{"schema_version":"1.0.0","facility":{"id":"cms-045357","ccn":"045357","name":"Premier at the Springs","source_name":"PREMIER AT THE SPRINGS","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"AR","address":{"line1":"3600 Richards Road","city":"North Little Rock","state":"AR","zip":"72117","county_name":"Pulaski County","county_fips":"05119","county_method":"name_match","ssa_county_code":"590","urban":true},"location":{"lat":34.7891,"lon":-92.213,"method":"cms_published_coordinates"},"phone":"5019552108","certification":{"authority":"CMS","ccn":"045357","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2000-03-09","certified_beds":132,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/045357"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":132,"avg_residents_per_day":118.2},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"PREMIER WELLNESS LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"None","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":1},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.84525,"lpn_hprd":0.93843,"rn_hprd":0.29843,"licensed_hprd":1.23687,"total_nurse_hprd":4.08212,"weekend_total_nurse_hprd":3.55407,"weekend_rn_hprd":0.31553,"pt_hprd":0.06085,"nursing_turnover_pct":58.9,"rn_turnover_pct":58.3,"administrators_left":1,"case_mix_index":1.3663,"case_mix_index_ratio":0.96884,"case_mix_total_nurse_hprd":3.77928,"adjusted_total_nurse_hprd":4.18037,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-14","cycle1_deficiencies":6,"cycle1_score":40,"cycle2_date":"2024-05-08","cycle23_deficiencies":17,"cycle23_score":120,"total_weighted_score":60},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-516","cms_chain_id":"516","name":"THE SPRINGS ARKANSAS"},"operator_id":"op-premier-wellness-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/045357","provenance":[{"source_id":"cms_provider_info","source_record_id":"045357","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"045357","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":4,"latest_date":"2026-06-12","latest_standard_health":"2025-08-14","earliest_date":"2023-03-03","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":37,"health_count":35,"fire_count":2,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":7,"by_severity":{"potential":35,"minimal":2},"by_scope_severity":{"D":9,"F":3,"E":23,"C":1,"B":1},"by_concept":{"clinical_care":16,"administration":1,"infection_prevention":2,"environment_life_safety":4,"staffing":1,"resident_rights":5,"food_nutrition":5,"medication":3},"type_ids":["cms-f0655","cms-f0838","cms-f0677","cms-f0880","cms-f0921","cms-f0732","cms-f0609","cms-f0641","cms-f0656","cms-k0344","cms-f0812","cms-f0557","cms-f0636","cms-f0692","cms-f0695","cms-f0700","cms-f0758","cms-f0803","cms-f0925","cms-f0554","cms-f0657","cms-f0690","cms-f0558","cms-k0347","cms-f0637","cms-f0645","cms-f0684","cms-f0759","cms-f0761","cms-f0805","cms-f0693","cms-f0888"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":7,"organizations":2,"individuals":4,"not_available":false}},"row":{"id":"cms-045357","ccn":"045357","name":"Premier at the Springs","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"AR","city":"North Little Rock","zip":"72117","county_fips":"05119","county_name":"Pulaski County","address":"3600 Richards Road","beds":132,"residents":118.2,"ownership":"for_profit","operator_id":"op-premier-wellness-llc","operator_name":"Premier Wellness LLC","chain_id":"cms-chain-516","chain_name":"The Springs Arkansas","lat":34.7891,"lon":-92.213,"overall":2,"health_rating":1,"staffing_rating":2,"qm_rating":5,"nurse_hprd":4.08,"turnover":58.9,"inspections":8,"last_inspection":"2026-06-12","deficiencies":37,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0655","cms-f0838","cms-f0677","cms-f0880","cms-f0921","cms-f0732","cms-f0609","cms-f0641","cms-f0656","cms-k0344","cms-f0812","cms-f0557","cms-f0636","cms-f0692","cms-f0695","cms-f0700","cms-f0758","cms-f0803","cms-f0925","cms-f0554","cms-f0657","cms-f0690","cms-f0558","cms-k0347","cms-f0637","cms-f0645","cms-f0684","cms-f0759","cms-f0761","cms-f0805","cms-f0693","cms-f0888"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-premier-wellness-llc","name":"Premier Wellness LLC","legal_name":"PREMIER WELLNESS LLC","facility_count":1,"states":["AR"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-516","name":"The Springs Arkansas","cms_chain_id":"516","facility_count":26,"states":["AR"],"cms_reported":{"facility_count":26,"avg_overall_rating":3.5,"avg_health_inspection_rating":3.1,"avg_staffing_rating":3.3,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-black-river-healthcare-llc","owner_type":"organization","owner_name":"Black River