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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
This home is ranked 158th out of 182 homes in Arkansas. 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.
| 16m per day | ▼ 33% 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.
| 52m per day | ▼ 9% 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 39m per day | ■ Avg 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 5m 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.
| 4m per day | ▲ 100% 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.
| 14m per day | ▼ 13% State avg: 16m per day · National avg: 28m per day |
Similar to the Arkansas average: 71.3%The Springs at Pinnacle Mountain is legally operated by Valley Ranch Healthcare, LLC, and administrated by David E. Miller.
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, citation, 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.
| 70 | 21 | This facility has 233% more total deficiencies than a typical Arkansas nursing home (70 vs. AR avg 21).↑ 233% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 17.5 | 5.3 | This facility has 230% more deficiencies per year than a typical Arkansas nursing home (17.5 vs. AR avg 5.3).↑ 230% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is problematic, showing repeated failures in dietary compliance, medication administration, and resident safety that contributed to actual harm and a resident’s death. The most recent inspection on July 7, 2025, substantiated a complaint where a resident was given the wrong diet, causing nausea and death, while earlier investigations found failures in timely abuse reporting and pain medication administration. Deficiencies also included unsafe wheelchair maintenance, poor food safety, missed medication doses, and unresolved grievances, indicating ongoing issues with care consistency and communication.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsArkansas average 4.2
Last Health inspection on Jul 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.
23 of 38 citations resulted from standard inspections; and 15 of 38 resulted from complaint investigations.
400% worse than Arkansas averageArkansas average: 0.4
400% worse 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.
19% worse than Arkansas average
8% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
103 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 0 | 41 | 17,679 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,543 | 92 | 100% | 10.6 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,382 | 92 | 100% | 9.7 |
| RN Director of Nursing | 4 | 0 | 4 | 2,161 | 79 | 86% | 8.6 |
| Registered Nurse | 7 | 0 | 7 | 1,271 | 63 | 68% | 9.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 901 | 66 | 72% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 656 | 82 | 89% | 5.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 519 | 55 | 60% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 61 | 66% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 447 | 62 | 67% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 446 | 56 | 61% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 409 | 53 | 58% | 7.7 |
| Qualified Social Worker | 3 | 0 | 3 | 233 | 53 | 58% | 4.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 69 | 34 | 37% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 6 | 7% | 6.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 40 | 7 | 8% | 5.7 |
| Medical Director | 0 | 1 | 1 | 22 | 13 | 14% | 1.7 |
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 (Data as of Jan 2026)
37% lower than Arkansas averageArkansas average: $26K
32% fewer fines than Arkansas averageArkansas average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
429% more payment denials than Arkansas averageArkansas average: 0.2
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.
6.0
22% better than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.1
10% 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
8.4%
27% better than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
12.9%
In line with Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
In line with Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
73% better than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
25% worse than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
1.7%
67% better than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
7.3%
30% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
In line with Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
10% worse than Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.55
21% better than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.57
28% 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
69.3%
14% worse than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
150% worse than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
54.3%
30% worse than Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.5%
5% worse than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
23.6%
71% worse 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.
46.4%
14% worse than Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.1%
15% worse than Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73Residents 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 Springs at Pinnacle Mountain based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 181Payroll — State benchmarkedThis home is ranked 76th out of 181 homes in Arkansas. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
129.7 miles from city center
Estimated distance in miles from Little Rock's city center to The Springs at Pinnacle Mountain's address, calculated via Google Maps.
Add your location
The Springs at Pinnacle Mountain is located in Little Rock, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
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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).
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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. | Little Rock | 120 | 90.4% | +27% | 4.79 | -43% | +3% | $0 | 30 | 6.0 | - | 109 | - | 0 | Sheri Mcgraw | $18.1M | $7.1M | 39.1% | 45460 | ||||
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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.
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RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Little Rock (Leander) | 120 | 89.2% | +25% | 6.16 | -32% | +32% | $0 | 34 | 3.4 | - | 107 | A+ | 31 | Marybret, LLC | $16.0M | $8.3M | 51.9% | 45466 | ||||
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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.
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| The Springs at Pinnacle Mountain |
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).
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The Springs at Pinnacle Mountain is in the Big Rock Township neighborhood of Little Rock.
The legal owner and operator of The Springs at Pinnacle Mountain is Valley Ranch Healthcare, LLC.
The Springs at Pinnacle Mountain's occupancy is 69%.
David E. Miller is the administrator of The Springs at Pinnacle Mountain.
The Springs at Pinnacle Mountain has 110 beds.
Yes — there are 9 photos of The Springs at Pinnacle Mountain in the photo gallery on this page.
The Springs at Pinnacle Mountain is located at 6411 Valley Ranch Drive.
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