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.
John Ashley Drive Operating LLC runs The Blossoms at North Little Rock Rehab and Nursing Center, a 140-bed facility on John Ashley Drive in North Little Rock, Arkansas. Cynthia Dughetti serves as the administrator for the building, which stays filled to about 70 percent capacity. Resident stays average roughly 155 days, a timeline indicating that the daily work routine splits its focus between temporary post-hospital therapy and long-term residential placements. To manage room costs and clinical billing, the front desk handles payments through private funds, traditional Medicare, and state Medicaid.
On the floor, the nursing crew logs an average of 4 hours and 25 minutes of direct, hands-on attention per resident each day. This 24-hour staffing includes registered nurses, practical nurses, and assistants who run physical rehabilitation programs and personal care routines.
For daily living, the campus organizes social activities under its Life at The Blossoms calendar, while the surrounding neighborhood has a walk score of 55, meaning visitors can handle some simple errands on foot.
Prospective representatives can call the main desk to check on current openings or to review the intake process. The administrative team can also detail how the staff handles everyday compliance and updates routines based on standard findings from government health inspectors, who monitor areas such as food safety, infection control, environmental upkeep, and care planning during their routine safety surveys.
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.
| 28m per day | ▲ 17% 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.
| 58m per day | ■ Avg 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 13m per day | ▼ 19% State avg: 2h 44m per day · National avg: 2h 21m 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 11m per day | ▼ 9% 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.
| 1m per day | ▼ 47% 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.
| 17m per day | ▲ 4% State avg: 16m per day · National avg: 29m per day |
Similar to the Arkansas average: 71.3%The Blossoms at North Little Rock Rehab and Nursing Center is legally operated by John Ashley Drive Operating LLC, and administered by Cynthia Dughetti.
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.
| 43 | 21 | This facility has 105% more total deficiencies than a typical Arkansas nursing home (43 vs. AR avg 21).↑ 105% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 14.3 | 7 | This facility has 104% more deficiencies per year than a typical Arkansas nursing home (14.3 vs. AR avg 7).↑ 104% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Arkansas average 4.2
Last Health inspection on Apr 2025
Arkansas average 21.8
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 15 citations resulted from standard inspections; and 1 of 15 resulted from complaint investigations.
100% better than Arkansas averageArkansas average: 0.4
100% better than Arkansas averageArkansas average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% more staff per resident than Arkansas average
5% worse than Arkansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
63 total: 16 full-time employees and 47 contractors.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
All 61 CNA Staff are full-time employees. No contractors work on this role.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,056 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 18,333 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 16 | 47 | 63 | 6,901 | 92 | 100% | 8.4 |
| Registered Nurse | 8 | 0 | 8 | 2,142 | 90 | 98% | 8.3 |
| RN Director of Nursing | 4 | 0 | 4 | 1,881 | 76 | 83% | 7.4 |
| Clinical Nurse Specialist | 3 | 3 | 6 | 1,655 | 82 | 89% | 8.6 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,384 | 84 | 91% | 7 |
| Physical Therapy Aide | 0 | 2 | 2 | 592 | 79 | 86% | 7.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 575 | 69 | 75% | 7.1 |
| Dental Services Staff | 1 | 0 | 1 | 480 | 63 | 68% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 60 | 65% | 7.7 |
| Medication Aide/Technician | 1 | 0 | 1 | 434 | 54 | 59% | 8 |
| Administrator | 1 | 0 | 1 | 423 | 53 | 58% | 8 |
| Qualified Social Worker | 0 | 6 | 6 | 314 | 73 | 79% | 3.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 168 | 56 | 61% | 2.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 159 | 43 | 47% | 3.5 |
| Physician Assistant | 0 | 3 | 3 | 125 | 30 | 33% | 4.2 |
| Medical Director | 0 | 3 | 3 | 100 | 16 | 17% | 5.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 97 | 20 | 22% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 3 | 3% | 13.9 |
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.
6.5
16% better than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.6
73% better than Arkansas averageArkansas 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
3.4%
71% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
2.9%
78% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
4.7%
69% better than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
10% worse than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
6.5%
37% worse than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.3%
75% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
15.4%
207% worse than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.0%
35% better than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
8.8%
16% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
In line with Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.48
25% better than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.71
22% better than Arkansas averageArkansas 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
64.9%
20% worse than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
49% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
In line with Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.2%
28% better than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.2%
26% better than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.5%
16% better than Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.1%
In line with Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
30% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
100Residents 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 The Blossoms at North Little Rock Rehab and Nursing Center from 2011–2024, based on CMS SNF Cost Reports.
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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.6 miles from city center
Estimated distance in miles from North Little Rock's city center to The Blossoms at North Little Rock Rehab and Nursing Center's address, calculated via Google Maps.
Add your location
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
| Arkansas State Veterans Home | NH AL IL MC | North Little Rock (North Oaks) | 96
Facility
96
AR AVG
84
Rank
#147 / 330 | 95.1% | +33% | 6.24 | +8% | +34% | $0 | 17 | 5.7 | - | 84 | - |
16
Facility
16
AR AVG
34
Rank
#308 / 419 | Phoua Lee | - | - | - | 45462 | ||||
| The Blossoms at North Little Rock Rehab and Nursing Center | NH HC MC PC RC | North Little Rock (Hill Township) | 140
Facility
140
AR AVG
84
Rank
#17 / 330 | 70.0% | -2% | 4.41 | -19% | -6% | $0 | 15 | 5.0 | - | 99 | - |
55
Facility
55
AR AVG
34
Rank
#80 / 419 | Cynthia Dughetti | $11.0M | $4.3M | 38.7% | 45385 | ||||
| Lakewood Health and Rehab, LLC | NH | North Little Rock (Hill Township) | 85
Facility
85
AR AVG
84
Rank
#171 / 330 | 90.1% | +26% | 5.17 | -71% | +11% | $0 | 37 | 9.3 | - | 72 | - |
50
Facility
50
AR AVG
34
Rank
#99 / 419 | Jennifer Reichard | $8.8M | $4.1M | 46.6% | 45202 |
The Blossoms at North Little Rock Rehab and Nursing Center is located in North Little Rock, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
The Blossoms at North Little Rock Rehab and Nursing Center is in the Hill Township neighborhood of North Little Rock.
The Blossoms at North Little Rock Rehab and Nursing Center is legally operated by John Ashley Drive Operating LLC, and administered by Cynthia Dughetti.
The Blossoms at North Little Rock Rehab and Nursing Center has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Blossoms at North Little Rock Rehab and Nursing Center's occupancy is 70%.
The Blossoms at North Little Rock Rehab and Nursing Center is registered as a for-profit in AR.
Cynthia Dughetti is the administrator of The Blossoms at North Little Rock Rehab and Nursing Center.
The Blossoms at North Little Rock Rehab and Nursing Center has 140 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
