Randolph County Nursing Home
Nursing Home & Skilled Nursing · Pocahontas, AR
CMS overall rating Info 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.

Randolph County Nursing Home

Nursing Home & Skilled Nursing · Pocahontas, AR
CMS overall rating Info 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.
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Randolph County Nursing Home accepts Medicare and private pay.

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.

Since 2022 · 4 years of data 18 deficiencies

Inspection Scorecard Info 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.

Since 2022 vs. Arkansas state average
Overall vs. AR average 0 Worse No metrics in this bucket. 1 Better Metrics better than Arkansas average:
• Total deficiencies (14% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAR Averagevs. AR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1821 This facility has 14% fewer total deficiencies than a typical Arkansas nursing home (18 vs. AR avg 21).↓ 14% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • April 3, 2025 inspection found 2 deficiencies including expired food items in storage and dietary staff failing to wash hands properly, risking food contamination.
  • January 11, 2024 survey cited 10 deficiencies involving resident rights violations, medication errors, infection control lapses, and multiple food safety failures.
  • September 14, 2023 complaint investigation substantiated failures to act on resident concerns and notify families of condition changes for multiple residents.

Health Inspection History

Inspections since 2022
Total health inspections 4

State average 4.2


Last Health inspection on Apr 2025

Total health citations
16 Rank #51 / 188Health citations — State benchmarkedThis home is ranked 51st out of 188 homes in Arkansas for health citations. Shows this facility's total health deficiency citations benchmarked to the Arkansas State average, with a ranking across all 188 AR facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 21.8

Citations per inspection
4 Rank #44 / 188Citations per inspection — State benchmarkedThis home is ranked 44th out of 188 homes in Arkansas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Arkansas mean across 188 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 4 years)
Critical health citations
0
100% better than State average

State average: 0.4


Serious health citations
0
100% better than State average

State average: 0.2

0 critical citations State average: 0.4

0 serious citations State average: 0.2

16 moderate citations State average: 20.9

0 minor citations State average: 0.4
Citations history (last 4 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 180
Employees 159
Contractors 21
Staff to resident ratio 1.49 : 1
6% fewer staff per resident than Arkansas average
Arkansas average ratio: 1.59 : 1 Arkansas average ratio: 1.59 : 1See full Arkansas ranking
Avg staff/day 74
Average shift 7.9 hours
0% compared with Arkansas average
Arkansas average: 8 hours Arkansas average shift: 8 hoursSee full Arkansas ranking
Total staff hours (quarter) 53,940

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 16 RN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 19 LPN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 105 total: 102 full-time employees and 3 contractors. 105
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.3%

2,840 contractor hours this quarter

Speech Language Pathologist: 7 Certified Nursing Assistant: 3 Qualified Social Worker: 2 Respiratory Therapy Technician: 2 Physical Therapy Aide: 2 Other Physician: 2 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant102310532,92192100%8.3
Licensed Practical Nurse190196,38092100%7.9
Registered Nurse160165,39892100%7.7
Clinical Nurse Specialist3031,4956975%7.8
RN Director of Nursing2029336470%7.8
Physical Therapy Aide0228466368%7.1
Nurse Aide in Training3038108390%7.6
Respiratory Therapy Technician0226266470%6.4
Qualified Social Worker0225897177%4.7
Occupational Therapy Aide1015376368%8.5
Administrator1015326672%8.1
Dental Services Staff1015046166%8.3
Dietitian1014846065%8.1
Nurse Practitioner1014805358%9.1
Mental Health Service Worker1014756166%7.8
Speech Language Pathologist0773756470%5.6
Physical Therapy Assistant0112625459%4.9
Feeding Assistant3031444145%3.3
Medical Director011641516%4.2
Occupational Therapy Assistant0113978%5.6
Other Physician426341921%1.7
Diagnostic X-ray Services Staff101131213%1.1
105 Certified Nursing Assistant
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 75%
2 RN Director of Nursing
% of Days 70%
2 Physical Therapy Aide
% of Days 68%
3 Nurse Aide in Training
% of Days 90%
2 Respiratory Therapy Technician
% of Days 70%
2 Qualified Social Worker
% of Days 77%
1 Occupational Therapy Aide
% of Days 68%
1 Administrator
% of Days 72%
1 Dental Services Staff
% of Days 66%
1 Dietitian
% of Days 65%
1 Nurse Practitioner
% of Days 58%
1 Mental Health Service Worker
% of Days 66%
7 Speech Language Pathologist
% of Days 70%
1 Physical Therapy Assistant
% of Days 59%
3 Feeding Assistant
% of Days 45%
1 Medical Director
% of Days 16%
1 Occupational Therapy Assistant
% of Days 8%
6 Other Physician
% of Days 21%
1 Diagnostic X-ray Services Staff
% of Days 13%

Penalties and fines

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.

