2/5
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.
2/5
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.
Find the care you need at Lakewood Therapy and Living Center, an outstanding community in Hot Springs, AR, offering post-hospital care, skilled nursing, and rehabilitation. Committed to residents’ welfare, a kind and highly skilled team provides the highest quality of care tailored to their unique needs around the clock. The community also promotes a nurturing and welcoming environment, ensuring residents feel at ease during their stay.
To ease financial burdens, Medicaid and Medicare are accepted. Therapy services, including physical, occupational, and speech therapy, are also provided to enhance residents’ living experiences. Striving to meet residents’ dietary needs and preferences, delicious and healthy dining options are served. With top-notch services and well-maintained amenities, the community ensures residents have the finest retirement experience.
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 54th out of 191 homes in Arkansas for nurse hours. 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.
| 20m per day | ▼ 18% 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.
| 59m per day | ▲ 3% 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 52m per day | ▲ 5% State avg: 2h 44m per day · National avg: 2h 21m 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.
| 3h 41m per day | ▲ 6% 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 | ▼ 61% 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.
| 17m per day | ▲ 5% State avg: 16m per day · National avg: 29m 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.
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.
| 39 | 21 | This facility has 86% more total deficiencies than a typical Arkansas nursing home (39 vs. AR avg 21).↑ 86% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Arkansas average 4.2
Last Health inspection on Jan 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.
19 of 24 citations resulted from standard inspections; and 5 of 24 resulted from complaint investigations.
150% worse than Arkansas averageArkansas average: 0.4
100% better than Arkansas averageArkansas average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% fewer staff per resident than Arkansas average
0% compared with Arkansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 2 RN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
16 total: 12 full-time employees and 4 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 36 CNA Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
144 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 12,258 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 12 | 4 | 16 | 3,792 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,057 | 91 | 99% | 11.2 |
| RN Director of Nursing | 2 | 0 | 2 | 765 | 67 | 73% | 8.2 |
| Physical Therapy Aide | 3 | 0 | 3 | 556 | 70 | 76% | 6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 545 | 66 | 72% | 8.3 |
| Registered Nurse | 2 | 0 | 2 | 536 | 52 | 57% | 9.5 |
| Nurse Practitioner | 2 | 0 | 2 | 534 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 447 | 50 | 54% | 8.9 |
| Administrator | 2 | 0 | 2 | 412 | 52 | 57% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 333 | 41 | 45% | 8.1 |
| Qualified Social Worker | 2 | 0 | 2 | 266 | 57 | 62% | 3.9 |
| Dental Services Staff | 2 | 0 | 2 | 198 | 25 | 27% | 7.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 131 | 38 | 41% | 3 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 60 | 39 | 42% | 1.5 |
| Physical Therapy Assistant | 1 | 0 | 1 | 56 | 33 | 36% | 1.7 |
| Medical Director | 0 | 1 | 1 | 30 | 11 | 12% | 2.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 6 | 7% | 4.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 25 | 5 | 5% | 5 |
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)
42% lower than Arkansas averageArkansas average: $26K
32% fewer fines than Arkansas averageArkansas 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 Arkansas averageArkansas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 8, 2024 · $15K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 8, 2024Last 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.
7.2
6% better than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.5
6% 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
12.4%
8% worse than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
4.7%
65% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
35% worse than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
73% better than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
11.2%
136% worse 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
6.8%
37% 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
14.0%
34% worse than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
7% worse than Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.64
68% better than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
62% 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
84.5%
In line with Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
13% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
71.4%
8% worse than Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.5%
29% worse than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.0%
6% better than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
100% worse than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.3%
In line with Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
30.0%
41% 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.
14% of new residents, usually for short-term rehab.
80% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
61Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Lakewood Therapy and Living Center from 2012–2023, 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.
Rank #181 / 189Payroll — State benchmarkedThis home is ranked 181st out of 189 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.
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 #15 / 189Payroll % — State benchmarkedThis home is ranked 15th out of 189 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.
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).
Building Type: Single-story
On-site Medical Care and Health Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (80% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.1 miles from city center
Estimated distance in miles from Hot Springs's city center to Lakewood Therapy and Living Center's address, calculated via Google Maps.
Add your location
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.
