Randolph County Nursing Home

Randolph County Nursing Home is a Nursing Home in Arkansas

Randolph County Nursing Home is a Nursing Home in Arkansas

Randolph County Nursing Home

Pocahontas, AR 72455 View Map

Randolph County Nursing Home is a Nursing Home in Arkansas

Randolph County Nursing Home is a Nursing Home in Arkansas

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Overview of Randolph County Nursing Home
Randolph County Nursing Home is a non-profit facility committed to providing the highest quality of care in a safe, home-like environment. It offers long-term care, physical therapy, speech therapy, and occupational therapy services. The facility focuses on the physical, social, emotional, and spiritual needs of its residents.
(870) 892-5214

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.48/day Arkansas avg: 4.67/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Arkansas avg: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Arkansas avg: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Arkansas avg: 3.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Arkansas avg: 3.7/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 140

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Arkansas average
Occupancy rate 90.6%
Residents per day (avg) 117
Occupancy rate
90.6%
Residents per day (avg)
117

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

57% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

43% of new residents, often for short stays.

Typical stay 3 years

Finances and operations

Voluntary non-profit home
Other
Home revenue
$15.4M
Operating deficit
-$1.0M
Voluntary non-profit home Other
Home revenue
$15,405,674.00
Operating deficit
$-1,025,762.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.5M
48.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.0M
Total costs $16.4M
Bed community size
140-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
Skilled Nursing Facility with dual certified beds (Medicaid /Medicare)

Additional licensing details

CMS Certification Number: 045443
Certification type: XIX/XVIII
County: Randolph

Ownership & operating entity

Randolph County Nursing Home is administrated by Paula Swift.

Owner name: County Government
Profit status: County Government

Care Services

Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs

Contact Information

Fax: 870-892-7389

Amenities & Lifestyle

Programs & Activities

Specific Programs
Long-Term Care, Physical Therapy, Speech Therapy, Occupational Therapy

Compare Nursing Homes around Arkansas

The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
Randolph County Nursing Home
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

AR 72455
140
No
JANSEN, DAVID
90.6%
$15,126,061.00
$7,450,483.00
49.3%
117.10
4/5
5.4818
4/5
4/5
4/5
-
16
-
+59%
+17%
+27%
Ash Flat Healthcare and Rehabilitation Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

AR 72513
105
No
FRENCH, MISTY
54.3%
$6,285,225.00
$2,112,665.00
33.6%
52.90
4/5
4.8699
4/5
4/5
4/5
-
18
-
+1%
+4%
-24%
Alma Nursing and Rehab, LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

AR 72921
80
No
GEORGE-FORT, DEBRA
93.6%
$11,585,302.00
$3,270,741.00
28.2%
68.60
4/5
4.9641
4/5
3/5
3/5
-
10
-
-40%
+6%
+31%
Alcoa Pines Health and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

AR 72015
120
No
EDALA, ARPANA
65.4%
$11,733,416.00
$3,690,890.00
31.5%
90.50
3/5
4.5397
3/5
2/5
3/5
2
25
1
-22%
-3%
-8%
Arbor Oaks Healthcare and Rehabilitation Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

AR 72104
94
No
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Randolph County Nursing Home

Address 0.0 miles from city center

Address Pocahontas, AR 72455

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

194
Total Staff
177
Employees
17
Contractors
57,043
Total Hours (Quarter)
78
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse178 No
Licensed Practical Nurse277.9 No
Certified Nursing Assistant1048.4 No
Staff by Category
Administration
2 staff
7.2hs shift avg
Nursing Staff
162 staff
8.3hs shift avg
Physicians & Practitioners
9 staff
7.6hs shift avg
Therapy Services
13 staff
6.7hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
4.2hs shift avg
Dietary Services
1 staff
8hs shift avg
Other Services
5 staff
8hs shift avg
Contractor Analysis
5.1%
of total hours from contractors
2,900 contractor hours this quarter
Other Physician: 2 Speech Language Pathologist: 5 Qualified Social Worker: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Medical Director: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant104010435,59691100%8.4
Licensed Practical Nurse270277,45191100%7.9
Registered Nurse170174,26391100%8
Clinical Nurse Specialist3031,3937178%8
Nurse Aide in Training8081,3368088%8.4
Physical Therapy Aide0229556875%7.4
RN Director of Nursing2029356167%7.9
Speech Language Pathologist0556796875%6.1
Qualified Social Worker0225406774%4.2
Dental Services Staff1015336571%8.2
Administrator1015306875%7.8
Nurse Practitioner1015065864%8.7
Occupational Therapy Aide1015066875%7.4
Dietitian1014866167%8
Mental Health Service Worker3034425662%7.9
Physical Therapy Assistant0223285560%6
Respiratory Therapy Technician0222904954%5.7
Feeding Assistant4041333336%3.8
Medical Director011621415%4.4
Occupational Therapy Assistant0113967%6.5
Other Physician325361921%1.7
Diagnostic X-ray Services Staff101411%4

Health Inspection History

Total Health inspections 4
5% below Arkansas average
Arkansas average: 4.2

Last Health inspection on Apr 2025

Total Health citations 16
27% below Arkansas average
Arkansas average: 21.8

4 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 14 citations
Complaint investigations 2 citations
Breakdown of citations
Critical Health citations 0
100% below Arkansas average
Arkansas average: 0.4
Serious Health citations 0
100% below Arkansas average
Arkansas average: 0.2
Moderate Health citations 16

Minor Health citations 0
Citations history (last 3 years)
Nutrition moderate citation Apr 03, 2025
Corrected

Infection Control moderate citation Jan 11, 2024
Corrected

Nursing Services moderate citation Jan 11, 2024
Corrected

Nutrition moderate citation Jan 11, 2024
Corrected

Facility Characteristics

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

Ownership: County Government
Resident Census by Payment Source
121 Total Residents
Medicare 10 (8.3%)
Medicaid 88 (72.7%)
Private Pay/Other 23 (19%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 9.4
22% worse than Arkansas average
Arkansas average: 7.7
Functional decline score 19.8
48% worse than Arkansas average
Arkansas average: 13.3
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 19.4%
68% above Arkansas average.

Walking Ability Worsened 15.4%
15% above Arkansas average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 24.6%
62% above Arkansas average.
Safety & clinical stability

Falls with Major Injury 6.0%
52% above Arkansas average.

High Risk Residents with Pressure Ulcers 2.5%
46% below Arkansas average.

Urinary Tract Infection 4.0%
214% above Arkansas average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Arkansas average.

Antipsychotic Use 18.3%
75% above Arkansas average.
Preventive care

Pneumococcal Vaccine 99.2%
5% above Arkansas average.

Influenza Vaccine 100.0%
4% above Arkansas average.
Nutrition & physical health

Lost Too Much Weight 3.8%
24% below Arkansas average.
Short-stay resident measures
Pneumococcal Vaccine 81.4%

Near Arkansas average
Antipsychotic medication increase 2.6%

68% worse than Arkansas average
Influenza Vaccine 96.3%

24% better than Arkansas average

Guides for Better Senior Living

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Financial Aid for Arkansas Seniors

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ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability, Arkansas resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; possible waitlists.

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+, Arkansas resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited direct funding; mostly referral-based.

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+, Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple); spousal rules apply.

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

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

Arkansas Medicaid PACE

Age 55+, Arkansas resident, nursing home-level care, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited geographic availability.

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.

~$1,004/month (individual).

$9,660 (individual), $14,470 (couple).

No nursing home-level care requirement.

Senior Community Service Employment Program (SCSEP)

Arkansas SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Arkansas resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents.

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