3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Gosnell, Arkansas is home to Gosnell Health and Rehab, a 70-bed care facility on Moody Street owned by Andrea Neil and run by CHC Gosnell Health and Rehab, LLC, with Brad Hartley serving as the interim administrator. The building maintains an 81 percent occupancy rate, and residents typically stay for an average of 184 days. This timeframe indicates that the daily workload balances short-term post-hospital therapy with intermediate residential care.
On the floor, the 24-hour nursing team provides an average of 4 hours and 52 minutes of direct care to each resident daily. This crew of registered nurses, practical nurses, and aides manages physical rehabilitation routines and temporary respite care. The neighborhood has a walk score of 27, meaning visitors will need a vehicle for almost all errands outside the facility.
Older adults looking into local care options can contact the admissions coordinator to check on current bed openings or to learn about the intake requirements. The main office can also review their recent state survey reports, which highlighted issues with staff training, facility cleanliness, respiratory care, medication management, and family communication, allowing you to see how the team manages daily compliance.
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.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
22m per day | ▼ 7% 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.
|
50m per day | ▼ 13% 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 18m per day | ▼ 15% State avg: 2h 43m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
2h 50m per day | ▼ 19% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
|
1m per day | ▼ 68% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
13m per day | ▼ 16% State avg: 16m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Arkansas average: 71.3%
Gosnell Health and Rehab is legally operated by CHC Gosnell Health and Rehab, LLC, and administered by Brad Hartley – Interim.
In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
|
This Facility | AR Average | vs. AR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
11 | 21 | This facility has 48% fewer total deficiencies than a typical Arkansas assisted living residence (11 vs. AR avg 21).↓ 48% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
|
2.8 | 5.3 | This facility has 47% fewer deficiencies per year than a typical Arkansas assisted living residence (2.8 vs. AR avg 5.3).↓ 47% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Sep 2024
State average N/A
State average N/A
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).
In line with State average
State average: N/A
In line with State average
State average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State average
State average ratio: 0 : 0
0% compared with State average
State average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Assists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Helps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
560 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 11,375 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,333 | 92 | 100% | 9.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,185 | 85 | 92% | 8 |
| Clinical Nurse Specialist | 4 | 2 | 6 | 828 | 85 | 92% | 5.9 |
| Registered Nurse | 6 | 0 | 6 | 785 | 74 | 80% | 7.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 510 | 67 | 73% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 290 | 38 | 41% | 7.6 |
| Nurse Aide in Training | 5 | 0 | 5 | 283 | 29 | 32% | 5.7 |
| Physical Therapy Aide | 0 | 6 | 6 | 129 | 58 | 63% | 1.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 109 | 54 | 59% | 2 |
| Physical Therapy Assistant | 0 | 5 | 5 | 73 | 42 | 46% | 1.7 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 59 | 34 | 37% | 1.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 41 | 8 | 9% | 4.6 |
| Qualified Social Worker | 0 | 3 | 3 | 38 | 35 | 38% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.2 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1.2 |
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)
47% lower than State average
State average: $26K
32% fewer fines than State average
State average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State average
State average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 19, 2024 · $14K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 19, 2024
Last updated: Jan 2026
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.
15.2
97% worse than State average
State average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
54% worse than State average
State 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
15.8%
37% worse than State average
State average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
32.7%
145% worse than State average
State average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.9%
14% better than State average
State average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
15% worse than State average
State average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
11.4%
140% worse than State average
State average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.2%
9% better than State average
State average: 1.3%
Percent of long-stay residents who lose too much weight
11.5%
130% worse than State average
State average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State average
State average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
2.5%
76% better than State average
State average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than State average
State average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State average
State average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
3.31
68% worse than State average
State average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.58
18% worse than State average
State 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
97.5%
21% better than State average
State average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State average
State average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.1%
17% better than State average
State average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
46.5%
85% worse than State average
State average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
17% worse than State average
State average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State average
State average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
38.9%
23% worse than State average
State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Gosnell Health and Rehab from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
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.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Gosnell's city center to Gosnell Health and Rehab's address, calculated via Google Maps.
Add your location
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
|
|
|
|
|
|
|
|
|
|---|---|---|---|---|---|---|---|
| Indian Rock Village |
NH
|
Fairfield Bay | - | 55 | - | 11 | Studio / 1 Bed / 2 Bed |
| Bear Creek Healthcare LLC |
NH
|
De Queen | - | 131 | - | 35 | - |
| Heartland Rehabilitation and Care Center |
NH
RC
SNF
|
Benton | - | 119 | A+ | 0 | - |
| Gosnell Health and Rehab |
NH
HOS
MC
PC
RC
SNF
|
Gosnell | - | 70 | - | 27 | - |
| Barnes Healthcare |
NH
MC
|
Lonoke | - | 141 | A+ | 38 | Private / Shared Rooms |
Gosnell Health and Rehab is legally operated by CHC Gosnell Health and Rehab, LLC, and administered by Brad Hartley – Interim.
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.
Gosnell Health and Rehab's occupancy is 81%.
Gosnell Health and Rehab is registered as a for-profit in AR.
Brad Hartley – Interim is the administrator of Gosnell Health and Rehab.
Gosnell Health and Rehab has 70 beds.
Gosnell Health and Rehab is located at 700 Moody Street, Gosnell, AR 72315.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
