Nightingale At Arkadelphia

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Arkadelphia, AR

CMS overall rating

2701 Twin Rivers Dr, Arkadelphia, AR 71923 View map

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Nightingale At Arkadelphia accepts Medicare, Medicaid, and private pay.

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Nightingale At Arkadelphia accepts Medicare, Medicaid, and private pay.

Overview of Nightingale at Arkadelphia

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.

Facility Direct Line (870) 246-5566 info@nightingalenrc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Arkansas state averages

Total nursing care / resident

4h 17m per day

This facility Arkansas avg (4h 40m per day)

vs Arkansas avg

-8%

4 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +33% above state avg

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

Capacity and availability

163 days

100-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 75 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

73%

Similar to the Arkansas average: 71.3%

Occupied beds

73 / 100

Average occupied beds in Arkansas homes 77 beds

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid / Medicare)

CountyClark

CMS Certification Number045350

Certification TypeMedicaid / Medicare

Nightingale At Arkadelphia is legally operated by Courtyard Arkadelphia Healthcare LLC, and administered by Katherine Barnhill.

Owner NameCourtyard Arkadelphia Healthcare LLC

Profit StatusFor-profit

Medicaid and Medicare

100 units

Total beds

100 units

Rehabilitation Services

Respite Care

Short-Term Rehab

Personal Care

Short Term Rehabilitation

Short Term Respite Care

Fax870-245-3005

Pets not allowed

Religious Services

Since 2023 · 3 years of data 9 deficiencies

Inspection Scorecard 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.

Since 2023 vs. Arkansas state average

Overall vs. AR average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 nursing home (9 vs. AR avg 21).↓ 57% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

July 11, 2023 complaint investigation substantiated verbal and physical abuse by staff, failure to monitor a resident during breathing treatments, and multiple food safety violations.
August 31, 2023 inspection found five deficiencies including unrepaired water damage, incomplete fall prevention, poor nail care, unsanitary food storage, and missing call devices.
September 18, 2025 annual inspection found no health deficiencies and no complaints.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average 4.2

Last Health inspection on Jun 2024

Total health citations

State average 21.8

Citations per inspection

5.25

State average 5.32

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.

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than State average

State average: 0.4

Serious health citations

100% better than State average

State average: 0.2

0 critical citations State average: 0.4

0 serious citations State average: 0.2

21 moderate citations State average: 20.9

0 minor citations State average: 0.4

Citations history (last 4 years)

Resident Rights moderate citation Jun 20, 2024

Corrected

Environmental moderate citation Aug 31, 2023

Corrected

Nutrition moderate citation Aug 31, 2023

Corrected

Quality of Care moderate citation Aug 31, 2023

Corrected

Total staff 95

Employees 88

Contractors 7

Staff to resident ratio 1.28 : 1

19% fewer staff per resident than Arkansas average

Avg staff/day 36

Average shift 8.3 hours

0% compared with Arkansas average

Total staff hours (quarter) 27,518

Nursing staff breakdown

8.1 hours

9.9 hours

8.1 hours

Contractor staffing

609 contractor hours this quarter

Clinical Nurse Specialist: 2 Occupational Therapy Assistant: 2 Feeding Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category


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

55 Certified Nursing Assistant

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

12 Registered Nurse

% of Days 100%

4 Clinical Nurse Specialist

% of Days 75%

2 RN Director of Nursing

% of Days 71%

1 Dental Services Staff

% of Days 66%

1 Nurse Practitioner

% of Days 62%

1 Administrator

% of Days 61%

1 Feeding Assistant

% of Days 49%

1 Dietitian

% of Days 36%

1 Occupational Therapy Aide

% of Days 22%

2 Occupational Therapy Assistant

% of Days 7%

1 Medical Director

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 5.5

28% better than Arkansas average

Arkansas average: 7.7

Functional decline score 13.7

In line with Arkansas average

Arkansas average: 13.3

Long-stay resident measures

Significantly above average Arkansas avg: 4.2

Need for Help with Daily Activities Increased 8.5%

26% better than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened 11.9%

11% better than Arkansas average

Arkansas average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence 20.7%

37% worse than Arkansas average

Arkansas average: 15.1%

Falls with Major Injury 2.0%

48% better than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers 2.9%

40% better than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection 0.4%

68% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight 2.3%

54% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms 2.7%

76% worse than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use 4.3%

59% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine 81.3%

14% worse than Arkansas average

Arkansas average: 94.4%

Influenza Vaccine 97.1%

In line with Arkansas average

Arkansas average: 96.2%

Hospitalizations per 1,000 days 1.98

In line with Arkansas average

Arkansas average: 1.97

ED visits per 1,000 days 4.24

94% worse than Arkansas average

Arkansas average: 2.18

Short-stay resident measures

Significantly below average Arkansas avg: 2.7

Pneumococcal Vaccine 24.8%

69% worse than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase 4.2%

174% worse than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine 41.5%

47% worse than Arkansas average

Arkansas average: 77.7%

Re-hospitalized after SNF stay 35.8%

42% worse than Arkansas average

Arkansas average: 25.2%

Emergency department visits 21.3%

54% worse than Arkansas average

Arkansas average: 13.8%

Falls with major injury 0.0%

100% better than Arkansas average

Arkansas average: 0.8%

Ability to care for self at discharge 56.5%

5% better than Arkansas average

Arkansas average: 53.7%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

54% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 74

Medicare

5.4% of residents

Medicaid

62.2% of residents

Private pay or other

32.4% of residents

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.

Financial Trends

Historical financial and operational data for Nightingale At Arkadelphia from 2011–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 72.5% ↑ 5.6pp vs 2023

Net Patient Income $158.2K ↑ ~$560.3K vs 2023

Payroll Costs $3.8M ↑ ~$773.9K vs 2023

Operating Margin 1.9% ↑ 8.1pp vs 2023

Metric	2011	2012	2013	2014	2016	2017	2018	2019	2020	2021	2023	2024
Occupancy %	96.7%	87.0%	84.8%	83.8%	78.3%	73.5%	76.9%	77.4%	78.0%	67.5%	67.0%	72.5%
Beds	100	100	100	100	100	100	100	100	100	100	100	100
Net Income	$315,796	$250,033	$480,335	-$467,753	-$293,278	-$308,227	-$148,135	-$288,908	$365,158	-$155,161	-$401,453	$158,978
Gross Revenue	$6,283,200	$6,219,644	$6,218,410	$5,932,087	$6,537,557	$6,089,939	$5,860,340	$5,938,478	$6,236,594	$5,569,552	$6,886,479	$8,550,852
Operating Expenses	$6,666,989	$6,485,991	$6,341,479	$6,434,480	$6,831,648	$6,399,981	$6,033,219	$6,345,983	$7,122,211	$6,735,087	$6,970,012	$8,056,239
Net Patient Income	$310,869	$244,664	$477,115	-$403,280	-$294,091	-$310,042	-$172,879	-$407,505	-$885,617	-$1,165,535	-$402,141	$158,154
Net Patient Revenue	$6,977,858	$6,730,655	$6,818,594	$6,031,200	$6,537,557	$6,089,939	$5,860,340	$5,938,478	$6,236,594	$5,569,552	$6,567,871	$8,214,393
Payroll Costs	$3,108,126	$2,848,427	$2,768,472	$2,773,178	$3,198,377	$2,786,739	$2,784,598	$2,894,687	$3,236,266	$3,330,757	$3,015,807	$3,789,731
Operating Margin %	4.5%	3.6%	7.0%	-6.7%	-4.5%	-5.1%	-3.0%	-6.9%	-14.2%	-20.9%	-6.1%	1.9%
Medicare %	13.0%	13.3%	14.4%	9.1%	8.6%	6.0%	8.5%	6.2%	6.6%	7.4%	9.1%	5.8%
Medicaid %	0.0%	0.0%	0.0%	62.6%	68.9%	68.1%	71.7%	74.3%	74.1%	76.8%	65.2%	67.0%
Private %	87.0%	86.7%	85.6%	28.3%	22.5%	25.9%	19.8%	19.5%	19.3%	15.8%	25.7%	27.2%
Net Patient Revenue/Day	$198	$211	$220	$197	$228	$229	$209	$210	$218	$226	$269	$309
Cost/Day	$189	$204	$205	$210	$238	$241	$215	$225	$250	$274	$285	$303
Avg Length of Stay	309.5 days	218.1 days	173.9 days	177.8 days	95.8 days	106.2 days	262.2 days	199.0 days	228.4 days	228.0 days	133.5 days	162.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$8.2M

Net patient income

$158.2K

For-profit Operated by a business corporation.

Net patient revenue

$8.2M

Net patient income

$158.2K

Other income

$824

Payroll costs

$3.8M 46.1% of net patient revenue

Other operating costs

$4.3M

Total costs

$8.1M

TYPE OF STAY

Mix of rehab and long-term care

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.

Medicare 24%

Private pay 54%

Medicaid 23%

Coverage residents most often leave under.

Medicare 18%

Private pay 50%

Medicaid 32%

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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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.


Indian Rock Village	NH	Fairfield Bay	55 Facility 55 AR AVG 84 Rank #241 / 329	65.5% Facility 65.5% AR AVG 65.7 Rank #91 / 165	0%	4.56 Facility 4.56 AR AVG 4.67 Rank #83 / 184	+149%	-2%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	9 Facility 9 AR AVG 21.8 Rank #8 / 188	3.0 Facility 3.0 AR AVG 5.3 Rank #13 / 188	-	36	-	11 Facility 11 AR AVG 34 Rank #332 / 416	Edward Holman	$3.9MFiscal year ending 06/2024 Facility $3.9MFiscal year ending 06/2024 AR AVG $9.4M Rank #175 / 184	$2.5MFiscal year ending 06/2024 Facility $2.5MFiscal year ending 06/2024 AR AVG $3.4M Rank #167 / 184	63.2%Fiscal year ending 06/2024 Facility 63.2%Fiscal year ending 06/2024 AR AVG 37.9% Rank #19 / 184	45153
Bear Creek Healthcare LLC	NH	De Queen	131 Facility 131 AR AVG 84 Rank #46 / 329	36.2% Facility 36.2% AR AVG 65.7 Rank #150 / 165	-45%	5.15 Facility 5.15 AR AVG 4.67 Rank #38 / 184	-23%	+10%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	20 Facility 20 AR AVG 21.8 Rank #86 / 188	6.7 Facility 6.7 AR AVG 5.3 Rank #150 / 188	-	47	-	35 Facility 35 AR AVG 34 Rank #193 / 416	Cathy Parsons	$5.5MFiscal year ending 12/2023 Facility $5.5MFiscal year ending 12/2023 AR AVG $9.4M Rank #92 / 184	$3.0MFiscal year ending 12/2023 Facility $3.0MFiscal year ending 12/2023 AR AVG $3.4M Rank #156 / 184	55.1%Fiscal year ending 12/2023 Facility 55.1%Fiscal year ending 12/2023 AR AVG 37.9% Rank #175 / 184	45287
Greenhurst Nursing Center	NH RC SNF	Charleston	113 Facility 113 AR AVG 84 Rank #87 / 329	51.3% Facility 51.3% AR AVG 65.7 Rank #131 / 165	-22%	4.57 Facility 4.57 AR AVG 4.67 Rank #83 / 184	-36%	-2%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	10 Facility 10 AR AVG 21.8 Rank #10 / 188	3.3 Facility 3.3 AR AVG 5.3 Rank #23 / 188	-	58	A+	44 Facility 44 AR AVG 34 Rank #137 / 416	Jonas Schaffer	$9.6MFiscal year ending 06/2024 Facility $9.6MFiscal year ending 06/2024 AR AVG $9.4M Rank #82 / 184	$4.9MFiscal year ending 06/2024 Facility $4.9MFiscal year ending 06/2024 AR AVG $3.4M Rank #49 / 184	51.6%Fiscal year ending 06/2024 Facility 51.6%Fiscal year ending 06/2024 AR AVG 37.9% Rank #32 / 184	45447
Greystone Nursing and Rehab, LLC	NH RC SNF	Cabot	80 Facility 80 AR AVG 84 Rank #185 / 329	85.0% Facility 85.0% AR AVG 65.7 Rank #25 / 165	+29%	4.81 Facility 4.81 AR AVG 4.67 Rank #58 / 184	+10%	+3%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	6 Facility 6 AR AVG 21.8 Rank #2 / 188	3.0 Facility 3.0 AR AVG 5.3 Rank #13 / 188	-	68	-	67 Facility 67 AR AVG 34 Rank #24 / 416	Austin Wright	$9.3MFiscal year ending 12/2023 Facility $9.3MFiscal year ending 12/2023 AR AVG $9.4M Rank #50 / 184	$3.9MFiscal year ending 12/2023 Facility $3.9MFiscal year ending 12/2023 AR AVG $3.4M Rank #90 / 184	41.6%Fiscal year ending 12/2023 Facility 41.6%Fiscal year ending 12/2023 AR AVG 37.9% Rank #161 / 184	45453
Nightingale At Arkadelphia	NH HOS MC RC SNF	Arkadelphia	100 Facility 100 AR AVG 84 Rank #130 / 329	73.0% Facility 73.0% AR AVG 65.7 Rank #67 / 165	+11%	4.28 Facility 4.28 AR AVG 4.67 Rank #126 / 184	+131%	-8%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	21 Facility 21 AR AVG 21.8 Rank #99 / 188	5.3 Facility 5.3 AR AVG 5.3 Rank #106 / 188	-	73	-	75 Facility 75 AR AVG 34 Rank #7 / 416	Katherine Barnhill	$8.2MFiscal year ending 06/2024 Facility $8.2MFiscal year ending 06/2024 AR AVG $9.4M Rank #111 / 184	$3.8MFiscal year ending 06/2024 Facility $3.8MFiscal year ending 06/2024 AR AVG $3.4M Rank #104 / 184	46.1%Fiscal year ending 06/2024 Facility 46.1%Fiscal year ending 06/2024 AR AVG 37.9% Rank #66 / 184	45350

Nursing Home Explorer

Who is the owner of Nightingale At Arkadelphia?

Nightingale At Arkadelphia is legally operated by Courtyard Arkadelphia Healthcare LLC, and administered by Katherine Barnhill.

Is Nightingale At Arkadelphia in a walkable area?

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.

What is the occupancy rate at Nightingale At Arkadelphia?

Nightingale At Arkadelphia's occupancy is 73%.

Are pets allowed at Nightingale At Arkadelphia?

No, Nightingale At Arkadelphia has a no-pet policy.

Does Nightingale At Arkadelphia operate as a for-profit or non-profit?

Nightingale At Arkadelphia is registered as a for-profit in AR.

Who is the administrator of Nightingale At Arkadelphia?

Katherine Barnhill is the administrator of Nightingale At Arkadelphia.

How many beds does Nightingale At Arkadelphia have?

Nightingale At Arkadelphia has 100 beds.

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Nightingale At Arkadelphia

Overview of Nightingale at Arkadelphia

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Nightingale At Arkadelphia

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

55 Certified Nursing Assistant

13 Licensed Practical Nurse

12 Registered Nurse

4 Clinical Nurse Specialist

2 RN Director of Nursing

1 Dental Services Staff

1 Nurse Practitioner

1 Administrator

1 Feeding Assistant

1 Dietitian

1 Occupational Therapy Aide

2 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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