Gosnell Health and Rehab
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Gosnell, AR
CMS overall rating Info 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.

Gosnell Health and Rehab

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Gosnell, AR
CMS overall rating Info 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.
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Gosnell Health and Rehab accepts Medicare, Medicaid, and private pay.

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 11 deficiencies

Inspection Scorecard Info 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.

Since 2022 vs. Arkansas state average
Overall vs. AR average 0 Worse No metrics in this bucket. 1 Better Metrics better than Arkansas average:
• Total deficiencies (48% below)

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

This FacilityAR Averagevs. AR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1121 This facility has 48% fewer total deficiencies than a typical Arkansas nursing home (11 vs. AR avg 21).↓ 48% better

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

  • September 19, 2024 inspection found 4 deficiencies including immediate jeopardy for failing to prevent a serious injury during van wheelchair lift transfer and inadequate staff training.
  • September 29, 2023 routine inspection identified 6 deficiencies involving poor cleanliness, respiratory care, medication management, and failure to notify families after incidents.
  • Facility implemented corrective actions after the September 2024 serious injury, including staff retraining, suspensions, and enhanced monitoring.

Health Inspection History

Inspections since 2022
Total health inspections 3

State average 4.2


Last Health inspection on Sep 2024

Total health citations
10 Rank #10 / 188Health citations — State benchmarkedThis home is ranked 10th out of 188 homes in Arkansas for health citations. Shows this facility's total health deficiency citations benchmarked to the Arkansas State average, with a ranking across all 188 AR facilities. Lower citation counts earn a better rank.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.

State average 21.8

Citations per inspection
3.33 Rank #23 / 188Citations per inspection — State benchmarkedThis home is ranked 23rd out of 188 homes in Arkansas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Arkansas mean across 188 facilities with citation data. Lower is better.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.

State average 5.32


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

9 of 10 citations resulted from standard inspections; and 1 of 10 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
1
150% worse than State average

State average: 0.4


Serious health citations
0
100% better than State average

State average: 0.2

1 critical citation State average: 0.4

0 serious citations State average: 0.2

9 moderate citations State average: 20.9

0 minor citations State average: 0.4
Citations history (last 4 years)
Quality of Care moderate citation Sep 19, 2024
Corrected

Quality of Care critical citation Sep 19, 2024
Corrected

Care Planning moderate citation Sep 19, 2024
Corrected

Nutrition moderate citation Sep 29, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 102
Employees 73
Contractors 29
Staff to resident ratio 2.04 : 1
29% more staff per resident than Arkansas average
Arkansas average ratio: 1.59 : 1 Arkansas average ratio: 1.59 : 1See full Arkansas ranking
Avg staff/day 32
Average shift 7.1 hours
11% worse than Arkansas average
Arkansas average: 8 hours Arkansas average shift: 8 hoursSee full Arkansas ranking
Total staff hours (quarter) 21,020

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 14 LPN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 37 CNA Staff are full-time employees. No contractors work on this role. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.7%

560 contractor hours this quarter

Physical Therapy Aide: 6 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 3 Speech Language Pathologist: 3 Clinical Nurse Specialist: 2 Occupational Therapy Aide: 2 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3703711,37592100%7.1
Licensed Practical Nurse140144,33392100%9.2
Medication Aide/Technician3031,1858592%8
Clinical Nurse Specialist4268288592%5.9
Registered Nurse6067857480%7.5
Administrator1015126470%8
Dietitian1015106773%7.6
Nurse Practitioner1014565762%8
RN Director of Nursing1012903841%7.6
Nurse Aide in Training5052832932%5.7
Physical Therapy Aide0661295863%1.8
Speech Language Pathologist0331095459%2
Physical Therapy Assistant055734246%1.7
Respiratory Therapy Technician066593437%1.7
Occupational Therapy Aide0224189%4.6
Qualified Social Worker033383538%1.1
Occupational Therapy Assistant0111333%4.2
Medical Director011222%1.2
37 Certified Nursing Assistant
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
3 Medication Aide/Technician
% of Days 92%
6 Clinical Nurse Specialist
% of Days 92%
6 Registered Nurse
% of Days 80%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 73%
1 Nurse Practitioner
% of Days 62%
1 RN Director of Nursing
% of Days 41%
5 Nurse Aide in Training
% of Days 32%
6 Physical Therapy Aide
% of Days 63%
3 Speech Language Pathologist
% of Days 59%
5 Physical Therapy Assistant
% of Days 46%
6 Respiratory Therapy Technician
% of Days 37%
2 Occupational Therapy Aide
% of Days 9%
3 Qualified Social Worker
% of Days 38%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 2%

