4/5
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.
4/5
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.
Operating 140 beds in Pocahontas, Arkansas, Randolph County Nursing Home is a skilled nursing facility on Camp Road. The home is owned by David Jansen, operated by the County Government, and administered by Paula Swift. Medicare and private pay are accepted, giving families different options for covering care costs.
The facility operates at 92% occupancy. Residents stay an average of about 503 days, with a population that leans more toward longer-term nursing care than short-term rehabilitation. Rehabilitation services are available. Nurse staffing averages 5 hours and 29 minutes per resident each day. Registered nurses, nursing assistants, and licensed practical nurses provide that support, and the staffing structure shows the facility’s commitment to care.
State inspections have identified recurring themes involving food safety, infection control practices, and communication with residents and families regarding health changes. Those areas remain important parts of the facility’s operations and oversight.
The neighborhood’s Walk Score is 48. Some nearby services can be reached by walking, but most trips around Pocahontas require transportation. Visiting family members need a vehicle to get around the area.
For families looking at nursing home options in rural Arkansas, Randolph County Nursing Home provides a county-operated setting with stable staffing levels and a focus on longer-term resident care. Taking a tour provides a closer look at the daily environment and provides an opportunity to ask questions about care practices and operations.
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.
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.
| 37m per day | ▲ 54% 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.
| 37m per day | ▼ 36% 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 49m per day | ▲ 4% 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 7m per day | ▼ 11% 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.
| 3m per day | ▲ 57% 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.
| 22m per day | ▲ 37% State avg: 16m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Arkansas average: 71.3%Randolph County Nursing Home is legally operated by County Government, and administered by Paula Swift.
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, 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
| This Facility | AR Average | vs. AR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 21 | This facility has 14% fewer total deficiencies than a typical Arkansas assisted living residence (18 vs. AR avg 21).↓ 14% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4.5 | 5.3 | This facility has 15% fewer deficiencies per year than a typical Arkansas assisted living residence (4.5 vs. AR avg 5.3).↓ 15% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Apr 2025
State average N/A
State average N/A
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.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
105 total: 102 full-time employees and 3 contractors.
105
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,840 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 102 | 3 | 105 | 32,921 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,380 | 92 | 100% | 7.9 |
| Registered Nurse | 16 | 0 | 16 | 5,398 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,495 | 69 | 75% | 7.8 |
| RN Director of Nursing | 2 | 0 | 2 | 933 | 64 | 70% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 846 | 63 | 68% | 7.1 |
| Nurse Aide in Training | 3 | 0 | 3 | 810 | 83 | 90% | 7.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 626 | 64 | 70% | 6.4 |
| Qualified Social Worker | 0 | 2 | 2 | 589 | 71 | 77% | 4.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 537 | 63 | 68% | 8.5 |
| Administrator | 1 | 0 | 1 | 532 | 66 | 72% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 504 | 61 | 66% | 8.3 |
| Dietitian | 1 | 0 | 1 | 484 | 60 | 65% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 53 | 58% | 9.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 475 | 61 | 66% | 7.8 |
| Speech Language Pathologist | 0 | 7 | 7 | 375 | 64 | 70% | 5.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 262 | 54 | 59% | 4.9 |
| Feeding Assistant | 3 | 0 | 3 | 144 | 41 | 45% | 3.3 |
| Medical Director | 0 | 1 | 1 | 64 | 15 | 16% | 4.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 7 | 8% | 5.6 |
| Other Physician | 4 | 2 | 6 | 34 | 19 | 21% | 1.7 |
| Diagnostic X-ray Services Staff | 1 | 0 | 1 | 13 | 12 | 13% | 1.1 |
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.
9.4
22% worse than State averageState average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
48% worse than State averageState 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
19.4%
68% worse than State averageState average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
15.4%
15% worse than State averageState average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
62% worse than State averageState average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
52% worse than State averageState average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
2.5%
46% better than State averageState average: 4.7%
Percent of long-stay residents with a urinary tract infection
4.0%
214% worse than State averageState average: 1.3%
Percent of long-stay residents who lose too much weight
3.8%
24% better than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
18.3%
75% worse than State averageState average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
5% better than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.32
18% worse than State averageState average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.96
10% better than State averageState 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
81.4%
In line with State averageState average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
68% worse than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
24% better than State averageState average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.4%
23% better than State averageState average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
51% better than State averageState average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
72.6%
35% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.2%
In line with State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
57% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
121Residents 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 Randolph County Nursing Home from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Pocahontas's city center to Randolph County Nursing Home's address, calculated via Google Maps.
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The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
| Indian Rock Village | NH | Fairfield Bay | - | 55 | - | 11 | Studio / 1 Bed / 2 Bed |
| Legacy Heights Nursing Home | NH RC SNF | Russellville (West 12Th Street) | - | 107 | A+ | 24 | - |
| Arkansas State Veterans Home | NH AL IL MC | North Little Rock (North Oaks) | - | 96 | - | 16 | - |
| Wood-Lawn Heights | NH AL IL PC SNF | Batesville (College Heights Addition) | - | 159 | - | 34 | - |
| Randolph County Nursing Home | NH SNF | Pocahontas | - | 140 | - | 48 | - |
Randolph County Nursing Home is legally operated by County Government, and administered by Paula Swift.
Randolph County Nursing Home has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Randolph County Nursing Home's occupancy is 92%.
Randolph County Nursing Home is a government-operated nursing facility in AR.
Paula Swift is the administrator of Randolph County Nursing Home.
Randolph County Nursing Home has 140 beds.
Randolph County Nursing Home is located at 500 Camp Road, Pocahontas, AR 72455.
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