The Woods, a Nightingale Community

1194 N Chester St · Monticello, AR · 71655 · 8703676852

122 certified beds For profit - Limited Liability company Chain: Nightingale

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 70
Staffing 20% 60
Federal penalties 15% 74
Trend 10% 39
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.673.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day3.36≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)1 · $15,940

Inspection citations (36 in the current record)

  • Immediate jeopardy · J July 3, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 7, 2025 · Quality of Life and Care

  • Potential for harm · D July 3, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected July 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 3, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 7, 2025 · Resident Rights

  • Potential for harm · D July 3, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 3, 2025

    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.

    Corrected July 7, 2025 · Quality of Life and Care

  • Potential for harm · E July 3, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · E July 3, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · E July 3, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 7, 2025 · Infection Control

  • Potential for harm · D March 21, 2025 · found via complaint

    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 April 4, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 4, 2025 · Infection Control

  • Potential for harm · D September 26, 2024 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024 · found via complaint

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · E September 26, 2024 · found via complaint

    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 October 25, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024 · found via complaint

    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.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · E September 26, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 25, 2024 · Infection Control

  • Potential for harm · E April 4, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 3, 2024 · Nutrition and Dietary

  • Potential for harm · F April 4, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 3, 2024 · Nutrition and Dietary

  • Potential for harm · D April 4, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 3, 2024 · Quality of Life and Care

  • Potential for harm · D April 4, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 3, 2024 · Environmental

  • No harm found · C April 4, 2024

    Honor the resident's right to manage his or her financial affairs.

    Corrected April 4, 2024 · Resident Rights

  • No harm found · C April 4, 2024

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected April 4, 2024 · Resident Rights

  • Potential for harm · E March 30, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 28, 2023 · Resident Rights

  • Potential for harm · D March 30, 2023

    Assess the resident when there is a significant change in condition

    Corrected April 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 30, 2023

    Ensure each resident receives an accurate assessment.

    Corrected April 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 30, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 28, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 3, 2025Fine$15,940

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045176 · certified since November 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.