1/5
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.
1/5
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.
Van Buren Legacy, LLC has a two-component senior living campus offering independent and assisted living at 1012 Fayetteville Road in Van Buren, Arkansas, in Crawford County. The campus has served the River Valley since 2007 and is administered by LaDonna Syrock under CEO Holli Willis, a Licensed Assisted Living Administrator with nearly four decades of healthcare experience. Two distinct programs under the Van Buren Legacy entity are Legacy Heights, an all-inclusive independent and assisted living community, and Memory Lane, a full-service assisted living center holding an Arkansas-certified Alzheimer’s Special Care Unit designation. The entity is privately owned as a corporation and holds CMS Certification for the 40-bed Memory Lane component, which accepts Medicare, Medicaid, and private pay. Private pay represents 75 percent of admissions with typical stays of one to two months; Medicaid comprises 14 percent, and Medicare 11 percent. At 58.6 percent occupancy, below Arkansas’s 71.3 percent average, availability is generally good. Pricing starts around $3,850 per month per third-party aggregators.
The health inspection record is the most significant concern. Across 6 inspections since 2023, including 8 complaint investigations either standalone or combined with standard surveys, the facility totaled 52 citations against an Arkansas average of 21.8 and a per-inspection rate of 8.67 against a 5.32 state average. One critical citation is on record (Quality of Life & Care category), along with 50 moderate citations and 1 from the Abuse, Neglect, and Exploitation category. The leading deficiency clusters are Quality of Life & Care (13 deficiencies, 25 percent) and Resident Rights (11 deficiencies, 21 percent). The May 2025 inspection cited Infection Control, Quality of Care, and Care Planning violations, all at moderate severity and all corrected. The volume of complaint-triggered inspections, 8 out of 6 survey events, warrants particular attention, as it indicates recurring resident or family concerns being escalated to the state. CMS rates Van Buren Legacy the lowest tier 1 star overall, with all four rating dimensions below the Arkansas average: overall −68.3 percent, health inspection −65.3 percent, staffing −38.5 percent, and quality measures −18.9 percent. Total adjusted nursing hours are 4 hours 12 minutes per resident per day, 12 percent below Arkansas average, with weekend coverage dropping to 3 hours 8 minutes per day. Q2 2025 staffing data shows 151 staff across the 40-bed licensed census, with a staff-to-resident ratio of 1.96:1, nominally above the Arkansas average, though the small census inflates this figure. Of concern is the contractor share: 62 of 151 total staff are contractors, representing 15.3 percent of quarterly hours, with contract CNAs and LPNs covering a substantial portion of direct care shifts.
Legacy Heights provides studio, one-bedroom, and two-bedroom floor plans with an all-inclusive model. It covers utilities, cable, three home-cooked meals daily, housekeeping, laundry, 24-hour security, medication management, social and recreational programs, an on-site hair salon, a library, an event center, and a safe room for inclement weather. Memory Lane’s Alzheimer’s Special Care Unit offers specialized memory care in apartments with living rooms and kitchenettes, 24-hour trained staff, transportation, housekeeping, meals, and Wi-Fi. Family reviews highlight the memory care unit’s well-trained, caring staff and the physical environment quality. The Fayetteville Road location has a walk score of 56, with some walkable services, while Spirit Medical is around 0.4 miles away.
Van Buren Legacy, LLC, Legacy Heights, and Memory Lane may suit families seeking an Alzheimer’s special care environment in Crawford County with an all-inclusive lifestyle model and experienced leadership. However, the facility’s 1-star CMS rating, elevated citation volume, frequency of complaint investigations, and contractor staffing reliance are material factors that families should weigh. Reviewing the full inspection reports through Arkansas DHS and Medicare Care Compare and visiting in person before placement is strongly recommended.
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.
| 12m per day | ▼ 51% 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.
| 56m per day | ■ Avg 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 18m per day | ▼ 16% 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.
| 2h 51m per day | ▼ 20% 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 | ▼ 57% 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.
| 6m per day | ▼ 63% State avg: 16m per day · National avg: 29m per day |
Lower than the Arkansas average: 71.3%Van Buren Legacy, LLC is legally operated by Van Buren Legacy, LLC, and administered by Ladonna Syrock.
Arkansas average 4.2
Last Health inspection on May 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.
38 of 52 citations resulted from standard inspections; 8 of 52 resulted from complaint investigations; and 6 of 52 came from combined inspections (standard and complaint).
150% worse 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.
