The Springs of Hillcrest
Nursing Home · Nevada County, AR
CMS overall rating Info 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 Springs of Hillcrest

Nursing Home · Nevada County, AR
CMS overall rating Info 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.
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The Springs of Hillcrest accepts Medicare, Medicaid, and private pay.

Overview of The Springs of Hillcrest

The Spring Hillcrest is a tightly-knit nursing home that undoubtedly provides the highest standard of nursing care for elders in Prescott. The family-like surroundings provide a balance with its in-house state-of-the-art features that cater to the individual needs of its residents in skilled nursing, rehabilitation, and memory care living options. The Spring Hillcrest strives to satisfy the holistic wellness of its residents in a cozy, nurturing, and fun-filled environment.
Boasting its exclusive services, such as Serenity at The Springs, a specialized program unit for memory care residents, and a Telemedicine service that encompasses health monitoring by the immediate call of physicians to assess medical conditions as a preventive measure to rush to the hospital. Other clinical services include stroke recovery, IV therapy, orthopedic therapy, post-surgical care, pain management, technical therapy programs, and diabetic care.

(501) 224-8111

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 36.5% Below AR avg. ▼ 36.5% Below AR avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 30.6% Below AR avg. ▼ 30.6% Below AR avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 7.7% Below AR avg. ▼ 7.7% Below AR avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 18.9% Below AR avg. ▼ 18.9% Below AR avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Arkansas state averages

Total nursing care / resident Info This home is ranked 125th 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.
4h 15m per day
Rank #125 / 182Nurse hours — State benchmarkedThis home is ranked 125th out of 182 homes in Arkansas. Shows adjusted nurse hours per resident per day benchmarked to the Arkansas average, with a ranking across 182 Arkansas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Arkansas avg (4h 45m per day)
vs Arkansas avg
-10%
Staff typeHours / Day / Residentvs state avg
Total Nursing (Weekend) Info 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 14m per day

Types of Care at The Springs of Hillcrest

Nursing Home

Capacity and availability

Avg. Length of Stay
167 days
Bed community size
90-bed community Rank #138 / 187Bed count — State benchmarkedThis home is ranked 138th out of 187 homes in Arkansas. Shows this facility's certified or reported bed count compared to other Arkansas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 40 / 100 Rank #80 / 187Walk Score — State benchmarkedThis home is ranked 80th out of 187 homes in Arkansas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Arkansas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
91%
Rank #15 / 182Occupancy rate — State benchmarkedThis home is ranked 15th out of 182 homes in Arkansas. Shows this facility's occupancy rate versus the Arkansas average, with its Statewide rank out of 182. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Arkansas average: 71.3%
Occupied beds
82 / 90
Average residents per home in Arkansas 77 per day

License Details

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid /medicare)
CountyNevada
Business TypeLimited Liability Company
Certification TypeXIX/XVIII

Ownership & Operating Entity

The Springs of Hillcrest is legally operated by Hillcrest Healthcare LLC, and administrated by Misty Applegate.

Type Of Units

Medicaid and Medicare
90 units
Total beds
90 units

Contact Information

Fax870-887-6019

Contact The Springs of Hillcrest

Health Inspection History

Inspections Since 2023
Total health inspections 4

Arkansas average 4.2


Last Health inspection on Aug 2025

Total health citations
20 Rank #86 / 187Health citations — State benchmarkedThis home is ranked 86th out of 187 homes in Arkansas. Shows this facility's total health deficiency citations benchmarked to the Arkansas State average, with a ranking across all 187 AR SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Arkansas average 21.8

Citations per inspection
5 Rank #89 / 187Citations per inspection — State benchmarkedThis home is ranked 89th out of 187 homes in Arkansas. Shows average deficiency citations per CMS inspection for this facility versus the Arkansas mean across 187 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Arkansas average 5.32


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

19 of 20 citations resulted from standard inspections; and 1 of 20 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than Arkansas average

Arkansas average: 0.4


Serious Health citations
1 Rank #1 / 26Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 26 homes in Arkansas. Shows G–I scope serious health citations for this facility versus other Arkansas SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
400% worse than Arkansas average

Arkansas average: 0.2

0 critical citations Arkansas average: 0.4

1 serious citation Arkansas average: 0.2

19 moderate citations Arkansas average: 20.9

0 minor citations Arkansas average: 0.4
Citations history (last 3 years)
Pharmacy moderate citation Aug 14, 2025
Corrected

Resident Rights moderate citation Aug 14, 2025
Corrected

Infection Control moderate citation May 23, 2024
Corrected

Nursing Services moderate citation May 23, 2024
Corrected

Staffing Data

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

Total staff 88
Employees 85
Contractors 3
Staff to resident ratio 1.19:1
26% worse than Arkansas average
Arkansas average ratio: 1.61:1 Arkansas average ratio: 1.61:1See full Arkansas ranking
Avg staff/day 37
Average shift 8.4 hours
5% better than Arkansas average
Arkansas average: 8 hours Arkansas average shift: 8 hoursSee full Arkansas ranking
Total staff hours (quarter) 28,476

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.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

