5/5
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.
5/5
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.
Peacefully nestled in the serene setting of Mount Ida, AR, Montgomery County Nursing Home is a blissful community that offers skilled nursing. Dedicated to improving residents’ well-being, a kind and highly trained team provides the highest quality of care tailored to their special needs around the clock. With purposely built and secure accommodations, the community ensures retirees feel at ease during their stay.
Medicare and Medicaid are also accepted to ease financial burdens. Rehabilitation services are also provided, including physical, occupational, and speech therapy, to enhance residents’ living experiences. Healthy meals are important for residents’ wellness, so delicious and healthy dining options are served to meet their dietary needs and preferences. The community is ideal for those seeking a wide range of care, especially with its dedicated services and extensive amenities.
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.
| 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.
| 31m per day | ▲ 29% 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.
| 51m per day | ▼ 11% 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.
| 3h 50m per day | ▲ 40% 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.
| 4h 37m per day | ▲ 33% 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 | ▼ 55% 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.
| 29m per day | ▲ 78% 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.
Lower than the Arkansas average: 71.3%Montgomery County Nursing Home is legally operated by County Government, and administered by Tommy Johnston.
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.
| 20 | 21 | This facility has 5% fewer total deficiencies than a typical Arkansas assisted living residence (20 vs. AR avg 21).↓ 5% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 6.7 | 7 | This facility has 4% fewer deficiencies per year than a typical Arkansas assisted living residence (6.7 vs. AR avg 7).↓ 4% 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 May 2025
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.
All 16 citations resulted from standard inspections.
In line with State averageState average: N/A
In line with State averageState 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 averageState average ratio: 0 : 0
0% compared with State averageState 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 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
All 55 CNA Staff are full-time employees. No contractors work on this role.
55
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
581 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 24,208 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,328 | 92 | 100% | 8.4 |
| Registered Nurse | 7 | 0 | 7 | 2,729 | 92 | 100% | 7.7 |
| Administrator | 2 | 0 | 2 | 1,056 | 66 | 72% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 690 | 91 | 99% | 7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Assistant | 1 | 1 | 2 | 420 | 65 | 71% | 5.3 |
| Speech Language Pathologist | 0 | 1 | 1 | 338 | 53 | 58% | 6.4 |
| Qualified Social Worker | 0 | 2 | 2 | 127 | 31 | 34% | 3.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 94 | 19 | 21% | 5 |
| Medical Director | 1 | 0 | 1 | 26 | 6 | 7% | 4.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 17 | 3 | 3% | 5.5 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 16 | 3 | 3% | 5.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
8.5
11% worse than State averageState average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
24% worse than State averageState 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
16.1%
40% worse than State averageState average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
19.9%
49% worse than State averageState average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.4%
11% better than State averageState average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
58% better than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
0.6%
88% better than State averageState average: 4.7%
Percent of long-stay residents with a urinary tract infection
10.3%
700% worse than State averageState average: 1.3%
Percent of long-stay residents who lose too much weight
4.3%
14% better than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
18.0%
72% worse than State averageState average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
5% better than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.25
37% better than State averageState average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.89
59% better than State averageState 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
86.7%
7% better than State averageState average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
80% worse than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.1%
20% better than State averageState average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.0%
9% better than State averageState average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
29% better than State averageState average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
82.1%
53% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.7%
25% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
87% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68Residents 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 Montgomery County Nursing Home from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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).
Building Type: Single-story
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (87% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.2 miles from city center
Estimated distance in miles from Mount Ida's city center to Montgomery County Nursing Home's address, calculated via Google Maps.
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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 |
| Legacy Heights Nursing Home | NH RC SNF | Russellville (West 12Th Street) | - | 107 | A+ | 24 | - |
| Arkansas State Veterans Home | NH AL IL MC | North Little Rock (North Oaks) | - | 96 | - | 16 | - |
| Wood-Lawn Heights | NH AL IL PC SNF | Batesville (College Heights Addition) | - | 159 | - | 34 | - |
| Montgomery County Nursing Home | NH | Mount Ida | - | 112 | - | 8 | - |
Montgomery County Nursing Home is legally operated by County Government, and administered by Tommy Johnston.
Montgomery County Nursing Home has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.
Montgomery County Nursing Home's occupancy is 61%.
Montgomery County Nursing Home is a government-operated nursing facility in AR.
Tommy Johnston is the administrator of Montgomery County Nursing Home.
Montgomery County Nursing Home has 112 beds.
Montgomery County Nursing Home is located at 741 South Drive, Mount Ida, AR 71957.
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