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. 9.4
22% worse 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. 19.8
48% worse than Arkansas average

Arkansas average: 13.3

Long-stay resident measures
Below average Arkansas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.4%
68% worse than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.4%
15% worse 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 24.6%
62% 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 6.0%
52% worse than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.5%
46% better than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.0%
214% worse than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.8%
24% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.3%
75% worse than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
5% 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.32
18% worse than Arkansas average

Arkansas average: 1.97

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.96
10% better than Arkansas average

Arkansas average: 2.18

Short-stay resident measures
Significantly above average Arkansas avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 81.4%
In line with Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.6%
68% worse than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
24% better than Arkansas average

Arkansas average: 77.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.4%
23% better than Arkansas average

Arkansas average: 25.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.7%
51% better than Arkansas average

Arkansas average: 13.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Arkansas average

Arkansas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 72.6%
35% better than Arkansas average

Arkansas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.2%
In line with Arkansas average

Arkansas average: 50.6%

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

Facility Characteristics

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

Total residents 121
Medicare
10
8.3% of residents
Medicaid
88
72.7% of residents
Private pay or other
23
19% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
Operated by federal authorities.
Net patient revenue Info 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."
$15.1M
Net patient income Info 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."
-$1.3M
Government Operated by federal authorities.
Net patient revenue Info 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."
$15.1M Rank #20 / 184Revenue — State benchmarkedThis home is ranked 20th out of 184 homes in Arkansas for revenue. Shows this facility's annual revenue compared to the Arkansas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info 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."
-$1.3M
Other income Info 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.
$279.6K
Payroll costs Info 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. Rank #2 / 184Payroll — State benchmarkedThis home is ranked 2nd out of 184 homes in Arkansas for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.8M 64.5% of net patient revenue Info 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. Rank #17 / 184Payroll % — State benchmarkedThis home is ranked 17th out of 184 homes in Arkansas for payroll %. Shows payroll as a percentage of revenue versus the Arkansas average. Well-run Arkansas facilities typically land around 48–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info 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).
$6.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$16.4M

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.

Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Admissions
92 total

Coverage residents most often arrive under.

Medicare 57%
Private pay 43%
Discharges
92 total

Coverage residents most often leave under.

Medicare 57%
Private pay 43%

Places of interest near Randolph County Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Pocahontas's city center to Randolph County Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Randolph County Nursing Home