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

0.3%

84 contractor hours this quarter

Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 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 Assistant4604615,14792100%8.9
Licensed Practical Nurse160165,77492100%8.9
Registered Nurse4041,5488188%8.8
Nurse Aide in Training4041,3428390%9.1
Speech Language Pathologist3031,0276975%7.6
Physical Therapy Aide2028866874%7.1
Dietitian1014926368%7.8
Nurse Practitioner1014725964%8
Administrator1014645863%8
Dental Services Staff1014375964%7.4
RN Director of Nursing1014145459%7.7
Clinical Nurse Specialist2022282830%8.2
Respiratory Therapy Technician101764549%1.7
Qualified Social Worker101602628%2.3
Occupational Therapy Aide0113567%5.8
Physical Therapy Assistant101262123%1.2
Occupational Therapy Assistant0112667%4.3
Medical Director011241213%2
46 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
4 Registered Nurse
% of Days 88%
4 Nurse Aide in Training
% of Days 90%
3 Speech Language Pathologist
% of Days 75%
2 Physical Therapy Aide
% of Days 74%
1 Dietitian
% of Days 68%
1 Nurse Practitioner
% of Days 64%
1 Administrator
% of Days 63%
1 Dental Services Staff
% of Days 64%
1 RN Director of Nursing
% of Days 59%
2 Clinical Nurse Specialist
% of Days 30%
1 Respiratory Therapy Technician
% of Days 49%
1 Qualified Social Worker
% of Days 28%
1 Occupational Therapy Aide
% of Days 7%
1 Physical Therapy Assistant
% of Days 23%
1 Occupational Therapy Assistant
% of Days 7%
1 Medical Director
% of Days 13%

Penalties and fines

Includes penalties issued in 2023

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)

Total fines amount $10K Rank #139 / 187Federal fines — State benchmarkedThis home is ranked 139th out of 187 homes in Arkansas. Shows this facility's cumulative CMS federal fine dollars versus the Arkansas average among facilities with fines, and where it ranks among 187 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
63% lower than Arkansas average

Arkansas average: $26K

Number of fines 1
32% fewer fines than Arkansas average

Arkansas average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
429% more payment denials than Arkansas average

Arkansas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $10K
Arkansas average $26K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 7, 2023
$10K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jul 7, 2023
7 days

Last updated: Jan 2026

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. 10.6
38% 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. 17.6
32% worse than Arkansas average

Arkansas average: 13.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.7%
53% worse than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.7%
40% 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 16.4%
9% 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 7.3%
86% 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 7.8%
63% worse than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
18% better than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
68% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.4%
74% better than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.8%
44% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Arkansas average

Arkansas average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
In line with Arkansas average

Arkansas average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.6%
13% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.2%
12% better than Arkansas average

Arkansas average: 77.7%

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

39% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

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

Total residents 74
Medicare
10
13.5% of residents
Medicaid
49
66.2% of residents
Private pay or other
15
20.3% 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

Privately-owned community
Home revenue
$8.3M
Profit
$121.5K
Privately-owned community
Home revenue
$8.3M Rank #118 / 181Revenue — State benchmarkedThis home is ranked 118th out of 181 homes in Arkansas. Shows this facility's annual revenue compared to the Arkansas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$121.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #122 / 181Payroll — State benchmarkedThis home is ranked 122nd 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.
$3.6M
43.3% of revenue Rank #112 / 181Payroll % — State benchmarkedThis home is ranked 112th out of 181 homes in Arkansas. Shows payroll as a percentage of revenue versus the Arkansas average. Well-run Arkansas SNFs typically land around 47–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
Total costs $8.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Places of interest near The Springs of Hillcrest

Address 13.7 miles from city center Info Estimated distance in miles from Prescott's city center to The Springs of Hillcrest's address, calculated via Google Maps. — 15.72 miles to nearest hospital (DaVita Hempstead County Dialysis)

Calculate Travel Distance to The Springs of Hillcrest

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Address

Financial Assistance for
Nursing Home in Arkansas

The Springs of Hillcrest is located in Prescott, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.

Get Financial aid guidance

ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability
General Arkansas resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Rural focus; possible waitlists.

Benefits
Personal care (5-7 hours/day) Meals ($7/meal) Respite care (240 hours/year) Adult day services ($60/day)

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+
General Arkansas resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AR

Limited direct funding; mostly referral-based.

Benefits
Care coordination Limited respite (up to 5 days/year) Transportation assistance (~5 trips/month)

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+
General Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple); spousal rules apply.
AR

Limited provider network; excludes Level I facilities (no nursing services).

Benefits
Personal care (~5 hours/day) Medication management Nursing Activities Transportation

Program of All-Inclusive Care for the Elderly (PACE)

Arkansas Medicaid PACE

Age 55+
General Arkansas resident, nursing home-level care, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Limited geographic availability.

Benefits
Primary/preventive care Personal care (5-7 hours/day) Meals Transportation Therapy

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Age
General Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.
Income Limits (2025) ~$1,004/month individual
Asset Limits $9,660 (individual), $14,470 (couple).
AR

No nursing home-level care requirement.

Benefits
Personal care (~4-6 hours/day) Homemaker services (e.g., meal prep)

Frequently Asked Questions about The Springs of Hillcrest

Who is the owner of The Springs of Hillcrest?

The legal owner and operator of The Springs of Hillcrest is Hillcrest Healthcare LLC.

Is The Springs of Hillcrest in a walkable area?

The Springs of Hillcrest has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at The Springs of Hillcrest?

The Springs of Hillcrest's occupancy is 91%.

Who is the administrator of The Springs of Hillcrest?

Misty Applegate is the administrator of The Springs of Hillcrest.

How many beds does The Springs of Hillcrest have?

The Springs of Hillcrest has 90 beds.

What is the address of The Springs of Hillcrest?

The Springs of Hillcrest is located at 1421 W 2nd St N, Prescott, AR 71857.

What is the phone number of The Springs of Hillcrest?

(501) 224-8111 will put you in contact with the team at The Springs of Hillcrest.

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