Healthcare LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31"},{"owner_type":"individual","owner_name":"Robin Hayes","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"HAYES, ROBIN"},{"owner_type":"individual","owner_name":"Jeffrey Thessing","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31","owner_name_raw":"THESSING, JEFFREY"},{"owner_id":"org-black-river-healthcare-llc","owner_type":"organization","owner_name":"Black River Healthcare LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-20"},{"owner_id":"org-richards-road-realty-llc","owner_type":"organization","owner_name":"Richards Road Realty LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31"},{"owner_type":"individual","owner_name":"Robin Hayes","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"HAYES, ROBIN"},{"owner_type":"individual","owner_name":"Jeffrey Thessing","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31","owner_name_raw":"THESSING, JEFFREY"}],"inspections":[{"id":"cms-045357-20260612-health","ccn":"045357","date":"2026-06-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-12","cmp":1}]},{"id":"cms-045357-20250814-fire","ccn":"045357","date":"2025-08-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-045357-20250814-health","ccn":"045357","date":"2025-08-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-13","cmp":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-13","cmp":1,"std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-13","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-13","std":1},{"t":"cms-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-13","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2025-09-13","std":1}]},{"id":"cms-045357-20241204-health","ccn":"045357","date":"2024-12-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-30","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-30","cmp":1}]},{"id":"cms-045357-20240508-fire","ccn":"045357","date":"2024-05-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0344","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-06","std":1,"tv":"New"}]},{"id":"cms-045357-20240508-health","ccn":"045357","date":"2024-05-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2,3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0557","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1},{"t":"cms-f0636","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1,"std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0700","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-07","std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","std":1}]},{"id":"cms-045357-20230303-fire","ccn":"045357","date":"2023-03-03","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0347","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-16","std":1,"tv":"New"}]},{"id":"cms-045357-20230303-health","ccn":"045357","date":"2023-03-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0637","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0645","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-24","std":1},{"t":"cms-f0888","ss":"B","sl":1,"cs":"corrected","cd":"2023-03-03","std":1}]}],"deficiency_types":{"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0344":{"code":"K-0344","title":"Have an alternate power supply for its alarm system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0637":{"code":"F-0637","title":"Assess the resident when there is a significant change in condition","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0888":{"code":"F-0888","title":"Ensure staff are vaccinated for COVID-19","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045357&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"AR","overall_rating":3.5,"health_inspection_rating":3.1,"qm_rating":3.9,"staffing_rating":3.4,"avg_residents_per_day":78.1,"cycle1_health_deficiencies":2.7,"cycle1_fire_deficiencies":2.1,"nurse_aide_hprd":2.73,"lpn_hprd":0.93,"rn_hprd":0.41408,"licensed_hprd":1.35,"total_nurse_hprd":4.07811,"weekend_total_nurse_hprd":3.44921,"weekend_rn_hprd":0.28,"pt_hprd":0.03,"nursing_turnover_pct":49,"rn_turnover_pct":42.5,"administrators_left":0.3,"case_mix_index":1.20145,"fines":0.5,"fine_amount":8582,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"AR","name":"Arkansas"},"county":{"fips":"05119","name":"Pulaski County"},"zip":"72117","city":"North Little Rock"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-045134","ccn":"045134","name":"The Springs Jonesboro","address":"1705 Latourette Drive","city":"Jonesboro","state":"AR","zip":"72404","beds":136,"overall":4,"inspections":9,"last_inspection":"2026-01-14","deficiencies":16,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045135","ccn":"045135","name":"The