5/5
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.
5/5
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.
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.
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.
| 19m per day | ▼ 20% 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.
| 53m per day | ▼ 8% State avg: 58m 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 21m per day | ▼ 14% State avg: 2h 45m 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 10m per day | ▼ 10% State avg: 3h 32m per day · National avg: 3h 27m 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 | ▼ 60% 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.
| 16m per day | ■ Avg State avg: 16m per day · National avg: 29m per day |
Higher than the Arkansas average: 71.3%The Springs of Hillcrest is legally operated by Hillcrest Healthcare LLC, and administrated by Misty Applegate.
Arkansas average 4.2
Last Health inspection on Aug 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.
19 of 20 citations resulted from standard inspections; and 1 of 20 resulted from complaint investigations.
100% better 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.
25% fewer staff per resident than Arkansas average
5% 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.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 16 LPN 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.
8.9 hoursHelps with daily care and mobility.
All 46 CNA Staff are full-time employees. No contractors work on this role.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
84 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 15,147 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 16 | 0 | 16 | 5,774 | 92 | 100% | 8.9 |
| Registered Nurse | 4 | 0 | 4 | 1,548 | 81 | 88% | 8.8 |
| Nurse Aide in Training | 4 | 0 | 4 | 1,342 | 83 | 90% | 9.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,027 | 69 | 75% | 7.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 886 | 68 | 74% | 7.1 |
| Dietitian | 1 | 0 | 1 | 492 | 63 | 68% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 59 | 64% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 414 | 54 | 59% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 228 | 28 | 30% | 8.2 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 76 | 45 | 49% | 1.7 |
| Qualified Social Worker | 1 | 0 | 1 | 60 | 26 | 28% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 35 | 6 | 7% | 5.8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 26 | 21 | 23% | 1.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 6 | 7% | 4.3 |
| Medical Director | 0 | 1 | 1 | 24 | 12 | 13% | 2 |
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)
63% 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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 7, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 7, 2023Last updated: Jan 2026
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.
10.6
38% worse than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
32% worse than Arkansas averageArkansas average: 13.3
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
53% worse than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
18.7%
40% worse than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
9% worse than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
7.3%
86% worse than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
7.8%
63% worse than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.1%
18% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
1.6%
68% better than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.4%
74% better than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
5.8%
44% better than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Arkansas averageArkansas average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
13% better than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.2%
12% better than Arkansas averageArkansas average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
36% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents 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 of Hillcrest 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).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
13.7 miles from city center
Estimated distance in miles from Prescott's city center to The Springs of Hillcrest's address, calculated via Google Maps.
— 16.31 miles to nearest hospital (Permian Premier Health Services)
Add your location
The Springs of Hillcrest is located in Prescott, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
The legal owner and operator of The Springs of Hillcrest is Hillcrest Healthcare LLC.
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.
The Springs of Hillcrest's occupancy is 91%.
Misty Applegate is the administrator of The Springs of Hillcrest.
The Springs of Hillcrest has 90 beds.
The Springs of Hillcrest is located at 1421 W 2nd St N, Prescott, AR 71857.
(501) 224-8111 will put you in contact with the team at The Springs of Hillcrest.
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