37% more staff per resident than Arkansas average
0% compared with 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 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
40 total: 22 full-time employees and 18 contractors.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
80 total: 65 full-time employees and 15 contractors.
80
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,557 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 15 | 80 | 19,301 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 22 | 18 | 40 | 6,514 | 92 | 100% | 8.1 |
| RN Director of Nursing | 5 | 0 | 5 | 2,084 | 75 | 82% | 8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,471 | 74 | 80% | 9.6 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,153 | 69 | 75% | 7.2 |
| Clinical Nurse Specialist | 4 | 3 | 7 | 1,094 | 77 | 84% | 7.2 |
| Qualified Social Worker | 0 | 5 | 5 | 627 | 72 | 78% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 597 | 65 | 71% | 8.8 |
| Nurse Practitioner | 1 | 0 | 1 | 536 | 67 | 73% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 480 | 58 | 63% | 8.3 |
| Nurse Aide in Training | 3 | 0 | 3 | 327 | 38 | 41% | 7.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 156 | 40 | 43% | 3.9 |
| Occupational Therapy Aide | 0 | 2 | 2 | 152 | 37 | 40% | 4.1 |
| Registered Nurse | 3 | 0 | 3 | 148 | 18 | 20% | 8.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 107 | 53 | 58% | 2 |
| Medical Director | 1 | 0 | 1 | 78 | 26 | 28% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 38 | 8 | 9% | 4.8 |
| Physician Assistant | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
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)
51% 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.
0
100% fewer 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.
8.4
9% worse than Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
8% better than Arkansas averageArkansas average: 13.3
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
In line with Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
9.0%
32% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.9%
5% worse than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
14% worse than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
6.9%
45% worse than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.8%
41% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
9.9%
98% worse 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
17.8%
70% worse than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Arkansas averageArkansas average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
11% better than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
39% worse than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.4%
14% 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.
11% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents 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 Van Buren Legacy, LLC 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 long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (75% 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.
0.0 miles from city center
Estimated distance in miles from Van Buren's city center to Van Buren Legacy, LLC's address, calculated via Google Maps.
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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 | ||||
| Presbyterian Village, Inc. | NH AL HC IL MC RC | Little Rock (Big Rock Township) | 78
Facility
78
AR AVG
84
Rank
#193 / 330 | 83.3% | +17% | 6.28 | -76% | +34% | $0 | 12 | 4.0 | - | 61 | A+ |
37
Facility
37
AR AVG
34
Rank
#179 / 419 | Mary Compton | $7.0M | $4.9M | 70.9% | 45436 | ||||
| Lake Forest Senior Living at Mountain Home | NH AL HC IL MC PC | Mountain Home | 70
Facility
70
AR AVG
84
Rank
#206 / 330 | 64.1% | -10% | 4.30 | -41% | -8% | $0 | 22 | 5.5 | - | 45 | - |
14
Facility
14
AR AVG
34
Rank
#321 / 419 | Mountain Home Snf Opco LLC | $5.6M | $3.7M | 66% | 45250 | ||||
| Butterfield Trail Village | NH AL IL | Fayetteville (East Joyce Boulevard) | 87
Facility
87
AR AVG
84
Rank
#167 / 330 | 46.0% | -35% | 7.73 | +19% | +65% | $58.0k | 21 | 3.0 | 3 | 38 | A+ |
39
Facility
39
AR AVG
34
Rank
#165 / 419 | Michael Spears | $15.2M | $9.6M | 63.2% | 45125 | ||||
| Van Buren Legacy, LLC | NH AL | Van Buren | 40
Facility
40
AR AVG
84
Rank
#267 / 330 | 58.6% | -18% | 4.19 | -67% | -10% | $0 | 52 | 8.7 | 1 | 100 | - |
56
Facility
56
AR AVG
34
Rank
#73 / 419 | Van Buren Legacy, LLC | $9.2M | $3.3M | 35.8% | 45326 |
Van Buren Legacy, LLC is located in Van Buren, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
Van Buren Legacy, LLC has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Van Buren Legacy, LLC's occupancy is 59%.
Ladonna Syrock is the administrator of Van Buren Legacy, LLC.
Van Buren Legacy, LLC has 40 beds.
Yes — there are 13 photos of Van Buren Legacy, LLC in the photo gallery on this page.
Van Buren Legacy, LLC is located at 1012 Fayetteville Road, Van Buren, AR 72956.
(479) 474-7233 will put you in contact with the team at Van Buren Legacy, LLC.
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