Quapaw Care and Rehabilitation Center, LLC

Nursing Home in Hot Springs

CMS overall rating Info 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.
Quapaw Care and Rehabilitation Center, LLC

Nursing Home in Hot Springs

CMS overall rating Info 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.

Overview of Quapaw Care and Rehabilitation Center, LLC

Quapaw Care and Rehabilitation Center is located in Hot Springs, Arkansas. It offers long-term skilled nursing care and specialized rehabilitation services in a supportive atmosphere. The facility is dedicated to providing high-quality care and building strong relationships with residents and their families.
(501) 525-7140

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5 ▲ 0.9 Arkansas average: 3.2/5
Health Inspection Info 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.
3/5 ▲ 0.1 Arkansas average: 2.9/5
Staffing Info 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.
4/5 ▲ 0.8 Arkansas average: 3.3/5
Quality Measures Info 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.
5/5 ▲ 1.3 Arkansas average: 3.7/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Arkansas state averages

Total nursing care / resident Info This home is ranked 20th out of 170 homes in Arkansas.

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.
5h 43m per day
This facility Arkansas avg (4h 45m per day)
vs Arkansas avg
+20%

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 126

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Arkansas average: 71.3%
Occupancy rate 78.2%
Avg. Length of Stay 147 days
Occupancy rate
78.2%
Avg. Length of Stay
147 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

67% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 15 - 16 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$14.1M
Profit
$1.9M
Privately-owned community Operated by a business corporation.
Home revenue
$14.1M
Profit
$1.9M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.0M
35.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.3M
Total costs $12.2M
Bed community size
126-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License Details

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid /medicare)
CountyGarland
CMS Certification Number045338
Certification TypeXIX/XVIII

Ownership & Operating Entity

Quapaw Care and Rehabilitation Center, LLC is administrated by Cynthia Farmer.

Owner NameQuapaw Care and Rehabilitation Center, LLC
Profit StatusLimited Liability Company

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Contact Information

Fax501-525-7441

Amenities & Lifestyle

0 amenities
Specific ProgramsLong Term Care, Specialized Rehab

Contact Quapaw Care and Rehabilitation Center, LLC

Inspection History

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.

Health Inspection History

Inspections
Total health inspections 3

Arkansas average 4.2


Last Health inspection on Jul 2025

Total health citations 25

Arkansas average 21.8

Citations per inspection
8.33

Arkansas average 5.32


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 25 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Arkansas average

Arkansas average: 0.4


Serious Health citations More info 0
100% better than Arkansas average

Arkansas average: 0.2

0 critical citations More info Arkansas average: 0.4

0 serious citations More info Arkansas average: 0.2

25 moderate citations More info Arkansas average: 20.9

0 minor citations More info Arkansas average: 0.4
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jul 24, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jul 24, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jul 24, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 24, 2025
Corrected

Compare Nursing Homes around Hot Springs The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.

5 facilities compared · CMS & AR Dept. of Health data · Updated Apr 2026

Filter by care type
Quapaw Care and Rehabilitation Center, LLC
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.

Hot Springs126 78.2% +10%5.72 -35%+22%0258.3098--Farmer, Cindy$14.1M$5.0M35.1%45338
Lake Hamilton Health and Rehab
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.

Hot Springs84 88.5% +24%4.72 -22%+1%0227.3075--Levato, Amanda$13.9M$3.3M23.7%45445
Belvedere Nursing and Rehabilitation Center, LLC
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.

Hot Springs120 94.2% +32%4.66 -66%0%2255.03117---$18.8M$5.3M28%45463
The Caring Place of Hot Springs, Inc. -
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.

Hot Springs50--------000.00--------
The Pines Nursing and Rehabilitation 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.

Hot Springs125--------000.00--------

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Nursing Home in Arkansas

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ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability
General Arkansas resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Rural focus; possible waitlists.

Benefits
Personal care (5-7 hours/day) Meals ($7/meal) Respite care (240 hours/year) Adult day services ($60/day)

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+
General Arkansas resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AR

Limited direct funding; mostly referral-based.

