Nursing home · Top rated by CMS
Little River Nursing & Rehab
162 Hwy 32-2A, Ashdown, AR 71822 · Map
Government - County · 85 certified beds
Little River Nursing & Rehab is a Medicare-certified nursing home in Ashdown, Arkansas. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.40 hours per resident per day, above the Arkansas average of 4.07. Its most recent inspection on Jan 24, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Little River Nursing & Rehab compares
This facility vs. the Arkansas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Arkansas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.40 | 4.07 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.64 | 0.40 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.62 | 2.72 | 2.34 | below avg |
| Nursing staff turnover | 36.8% | 50.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 4.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 24, 2025 inspection was corrected by January 29, 2025
What inspectors found at Little River Nursing & Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Pharmacy Service Deficiencies · Jan 24, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 24, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 1, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 1, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Mar 1, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 162 Hwy 32-2A
Ashdown, AR 71822 - CMS certification #
- 045244
- Ownership
- Government - County
- Certified beds
- 85
- Avg residents/day
- 67.3
- Provider type
- Medicare and Medicaid
- First certified
- 1994-09-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Little River Nursing & Rehab using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Little River Memorial Hospital, Ashdown. 0.6 miles away, straight line.
- Nearest Medicare nursing home
- Pleasant Manor Nursing & Rehab, Ashdown. 0.8 miles away, straight line.
- Nearest home health agency office
- Little River Memorial Hospital Home Health, Ashdown. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 71822 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Texarkana Regional Dialysis, Texarkana, 14.5 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 71822.
Gentiva, office in Texarkana, 14.4 miles away, straight line
Hospice Of Texarkana Inc, office in Texarkana, 14.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Retreat Health Care Services Inc, office in Texarkana, 14.6 miles away, straight line - Nearest geriatric medicine practice
- Correct Care, Inc., Ashdown. 0.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective January 7, 1998), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Little River Nursing & Rehab a good nursing home?
CMS gives Little River Nursing & Rehab an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Little River Nursing & Rehab staffed?
Little River Nursing & Rehab reports 4.40 total nurse hours per resident per day, compared with the Arkansas average of 4.07.
Has Little River Nursing & Rehab had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Little River Nursing & Rehab have?
Little River Nursing & Rehab is certified for 85 beds.