| Quapaw Care and Rehabilitation Center, LLC | NH RC SNF | Hot Springs | 126
Facility
126
AR AVG
84
Rank
#50 / 329 |
81.0%
Facility
81.0%
AR AVG
65.7
Rank
#40 / 165 | +23% | 5.72
Facility
5.72
AR AVG
4.67
Rank
#24 / 191 | -67% | +22% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 196 | 25
Facility
25
AR AVG
21.8
Rank
#139 / 195 | 8.3
Facility
8.3
AR AVG
5.3
Rank
#176 / 195 | - | 102 | - |
81
Facility
81
AR AVG
34
Rank
#1 / 416 | Cindy Farmer | $12.0MFiscal year ending 12/2023
Facility
$12.0MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#25 / 189 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#34 / 189 | 45.6%Fiscal year ending 12/2023
Facility
45.6%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#120 / 189 | 45338 | ||||
| Lake Hamilton Health and Rehab | NH SNF | Hot Springs | 84
Facility
84
AR AVG
84
Rank
#175 / 329 |
88.2%
Facility
88.2%
AR AVG
65.7
Rank
#15 / 165 | +34% | 4.72
Facility
4.72
AR AVG
4.67
Rank
#77 / 191 | -71% | +1% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 196 | 22
Facility
22
AR AVG
21.8
Rank
#111 / 195 | 7.3
Facility
7.3
AR AVG
5.3
Rank
#165 / 195 | - | 74 | - |
81
Facility
81
AR AVG
34
Rank
#1 / 416 | Amanda Levato | $9.9MFiscal year ending 12/2023
Facility
$9.9MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#27 / 189 | $3.6MFiscal year ending 12/2023
Facility
$3.6MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#88 / 189 | 37%Fiscal year ending 12/2023
Facility
37%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#181 / 189 | 45445 | ||||
| The Springs of Park Avenue | NH HOS MC PC SNF | Hot Springs | 95
Facility
95
AR AVG
84
Rank
#150 / 329 |
80.0%
Facility
80.0%
AR AVG
65.7
Rank
#44 / 165 | +22% | 4.27
Facility
4.27
AR AVG
4.67
Rank
#130 / 191 | +38% | -9% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 196 | 23
Facility
23
AR AVG
21.8
Rank
#121 / 195 | 5.8
Facility
5.8
AR AVG
5.3
Rank
#129 / 195 | - | 76 | - |
17
Facility
17
AR AVG
34
Rank
#304 / 416 | Stacy Luster | $9.4MFiscal year ending 06/2024
Facility
$9.4MFiscal year ending 06/2024
AR AVG
$9.4M
Rank
#93 / 189 | $3.4MFiscal year ending 06/2024
Facility
$3.4MFiscal year ending 06/2024
AR AVG
$3.4M
Rank
#118 / 189 | 36%Fiscal year ending 06/2024
Facility
36%Fiscal year ending 06/2024
AR AVG
37.9%
Rank
#138 / 189 | 45142 | ||||
| Lakewood Therapy and Living Center | NH | Hot Springs | 80
Facility
80
AR AVG
84
Rank
#185 / 329 |
57.5%
Facility
57.5%
AR AVG
65.7
Rank
#116 / 165 | -13% | 4.93
Facility
4.93
AR AVG
4.67
Rank
#54 / 191 | -54% | +6% | $14.9k
Facility
$14.9k
AR AVG
$27.3k
Rank
#168 / 196 | 24
Facility
24
AR AVG
21.8
Rank
#128 / 195 | 4.0
Facility
4.0
AR AVG
5.3
Rank
#46 / 195 | 1 | 46 | A+ |
4
Facility
4
AR AVG
34
Rank
#370 / 416 | - | $4.4MFiscal year ending 12/2023
Facility
$4.4MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#186 / 189 | $2.1MFiscal year ending 12/2023
Facility
$2.1MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#181 / 189 | 47.1%Fiscal year ending 12/2023
Facility
47.1%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#15 / 189 | 45404 | ||||
| Belvedere Nursing and Rehabilitation Center, LLC | NH SNF | Hot Springs | 120
Facility
120
AR AVG
84
Rank
#59 / 329 |
95.0%
Facility
95.0%
AR AVG
65.7
Rank
#5 / 165 | +45% | 4.66
Facility
4.66
AR AVG
4.67
Rank
#77 / 191 | -74% | 0% | $206.9k
Facility
$206.9k
AR AVG
$27.3k
Rank
#196 / 196 | 25
Facility
25
AR AVG
21.8
Rank
#139 / 195 | 5.0
Facility
5.0
AR AVG
5.3
Rank
#91 / 195 | 3 | 114 | - |
0
Facility
0
AR AVG
34
Rank
#402 / 416 | Belvedere Nursing And Rehabilitation Center, LLC | $15.5MFiscal year ending 12/2023
Facility
$15.5MFiscal year ending 12/2023
AR AVG
$9.4M
Rank
#9 / 189 | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
AR AVG
$3.4M
Rank
#24 / 189 | 37.5%Fiscal year ending 12/2023
Facility
37.5%Fiscal year ending 12/2023
AR AVG
37.9%
Rank
#175 / 189 | 45463 |
Lakewood Therapy and Living Center is located in Hot Springs, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
Lakewood Therapy and Living Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
Lakewood Therapy and Living Center's occupancy is 46.0%.
Lakewood Therapy and Living Center has been operating for approximately 54 years, based on available licensing and registration records.
No, Lakewood Therapy and Living Center has a no-pet policy.
Lakewood Therapy and Living Center is registered as a for-profit in AR.
Yes — there are 5 photos of Lakewood Therapy and Living Center in the photo gallery on this page.
Lakewood Therapy and Living Center is located at 260 Lakepark Drive, Hot Springs, AR 71901.
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