Benefits
Care coordination Limited respite (up to 5 days/year) Transportation assistance (~5 trips/month)

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+
General Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple); spousal rules apply.
AR

Limited provider network; excludes Level I facilities (no nursing services).

Benefits
Personal care (~5 hours/day) Medication management Nursing Activities Transportation

Program of All-Inclusive Care for the Elderly (PACE)

Arkansas Medicaid PACE

Age 55+
General Arkansas resident, nursing home-level care, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Limited geographic availability.

Benefits
Primary/preventive care Personal care (5-7 hours/day) Meals Transportation Therapy

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Age
General Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.
Income Limits (2025) ~$1,004/month individual
Asset Limits $9,660 (individual), $14,470 (couple).
AR

No nursing home-level care requirement.

Benefits
Personal care (~4-6 hours/day) Homemaker services (e.g., meal prep)

Senior Community Service Employment Program (SCSEP)

Arkansas SCSEP (federally funded, state-administered)

Age 55+
General unemployed, low-income, Arkansas resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
AR

Priority for veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

Places of interest near Quapaw Care and Rehabilitation Center, LLC

Address 0.0 miles from city center Info Estimated distance in miles from Hot Springs's city center to Quapaw Care and Rehabilitation Center, LLC's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 167
Employees 150
Contractors 17
Staff to resident ratio 1.80:1
12% better than Arkansas average

Arkansas average ratio: 1.61:1

Avg staff/day 66
Average shift 7.8 hours
0% compared with Arkansas average

Arkansas average: 8 hours

Total staff hours (quarter) 46,804
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 89
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

2.9%

1,334 contractor hours this quarter

Speech Language Pathologist: 4 Physical Therapy Aide: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Occupational Therapy Aide: 1 Clinical Nurse Specialist: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant8908925,75491100%7.7
Licensed Practical Nurse280289,94991100%8.3
Medication Aide/Technician7072,6369099%11
Nurse Aide in Training8081,7938897%7.1
RN Director of Nursing4041,4146571%7.9
Registered Nurse6061,2088998%8.9
Occupational Therapy Aide1125346571%7.7
Mental Health Service Worker1015156369%8.2
Administrator1014966268%8
Nurse Practitioner1014966268%8
Clinical Nurse Specialist1124826774%7.2
Speech Language Pathologist0444326571%6.5
Physical Therapy Aide0334196673%6.2
Dietitian2023845257%6.7
Qualified Social Worker022976369%1.5
Other Dietary Services Staff101971415%6.9
Respiratory Therapy Technician033633640%1.7
Physical Therapy Assistant022323033%1
Medical Director011533%1.8
89 Certified Nursing Assistant
% of Days 100%
28 Licensed Practical Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 99%
8 Nurse Aide in Training
% of Days 97%
4 RN Director of Nursing
% of Days 71%
6 Registered Nurse
% of Days 98%
2 Occupational Therapy Aide
% of Days 71%
1 Mental Health Service Worker
% of Days 69%
1 Administrator
% of Days 68%
1 Nurse Practitioner
% of Days 68%
2 Clinical Nurse Specialist
% of Days 74%
4 Speech Language Pathologist
% of Days 71%
3 Physical Therapy Aide
% of Days 73%
2 Dietitian
% of Days 57%
2 Qualified Social Worker
% of Days 69%
1 Other Dietary Services Staff
% of Days 15%
3 Respiratory Therapy Technician
% of Days 40%
2 Physical Therapy Assistant
% of Days 33%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 93
Medicare
7
7.5% of residents
Medicaid
60
64.5% of residents
Private pay or other
26
28% 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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.0
22% better than Arkansas average

Arkansas average: 7.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.0
In line with Arkansas average

Arkansas average: 13.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.1%
In line with Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.4%
30% better than Arkansas average

Arkansas average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.6%
23% worse than Arkansas average

Arkansas average: 15.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
25% better than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.8%
21% better than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
77% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
47% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.1%
34% worse than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.7%
17% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
6% better than Arkansas average

Arkansas average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Arkansas average

Arkansas average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
20% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.6%
In line with Arkansas average

Arkansas average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 81.9%
5% better than Arkansas average

Arkansas average: 77.7%

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