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.
Under the leadership of owner Katherine Barnhill, Nightingale at Arkadelphia is a skilled nursing home on Twin Rivers Drive in Arkadelphia, Arkansas. Operated by Courtyard Arkadelphia Healthcare LLC, the community takes Medicare, Medicaid, and private pay, providing many pathways for families to arrange short-term rehabilitation and longer-term nursing care. With 100 beds and a 73 percent occupancy rate, the home focuses on serving residents who need skilled medical support and specialized services.
The facility caters to an array of clinical needs, including short-term rehabilitation, wound care, hospice services, and geriatric care, plus a dedicated memory care unit and on-site dialysis services. This variety of offerings makes Nightingale at Arkadelphia a pragmatic choice for those recovering from surgery, managing a chronic illness, or needing specialized post-hospital care. The average stay is about 163 days, indicating a mix of short-term rehabilitation residents and those remaining for ongoing nursing care. Total daily nursing care averages 4 hours and 17 minutes per resident, comprising registered nurse time, nurse aides, and licensed practical or vocational nurses working all day and night to support residents’ clinical needs. This level of hands-on staffing is central to the home’s ability to handle the resident population’s medical complexity. The community sits in a really walkable neighborhood, scoring 75 out of 100 for walkability, meaning visiting family members can explore the area on foot for most errands. The home offers respite care for families needing temporary placement as they care for loved ones at home. Meals are served in an expansive country dining room.
Securing a safe environment for residents, state inspections indicate the facility has worked to comply with operational and care standards.
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.
| 32m per day | ▲ 33% 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.
| 49m per day | ▼ 15% 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 28m per day | ▼ 9% 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.
| 3h 21m per day | ▼ 4% 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.
| 0m per day | ▼ 100% 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.
| 20m per day | ▲ 25% State avg: 16m per day · National avg: 28m per day |
Similar to the Arkansas average: 71.3%Nightingale At Arkadelphia is legally operated by Courtyard Arkadelphia Healthcare LLC, and administered by Katherine Barnhill.
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.
| 9 | 21 | This facility has 57% fewer total deficiencies than a typical Arkansas assisted living residence (9 vs. AR avg 21).↓ 57% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 3 | 7 | This facility has 57% fewer deficiencies per year than a typical Arkansas assisted living residence (3 vs. AR avg 7).↓ 57% 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 Jun 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.
18 of 21 citations resulted from standard inspections; and 3 of 21 resulted from complaint investigations.
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 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 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.
9.9 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.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
609 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 | 16,820 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,519 | 92 | 100% | 9.9 |
| Registered Nurse | 12 | 0 | 12 | 2,048 | 92 | 100% | 8.1 |
| Clinical Nurse Specialist | 2 | 2 | 4 | 1,131 | 69 | 75% | 7.5 |
| RN Director of Nursing | 2 | 0 | 2 | 977 | 65 | 71% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 57 | 62% | 7.8 |
| Administrator | 1 | 0 | 1 | 439 | 56 | 61% | 7.8 |
| Feeding Assistant | 0 | 1 | 1 | 249 | 45 | 49% | 5.5 |
| Dietitian | 1 | 0 | 1 | 242 | 33 | 36% | 7.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 126 | 20 | 22% | 6.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 26 | 6 | 7% | 4.3 |
| Medical Director | 0 | 1 | 1 | 14 | 3 | 3% | 4.8 |
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.
5.5
28% better than State averageState average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
In line with 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
8.5%
26% better than State averageState average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
11.9%
11% better than State averageState average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.7%
37% worse than State averageState average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
48% better than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
40% better than State averageState average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.4%
68% better than State averageState average: 1.3%
Percent of long-stay residents who lose too much weight
2.3%
54% better than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
2.7%
76% worse than State averageState average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
4.3%
59% better than State averageState average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
14% worse than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with State averageState average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.98
In line with State averageState average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.24
94% worse 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
24.8%
69% worse than State averageState average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
4.2%
174% worse than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.5%
47% worse than State averageState average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.8%
42% worse than State averageState average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
54% worse 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.
56.5%
5% better than State averageState average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents 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 Nightingale At Arkadelphia from 2011–2024, based on CMS SNF Cost Reports.
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).
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 (54% 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 Arkadelphia's city center to Nightingale At Arkadelphia'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.
| Nightingale At Arkadelphia | NH HC MC RC | Arkadelphia | - | 100 | - | 75 | - |
| Barnes Healthcare | NH MC | Lonoke | - | 141 | A+ | 38 | Private / Shared Rooms |
| Timberlane Health & Rehab | NH MC RC | El Dorado | - | 106 | A+ | 33 | - |
| Bear Creek Healthcare LLC | NH | De Queen | - | 131 | - | 35 | - |
| Maple Healthcare | NH | Hazen | - | 70 | - | 21 | Private / Shared Rooms |
Nightingale At Arkadelphia is legally operated by Courtyard Arkadelphia Healthcare LLC, and administered by Katherine Barnhill.
Nightingale At Arkadelphia has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Nightingale At Arkadelphia's occupancy is 73%.
Nightingale At Arkadelphia is registered as a for-profit in AR.
Katherine Barnhill is the administrator of Nightingale At Arkadelphia.
Nightingale At Arkadelphia has 100 beds.
Yes — there are 3 photos of Nightingale At Arkadelphia in the photo gallery on this page.
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