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Nursing Home

Lake Hamilton Health and Rehab

Nursing Home

Lake Hamilton Health and Rehab

120 Pittman Rd, Hot Springs, AR 71913 View map
Overview of Lake Hamilton Health and Rehab
Lake Hamilton Health and Rehab is a skilled nursing facility located in Hot Springs, Arkansas. It offers short-term rehabilitation and long-term care services, with a focus on individualized care and a comfortable environment. The facility provides a variety of amenities and activities to enhance the residents' quality of life.
(501) 767-7530

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.
4/5
Arkansas average: 3.2/5
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.
3/5
Arkansas average: 2.9/5
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.
3/5
Arkansas average: 3.3/5
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.
5/5
Arkansas average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 43m per day

This home provides 1% less nursing time per resident than the Arkansas average.

Arkansas average: 4h 45m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 84

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Arkansas average
Occupancy rate 88.5%
Residents per day (avg) 75
Occupancy rate
88.5%
Residents per day (avg)
75

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

69% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

30% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 27 years

Finances and operations

Privately-owned community
Home revenue
$13.9M
Profit
$1.7M
Privately-owned community
Home revenue
$13,872,454.00
Profit
$1,690,107.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
23.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.9M
Total costs $12.2M
Bed community size
84-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License details

Facility type
Skilled Nursing Facility With Dual Certified Beds (medicaid / Medicare)
County: Garland

Additional licensing details

CMS Certification Number: 045445
Certification type: XIX / VIII

Ownership & operating entity

Lake Hamilton Health and Rehab is administrated by Erica Wacaster.

Owner name: Country Club Gardens, LLC
Profit status: Limited Liability Company

Care Services

Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing

Contact Information

Fax: 501-767-7534

Amenities & Lifestyle

Flat screen Television in each room
Private rooms
Fine dining with a variety of fresh fruits
vegetables
beautiful desserts
and entrées
Semi private rooms with a partial dividing wall
provide privacy for each resident
Each resident has their own access to a window
Heating and air controls are provided for each room
Residents are provided with Social Services
daily activities
housekeeping and laundry
and a superior dining experience
Free Wireless Internet
Large Rehab Gym
Physician services 24/7
24 hour RN coverage
Laundry Services
Beauty Salon Services
24 hour nursing services by specialized staff

Programs & Activities

Activities
Activities are individualized based on the resident wishes.
Specific Programs
Skilled Nursing Services, Short Term Rehabilitation, Long Term Care, Activities

Dining & Nutrition

Food Description
Fine dining with a variety of fresh fruits, vegetables, beautiful desserts, and entrées.
Contact Lake Hamilton Health and Rehab

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.

Payment & Funding Options

Medicaid Medicare

Health Inspection History

Inspections
Total health inspections 3

Arkansas average 4.2


Last Health inspection on May 2025

Total health citations 22

Arkansas average 21.8

Citations per inspection
7.33

Arkansas average 5.32


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

All 22 citations resulted from standard inspections.

Breakdown of citation severity (last 3 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

22 moderate citations More info Arkansas average: 20.9

0 minor citations More info Arkansas average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 21, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 21, 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. May 21, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. May 21, 2025
Corrected

Compare Nursing Homes around Hot Springs The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.

5 facilities compared · CMS & AR Dept. of Health data · Updated Mar 2026

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
-35%
+22%
0
25
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
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
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
-
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
-
-
-
-
-
-
-

Places of interest near Lake Hamilton Health and Rehab

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Address 120 Pittman Rd, Hot Springs, AR 71913

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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 141
Employees 117
Contractors 24
Staff to resident ratio 1.96:1
22% better than Arkansas average

Arkansas average ratio: 1.61:1

Avg staff/day 48
Average shift 7.7 hours
0% compared with Arkansas average

Arkansas average: 8 hours

Total staff hours (quarter) 33,453
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 61
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

6.7%

2,249 contractor hours this quarter

Speech Language Pathologist: 7 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 4 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Aide: 1 Clinical Nurse Specialist: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant6106117,05991100%7.4
Licensed Practical Nurse200205,47091100%9.7
Medication Aide/Technician7072,60191100%8.7
RN Director of Nursing4041,5806976%7.7
Nurse Aide in Training110111,0117481%7.4
Registered Nurse6061,0016875%8.5
Physical Therapy Aide0447936774%6.1
Speech Language Pathologist0776746774%4.7
Occupational Therapy Aide1125416167%7.2
Nurse Practitioner1014806066%8
Administrator1014725965%8
Dental Services Staff1014405662%7.9
Dietitian1014185358%7.9
Clinical Nurse Specialist3143944853%7.3
Qualified Social Worker0113086470%4.8
Respiratory Therapy Technician0441314549%2.5
Physical Therapy Assistant044483640%1.3
Occupational Therapy Assistant0112333%7.5
Medical Director0111233%4
61 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
4 RN Director of Nursing
% of Days 76%
11 Nurse Aide in Training
% of Days 81%
6 Registered Nurse
% of Days 75%
4 Physical Therapy Aide
% of Days 74%
7 Speech Language Pathologist
% of Days 74%
2 Occupational Therapy Aide
% of Days 67%
1 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 65%
1 Dental Services Staff
% of Days 62%
1 Dietitian
% of Days 58%
4 Clinical Nurse Specialist
% of Days 53%
1 Qualified Social Worker
% of Days 70%
4 Respiratory Therapy Technician
% of Days 49%
4 Physical Therapy Assistant
% of Days 40%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 3%

Facility Characteristics

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

Total census
72 residents
Residents by payment source
Medicare
18 residents (25%)
Medicaid
47 residents (65.3%)
Private pay or other
7 residents (9.7%)
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.

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. 7.5
In line with 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. 15.9
19% worse than Arkansas average

Arkansas average: 13.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.0%
39% better than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.3%
82% 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 16.3%
8% worse 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 2.1%
47% 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 3.0%
36% better than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
67% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.0%
80% 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 1.2%
88% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
In line with 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%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
23% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
51% better than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 9.2%
88% worse than Arkansas average

Arkansas average: 77.7%

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Financial Aid for Arkansas Seniors

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ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability, Arkansas resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; possible waitlists.

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+, Arkansas resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited direct funding; mostly referral-based.

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+, Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple); spousal rules apply.

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

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

Arkansas Medicaid PACE

Age 55+, Arkansas resident, nursing home-level care, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited geographic availability.

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.

~$1,004/month (individual).

$9,660 (individual), $14,470 (couple).

No nursing home-level care requirement.

Senior Community Service Employment Program (SCSEP)

Arkansas SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Arkansas resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents.