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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.
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.
This home is ranked 125th out of 182 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.
| 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 administrated 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, citation, 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 nursing home (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 nursing home (3 vs. AR avg 7).↓ 57% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Arkansas average 4.2
Last Health inspection on Jun 2024
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.
18 of 21 citations resulted from standard inspections; and 3 of 21 resulted from complaint investigations.
100% better 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.
19% 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 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 Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
In line with 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
8.5%
26% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
11.9%
11% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.7%
37% worse than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
48% better than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
40% better than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.4%
68% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
2.3%
54% better than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
2.7%
76% worse than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
4.3%
59% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
14% worse than Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.98
In line with Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.24
94% worse 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
24.8%
69% worse than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
4.2%
174% worse than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.5%
47% worse than Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.8%
42% worse than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
54% worse than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.5%
5% better than Arkansas averageArkansas 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #101 / 181Payroll — State benchmarkedThis home is ranked 101st out of 181 homes in Arkansas. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
Add your location
Nightingale At Arkadelphia is located in Arkadelphia, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
| Nightingale At Arkadelphia |
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. | Arkadelphia | 100
Facility
100
AR AVG
84
Rank
#131 / 330 |
73.0%
Facility
73.0%
AR AVG
71.3%
Rank
#76 / 183 | +2% | 4.28
Facility
4.28
AR AVG
4.67
Rank
#125 / 182 | +131% | -8% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 187 | 21
Facility
21
AR AVG
21.8
Rank
#98 / 187 | 5.3
Facility
5.3
AR AVG
5.3
Rank
#108 / 187 | - | 74 | - |
75
Facility
75
AR AVG
34
Rank
#7 / 419 | Katherine Barnhill | $8.6M
Facility
$8.6M
AR AVG
$9.4M
Rank
#110 / 181 | $4.1M
Facility
$4.1M
AR AVG
$3.4M
Rank
#101 / 181 | 47.4%
Facility
47.4%
AR AVG
37.9%
Rank
#62 / 181 | 45350 | ||||
| Legacy Heights Nursing Home |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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. | Russellville (West 12Th Street) | 107
Facility
107
AR AVG
84
Rank
#105 / 330 |
76.6%
Facility
76.6%
AR AVG
71.3%
Rank
#97 / 183 | +7% | 6.10
Facility
6.10
AR AVG
4.67
Rank
#11 / 182 | -52% | +31% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 187 | 17
Facility
17
AR AVG
21.8
Rank
#61 / 187 | 4.3
Facility
4.3
AR AVG
5.3
Rank
#58 / 187 | - | 82 | A+ |
24
Facility
24
AR AVG
34
Rank
#268 / 419 | Ginger Dixon | $10.2M
Facility
$10.2M
AR AVG
$9.4M
Rank
#73 / 181 | $4.9M
Facility
$4.9M
AR AVG
$3.4M
Rank
#58 / 181 | 48.5%
Facility
48.5%
AR AVG
37.9%
Rank
#55 / 181 | 45410 | ||||
| The Green House Cottages of Poplar Grove |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Little Rock (Leander) | 120
Facility
120
AR AVG
84
Rank
#59 / 330 |
89.2%
Facility
89.2%
AR AVG
71.3%
Rank
#18 / 183 | +25% | 6.16
Facility
6.16
AR AVG
4.67
Rank
#8 / 182 | -32% | +32% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 187 | 34
Facility
34
AR AVG
21.8
Rank
#163 / 187 | 3.4
Facility
3.4
AR AVG
5.3
Rank
#31 / 187 | - | 111 | A+ |
31
Facility
31
AR AVG
34
Rank
#229 / 419 | Marybret, LLC | $16.0M
Facility
$16.0M
AR AVG
$9.4M
Rank
#17 / 181 | $8.3M
Facility
$8.3M
AR AVG
$3.4M
Rank
#5 / 181 | 51.9%
Facility
51.9%
AR AVG
37.9%
Rank
#36 / 181 | 45466 | ||||
| St. Elizabeth‘s Place |
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.
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Jonesboro | 110
Facility
110
AR AVG
84
Rank
#91 / 330 |
80.9%
Facility
80.9%
AR AVG
71.3%
Rank
#47 / 183 | +13% | 4.35
Facility
4.35
AR AVG
4.67
Rank
#112 / 182 | -74% | -7% | $21.8k
Facility
$21.8k
AR AVG
$27.3k
Rank
#127 / 187 | 25
Facility
25
AR AVG
21.8
Rank
#134 / 187 | 5.0
Facility
5.0
AR AVG
5.3
Rank
#89 / 187 | 1 | 89 | A+ |
20
Facility
20
AR AVG
34
Rank
#295 / 419 | Mark Hahn | $12.5M
Facility
$12.5M
AR AVG
$9.4M
Rank
#42 / 181 | $4.6M
Facility
$4.6M
AR AVG
$3.4M
Rank
#75 / 181 | 36.9%
Facility
36.9%
AR AVG
37.9%
Rank
#158 / 181 | 45380 | ||||
| The Blossoms at Midtown Rehab & Nursing Center |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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. | Little Rock (Hillcrest) | 154
Facility
154
AR AVG
84
Rank
#7 / 330 |
52.6%
Facility
52.6%
AR AVG
71.3%
Rank
#141 / 183 | -26% | 3.93
Facility
3.93
AR AVG
4.67
Rank
#165 / 182 | +72% | -16% | $0
Facility
$0
AR AVG
$27.3k
Rank
#1 / 187 | 26
Facility
26
AR AVG
21.8
Rank
#142 / 187 | 4.3
Facility
4.3
AR AVG
5.3
Rank
#58 / 187 | - | 81 | A- |
63
Facility
63
AR AVG
34
Rank
#35 / 419 | West Markham Street Operating LLC | $13.1M
Facility
$13.1M
AR AVG
$9.4M
Rank
#34 / 181 | $5.6M
Facility
$5.6M
AR AVG
$3.4M
Rank
#36 / 181 | 42.6%
Facility
42.6%
AR AVG
37.9%
Rank
#116 / 181 | 45450 |
The legal owner and operator of Nightingale At Arkadelphia is Courtyard Arkadelphia Healthcare LLC.
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%.
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.
Nightingale At Arkadelphia is located at 2701 Twin Rivers Dr.
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