabilitation Center, LLC based on CMS SNF Cost Reports.
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