Springs Magnolia","address":"2642 North Dudney Road","city":"Magnolia","state":"AR","zip":"71753","beds":140,"overall":4,"inspections":8,"last_inspection":"2025-08-28","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045140","ccn":"045140","name":"The Springs Searcy","address":"1205 Skyline Drive","city":"Searcy","state":"AR","zip":"72143","beds":245,"overall":3,"inspections":8,"last_inspection":"2026-03-26","deficiencies":22,"serious":1,"ij":0,"open":0,"fines_total":12735,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045142","ccn":"045142","name":"The Springs of Park Ave","address":"1401 Park Avenue","city":"Hot Springs","state":"AR","zip":"71901","beds":95,"overall":4,"inspections":7,"last_inspection":"2025-08-06","deficiencies":26,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045153","ccn":"045153","name":"The Springs of Fairfield Bay","address":"265 Dave Creek Parkway","city":"Fairfield Bay","state":"AR","zip":"72088","beds":55,"overall":3,"inspections":7,"last_inspection":"2026-07-16","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045158","ccn":"045158","name":"The Springs of Greers Ferry","address":"1040 Wedding Ford Road","city":"Heber Springs","state":"AR","zip":"72543","beds":140,"overall":4,"inspections":6,"last_inspection":"2026-01-08","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045180","ccn":"045180","name":"The Springs of Mine Creek","address":"1407 North Main Street","city":"Nashville","state":"AR","zip":"71852","beds":78,"overall":5,"inspections":6,"last_inspection":"2026-02-20","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045189","ccn":"045189","name":"The Springs of Camden","address":"900 Magnolia Road","city":"Camden","state":"AR","zip":"71701","beds":106,"overall":5,"inspections":6,"last_inspection":"2025-05-08","deficiencies":35,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":25,"same_site_review":[],"nearby":[{"id":"cms-045202","ccn":"045202","name":"Lakewood Health and Rehab, LLC","address":"2323 Mccain Boulevard","city":"North Little Rock","state":"AR","zip":"72116","beds":85,"overall":5,"inspections":7,"last_inspection":"2025-09-25","deficiencies":31,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.7},{"id":"cms-045374","ccn":"045374","name":"Robinson Nursing and Rehabilitation Center LLC","address":"519 Donovan Briley Blvd.","city":"North Little Rock","state":"AR","zip":"72118","beds":110,"overall":2,"inspections":7,"last_inspection":"2026-06-04","deficiencies":37,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.1},{"id":"cms-045376","ccn":"045376","name":"Sherwood Nursing & Rehabilitation Center, Inc","address":"245 Indian Bay Drive","city":"Sherwood","state":"AR","zip":"72120","beds":98,"overall":2,"inspections":7,"last_inspection":"2025-12-11","deficiencies":17,"serious":2,"ij":2,"open":0,"fines_total":17276,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.4},{"id":"cms-045385","ccn":"045385","name":"The Blossoms at North Little Rock Rehab & Nursing","address":"2501 John Ashley Drive","city":"North Little Rock","state":"AR","zip":"72114","beds":140,"overall":1,"inspections":7,"last_inspection":"2026-08-27","deficiencies":15,"serious":0,"ij":0,"open":6,"fines_total":50106,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1},{"id":"cms-045462","ccn":"045462","name":"Arkansas State Veterans Home at North Little Rock","address":"2401 John Ashley Drive","city":"North Little Rock","state":"AR","zip":"72114","beds":96,"overall":2,"inspections":6,"last_inspection":"2026-08-14","deficiencies":25,"serious":0,"ij":0,"open":12,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1},{"id":"cms-045359","ccn":"045359","name":"The Blossoms at Cumberland Rehab & Nursing Center","address":"1516 Cumberland St","city":"Little Rock","state":"AR","zip":"72202","beds":120,"overall":1,"inspections":10,"last_inspection":"2026-06-04","deficiencies":43,"serious":2,"ij":0,"open":0,"fines_total":37403,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.1},{"id":"cms-045450","ccn":"045450","name":"The Blossoms at Midtown Rehab & Nursing Center","address":"5720 West Markham Street","city":"Little Rock","state":"AR","zip":"72205","beds":154,"overall":1,"inspections":10,"last_inspection":"2026-08-27","deficiencies":39,"serious":0,"ij":0,"open":3,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":12.1},{"id":"cms-045378","ccn":"045378","name":"Woodland Hills Healthcare and Rehabilitation","address":"1320 West Braden Street","city":"Jacksonville","state":"AR","zip":"72076","beds":120,"overall":1,"inspections":7,"last_inspection":"2026-07-30","deficiencies":44,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":12.4}]}}