Penalties and fines

Includes penalties issued in 2024

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 $14K Rank #156 / 189Federal fines — State benchmarkedThis home is ranked 156th out of 189 homes in Arkansas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Arkansas average among facilities with fines, and where it ranks among 189 facilities in the pool. Lower total dollars mean a better rank.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.
47% lower than Arkansas average

Arkansas average: $26K

Number of fines 1
32% fewer fines than Arkansas average

Arkansas average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Arkansas average

Arkansas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $14K
Arkansas average $26K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 19, 2024 · $14K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 19, 2024
$14K

Last updated: Jan 2026

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. 15.2
97% worse 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. 20.5
54% worse than Arkansas average

Arkansas average: 13.3

Long-stay resident measures
Below 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 15.8%
37% worse than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 32.7%
145% 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 12.9%
14% 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 4.5%
15% worse than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 11.4%
140% worse than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
9% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.5%
130% worse 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 2.5%
76% 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. 3.31
68% worse than 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. 2.58
18% worse than Arkansas average

Arkansas average: 2.18

Short-stay resident measures
Significantly 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 97.5%
21% 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 91.1%
17% 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. 46.5%
85% worse than Arkansas average

Arkansas average: 25.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.1%
17% 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%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 38.9%
23% worse than Arkansas average

Arkansas average: 50.6%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

56% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 3 years

Facility Characteristics

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

Total residents 50
Medicare
4
8% of residents
Medicaid
38
76% of residents
Private pay or other
8
16% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$5.8M
Net patient income Info 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."
-$405.6K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$5.8M Rank #155 / 184Revenue — State benchmarkedThis home is ranked 155th out of 184 homes in Arkansas for revenue. Shows this facility's annual revenue compared to the Arkansas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$405.6K
Other income Info 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.
$73.2K
Payroll costs Info 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 #160 / 184Payroll — State benchmarkedThis home is ranked 160th 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.
$2.7M 46.9% of net patient revenue Info 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 #99 / 184Payroll % — State benchmarkedThis home is ranked 99th 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.
Other operating costs Info 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).
$3.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.2M

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
108 total

Coverage residents most often arrive under.

Medicare 31%
Private pay 56%
Medicaid 12%
Discharges
108 total

Coverage residents most often leave under.

Medicare 24%
Private pay 59%
Medicaid 17%

Places of interest near Gosnell Health and Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Gosnell's city center to Gosnell Health and Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Gosnell Health and Rehab

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Address

Compare Nursing Homes around the area

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.

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45153
Bear Creek Healthcare LLC
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36.2%
Facility 36.2%
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-45%
5.15
Facility 5.15
AR AVG 4.67
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20
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Cathy Parsons
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Facility $5.5MFiscal year ending 12/2023
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Facility $3.0MFiscal year ending 12/2023
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Facility 55.1%Fiscal year ending 12/2023
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45287
Greenhurst Nursing Center
NH
RC
SNF
Charleston
113
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51.3%
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4.57
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10
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44
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Jonas Schaffer
$9.6MFiscal year ending 06/2024
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45447
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45453
Gosnell Health and Rehab
NH
HOS
MC
PC
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45439

Frequently Asked Questions about Gosnell Health and Rehab

Who is the owner of Gosnell Health and Rehab?

Gosnell Health and Rehab is legally operated by CHC Gosnell Health and Rehab, LLC, and administered by Brad Hartley – Interim.

Is Gosnell Health and Rehab in a walkable area?

Gosnell Health and Rehab has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Gosnell Health and Rehab?

Gosnell Health and Rehab's occupancy is 81%.

Are pets allowed at Gosnell Health and Rehab?

No, Gosnell Health and Rehab has a no-pet policy.

Does Gosnell Health and Rehab operate as a for-profit or non-profit?

Gosnell Health and Rehab is registered as a for-profit in AR.

Who is the administrator of Gosnell Health and Rehab?

Brad Hartley – Interim is the administrator of Gosnell Health and Rehab.

How many beds does Gosnell Health and Rehab have?

Gosnell Health and Rehab has 70 beds.

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