Occupancy rate
91%
In line with Arkansas averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
90.6%
Residents per day (avg)
117
Occupancy rate
90.6%
Residents per day (avg)
117
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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 community
Home revenue
$15.4M
Operating deficit
-$1.0M
Voluntary non-profit community
Home revenue
$15,405,674.00
Operating deficit
$-1,025,762.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.4M
140-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Arkansas averageOccupied beds
127 / 140
Average residents
77 per day
License details
Facility type
Skilled Nursing Facility With Dual Certified Beds (medicaid /medicare)
County:
Randolph
Additional licensing details
CMS Certification Number:
045443
Certification type:
XIX/XVIII
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
Programs & Activities
Specific Programs
Long-Term Care, Physical Therapy, Speech Therapy, Occupational Therapy
Health Inspection History
Inspections
Total health inspections
4
Arkansas average 4.2
Last Health inspection on Apr 2025
Total health citations
16
Arkansas average 21.8
Citations per inspection
4
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 16 citations resulted from standard inspections; and 2 of 16 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Arkansas averageArkansas average: 0.4
Serious Health citations
0
0
100% better than Arkansas averageArkansas average: 0.2
0 critical citations
0 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 03, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 03, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 11, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 11, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 11, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 11, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 11, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 11, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
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.
Pocahontas
140
90.6%
+27%
5.48
+17%
0
16
0
117
-
Jansen, David
$15,1M
$7,5M
49.3%
45443
Ash Flat Healthcare 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.
Ash Flat
105
54.3%
-24%
4.87
+4%
0
18
0
53
-
French, Misty
$6,3M
$2,1M
33.6%
45155
Alma Nursing and Rehab, 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.
Alma
80
93.6%
+31%
4.96
+6%
0
10
0
69
-
George-Fort, Debra
$11,6M
$3,3M
28.2%
45370
Alcoa Pines Health and Rehabilitation
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.
Benton
120
65.4%
-8%
4.54
-3%
2
25
1
91
A+
Edala, Arpana
$11,7M
$3,7M
31.5%
45408
Arbor Oaks Healthcare 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.
Malvern
94
-
-
-
-
0
0
0
-
-
-
-
-
-
-
Places of interest near Randolph County Nursing Home
0.0 miles from city center
500 Camp Road, Pocahontas, AR 72455
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
194
Employees
177
Contractors
17
Staff to resident ratio
1.60:1
0% compared with Arkansas averageArkansas average ratio: 1.61:1
Avg staff/day
78
Average shift
8 hours
0% compared with Arkansas averageArkansas average: 8 hours
Total staff hours (quarter)
57,043
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
104
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.1%
2,900 contractor hours this quarter
Speech Language Pathologist: 5
Other Physician: 2
Qualified Social Worker: 2
Physical Therapy Aide: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 104 | 0 | 104 | 35,596 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 27 | 0 | 27 | 7,451 | 91 | 100% | 7.9 |
| Registered Nurse | 17 | 0 | 17 | 4,263 | 91 | 100% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,393 | 71 | 78% | 8 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,336 | 80 | 88% | 8.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 955 | 68 | 75% | 7.4 |
| RN Director of Nursing | 2 | 0 | 2 | 935 | 61 | 67% | 7.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 679 | 68 | 75% | 6.1 |
| Qualified Social Worker | 0 | 2 | 2 | 540 | 67 | 74% | 4.2 |
| Dental Services Staff | 1 | 0 | 1 | 533 | 65 | 71% | 8.2 |
| Administrator | 1 | 0 | 1 | 530 | 68 | 75% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 506 | 58 | 64% | 8.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 506 | 68 | 75% | 7.4 |
| Dietitian | 1 | 0 | 1 | 486 | 61 | 67% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 442 | 56 | 62% | 7.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 328 | 55 | 60% | 6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 290 | 49 | 54% | 5.7 |
| Feeding Assistant | 4 | 0 | 4 | 133 | 33 | 36% | 3.8 |
| Medical Director | 0 | 1 | 1 | 62 | 14 | 15% | 4.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 6 | 7% | 6.5 |
| Other Physician | 3 | 2 | 5 | 36 | 19 | 21% | 1.7 |
| Diagnostic X-ray Services Staff | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
104 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
100%
3 Clinical Nurse Specialist
% of Days
78%
8 Nurse Aide in Training
% of Days
88%
2 Physical Therapy Aide
% of Days
75%
2 RN Director of Nursing
% of Days
67%
5 Speech Language Pathologist
% of Days
75%
2 Qualified Social Worker
% of Days
74%
1 Dental Services Staff
% of Days
71%
1 Administrator
% of Days
75%
1 Nurse Practitioner
% of Days
64%
1 Occupational Therapy Aide
% of Days
75%
1 Dietitian
% of Days
67%
3 Mental Health Service Worker
% of Days
62%
2 Physical Therapy Assistant
% of Days
60%
2 Respiratory Therapy Technician
% of Days
54%
4 Feeding Assistant
% of Days
36%
1 Medical Director
% of Days
15%
1 Occupational Therapy Assistant
% of Days
7%
5 Other Physician
% of Days
21%
1 Diagnostic X-ray Services Staff
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
121 residents
Residents by payment source
Medicare
10 residents (8.3%)
Medicaid
88 residents (72.7%)
Private pay or other
23 residents (19%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
22% worse than Arkansas averageArkansas average: 7.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
48% worse than Arkansas averageArkansas average: 13.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.4%
Percent of long-stay residents whose need for help with daily activities has increased
19.4%
68% worse than Arkansas averageArkansas average: 11.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.4%
Percent of long-stay residents whose ability to move independently worsened
15.4%
15% worse than Arkansas averageArkansas average: 13.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
62% worse than Arkansas averageArkansas average: 15.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
52% worse than Arkansas averageArkansas average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.5%
Percent of long-stay high risk residents with pressure ulcers
2.5%
46% better than Arkansas averageArkansas average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.0%
Percent of long-stay residents with a urinary tract infection
4.0%
214% worse than Arkansas averageArkansas average: 1.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
24% better than Arkansas averageArkansas average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
75% worse than Arkansas averageArkansas average: 10.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
5% better than Arkansas averageArkansas average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Arkansas averageArkansas average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.4%
In line with Arkansas averageArkansas average: 80.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
68% worse than Arkansas averageArkansas average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
24% better than Arkansas averageArkansas average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Randolph County Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
90.6%
↑ 0.8pp vs 2023
Net Income
-$1,025,762
↓ ~$1.8M vs 2023
Total Payroll
$9,754,645
↑ ~$275K vs 2023
Profit Margin
-6.8%
↓ 11.8pp vs 2023
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