Ashley Rehabilitation and Health Care Center
2600 N 22nd Street · Rogers, AR · 72756 · 4798996778
100 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$65,473 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $65,473 |
Inspection citations (40 in the current record)
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Potential for harm · E April 28, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · E December 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 9, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D June 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 3, 2025 · Infection Control
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Immediate jeopardy · J November 1, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 1, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · F November 1, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 31, 2024 · Nursing and Physician Services
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Potential for harm · D November 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 1, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · D November 1, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · D November 1, 2024
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.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · F November 1, 2024
Post nurse staffing information every day.
Corrected January 1, 2025 · Nursing and Physician Services
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Potential for harm · D November 1, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 31, 2024 · Pharmacy Service
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Potential for harm · D November 1, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 31, 2024 · Pharmacy Service
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Potential for harm · F November 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 31, 2024 · Nutrition and Dietary
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Potential for harm · F November 1, 2024
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected December 31, 2024 · Administration
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Potential for harm · F November 1, 2024
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.
Corrected December 31, 2024 · Administration
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Potential for harm · F November 1, 2024
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected January 1, 2025 · Administration
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Potential for harm · F November 1, 2024
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected December 31, 2024 · Administration
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Potential for harm · F November 1, 2024
Provide and implement an infection prevention and control program.
Corrected December 31, 2024 · Infection Control
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Potential for harm · F November 1, 2024
Implement a program that monitors antibiotic use.
Corrected December 31, 2024 · Infection Control
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Potential for harm · F November 1, 2024
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected December 31, 2024 · Administration
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Potential for harm · F November 1, 2024
Provide training in compliance and ethics.
Corrected December 31, 2024 · Administration
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Potential for harm · F November 1, 2024
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected December 31, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 1, 2024 | Fine | $65,473 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045421 · certified since June 27, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.