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the AR Dept. of Human Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Hillcrest Home
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Harrison
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AR AVG 84
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79.1%
Facility 79.1%
AR AVG 65.7
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+20%
5.97
Facility 5.97
AR AVG 4.67
Rank #16 / 184
+72%+28%
$0
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7
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1.8
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-87-
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Miss Ion Interests Committee Inc
$11.9MFiscal year ending 06/2024
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AR AVG $9.4M
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$7.7MFiscal year ending 06/2024
Facility $7.7MFiscal year ending 06/2024
AR AVG $3.4M
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65.2%Fiscal year ending 06/2024
Facility 65.2%Fiscal year ending 06/2024
AR AVG 37.9%
Rank #18 / 184
45441
Legacy Heights Nursing Home
NH
RC
SNF
Russellville (West 12Th Street)
107
Facility 107
AR AVG 84
Rank #104 / 329
76.6%
Facility 76.6%
AR AVG 65.7
Rank #58 / 165
+17%
6.10
Facility 6.10
AR AVG 4.67
Rank #11 / 184
-52%+31%
$0
Facility $0
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Rank #1 / 189
17
Facility 17
AR AVG 21.8
Rank #59 / 188
4.3
Facility 4.3
AR AVG 5.3
Rank #58 / 188
-82A+
24
Facility 24
AR AVG 34
Rank #266 / 416
Ginger Dixon
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
AR AVG $9.4M
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$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
AR AVG $3.4M
Rank #62 / 184
48.4%Fiscal year ending 12/2023
Facility 48.4%Fiscal year ending 12/2023
AR AVG 37.9%
Rank #59 / 184
45410
​​Shiloh Health and Rehab
NH
RC
SNF
Springdale (Bethel Heights)
140
Facility 140
AR AVG 84
Rank #18 / 329
49.3%
Facility 49.3%
AR AVG 65.7
Rank #135 / 165
-25%
4.23
Facility 4.23
AR AVG 4.67
Rank #144 / 184
-60%-9%
$0
Facility $0
AR AVG $27.3k
Rank #1 / 189
14
Facility 14
AR AVG 21.8
Rank #37 / 188
4.7
Facility 4.7
AR AVG 5.3
Rank #76 / 188
-69-
23
Facility 23
AR AVG 34
Rank #271 / 416
Denny Ledford
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
AR AVG $9.4M
Rank #116 / 184
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
AR AVG $3.4M
Rank #95 / 184
52.1%Fiscal year ending 12/2023
Facility 52.1%Fiscal year ending 12/2023
AR AVG 37.9%
Rank #40 / 184
45427
Wood-Lawn Heights
NH
AL
IL
PC
SNF
Batesville (College Heights Addition)
159
Facility 159
AR AVG 84
Rank #6 / 329
64.8%
Facility 64.8%
AR AVG 65.7
Rank #95 / 165
-1%
4.66
Facility 4.66
AR AVG 4.67
Rank #73 / 184
+72%0%
$12.7k
Facility $12.7k
AR AVG $27.3k
Rank #154 / 189
13
Facility 13
AR AVG 21.8
Rank #33 / 188
4.3
Facility 4.3
AR AVG 5.3
Rank #58 / 188
2103-
34
Facility 34
AR AVG 34
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Laurie Herron
$12.7MFiscal year ending 06/2024
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AR AVG $9.4M
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$6.2MFiscal year ending 06/2024
Facility $6.2MFiscal year ending 06/2024
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Rank #31 / 184
49%Fiscal year ending 06/2024
Facility 49%Fiscal year ending 06/2024
AR AVG 37.9%
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45317
Randolph County Nursing Home
NH
SNF
Pocahontas
140
Facility 140
AR AVG 84
Rank #18 / 329
92.1%
Facility 92.1%
AR AVG 65.7
Rank #7 / 165
+40%
5.48
Facility 5.48
AR AVG 4.67
Rank #25 / 184
+63%+17%
$0
Facility $0
AR AVG $27.3k
Rank #1 / 189
16
Facility 16
AR AVG 21.8
Rank #51 / 188
4.0
Facility 4.0
AR AVG 5.3
Rank #44 / 188
-129-
48
Facility 48
AR AVG 34
Rank #108 / 416
David Jansen
$15.1MFiscal year ending 06/2024
Facility $15.1MFiscal year ending 06/2024
AR AVG $9.4M
Rank #20 / 184
$9.8MFiscal year ending 06/2024
Facility $9.8MFiscal year ending 06/2024
AR AVG $3.4M
Rank #2 / 184
64.5%Fiscal year ending 06/2024
Facility 64.5%Fiscal year ending 06/2024
AR AVG 37.9%
Rank #17 / 184
45443

Frequently Asked Questions about Randolph County Nursing Home

Who is the owner of Randolph County Nursing Home?

Randolph County Nursing Home is legally operated by County Government, and administered by Paula Swift.

Is Randolph County Nursing Home in a walkable area?

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.

What is the occupancy rate at Randolph County Nursing Home?

Randolph County Nursing Home's occupancy is 92%.

Are pets allowed at Randolph County Nursing Home?

No, Randolph County Nursing Home has a no-pet policy.

Is Randolph County Nursing Home a government-operated facility?

Randolph County Nursing Home is a government-operated nursing facility in AR.

Who is the administrator of Randolph County Nursing Home?

Paula Swift is the administrator of Randolph County Nursing Home.

How many beds does Randolph County Nursing Home have?

Randolph County Nursing Home has 140 beds.

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