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Nursing HomeMedicaid Investigative

Belvedere Nursing and Rehabilitation Center, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2600 Park Ave, Hot Springs, AR 71901119 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 38 Google reviews

5
4
3
2
1
Belvedere Nursing and Rehabilitation Center, LLC Nursing Home in Hot Springs, AR — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (5 vs median 3)
  • High staff turnover (56%)

Bottom 25% in AR · Critically understaffed (RN) · Worst in CENTRAL ARKANSAS NURSING CENTERS chain · $206,908 in fines

Source: Medicare data

What this means for your family

While the facility is physically beautiful and has a dedicated memory care team, recent reviews indicate a concerning decline in daily care standards and communication. Before choosing this facility, we strongly recommend asking for a tour of the actual living areas rather than just the lobby, and specifically inquiring about their current staff-to-patient ratios on weekends.

Google Reviews

Google Reviews

38 reviews on Google
Belvedere Nursing and Rehabilitation Center receives polarized feedback, with some families praising the beautiful facility and compassionate memory care staff, while others report significant lapses in basic care and communication. Critical concerns include reports of poor hygiene, inadequate staffing levels, and dismissive administrative interactions. Families should be aware that experiences appear highly inconsistent, ranging from exceptional support to neglectful conditions.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities7.0Meds2.0Memory6.0Comms4.0Value3.0

Strengths

  • Beautiful, clean, well-maintained facility
  • Compassionate memory care staff
  • Effective rehabilitation therapy services
  • Strong communication during pandemic lockdowns

Concerns

  • Inconsistent or poor quality of daily care (hygiene, response times) (mentioned by 5 reviewers)
  • Rude or dismissive administrative staff (mentioned by 3 reviewers)
  • Lack of discharge planning or after-care guidance (mentioned by 2 reviewers)
  • Understaffing leading to neglect or slow response times (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(5)'20(7)'22(2)'24(5)'26(5)

Distribution · 41 analyzed

5
23
4
3
3
0
2
4
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on improving daily care routines, what specific steps are you taking to ensure consistent hygiene support and timely response to call lights for residents?
  • 2I noticed the facility has a strong reputation for rehabilitation therapy; how do you coordinate that care with the nursing staff to ensure a smooth transition back to daily activities?
  • 3Could you walk me through your current medication management process to help us understand how you ensure accuracy and safety for residents?
  • 4We value clear communication; what is the standard process for families to receive updates on their loved one’s health status or any changes in their care plan?
  • 5How does your team approach discharge planning and after-care guidance to ensure a resident is fully supported if they eventually transition to a different level of care?
  • 6What opportunities are available for residents to socialize and participate in activities, and how do you ensure those with different mobility levels are included?

Personalized based on this facility's data


Key Review Excerpts

We saw an aid painting the nails an elderly woman, staff just sitting and talking to lonely patients, and nurses treating my dad with such love.

Memory care family member · 2024★★★★★

My father was there supposedly for rehab as an inpatient for 18 days. Had 1 shower in 18 days. Asked for details of his medicine dosages and rehab activities only to be told no, don't bring up HIPPA either.

Rehab patient's family · 2024☆☆☆☆

Father in law was in there, visited him one day and next day went back he was in the same clothes, had ants crawling all over his food and his pillow case had holes all over it.

Long-term resident's family · 2022☆☆☆☆
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
27%
Registered nurses for medical care
Total Nursing
3.84hrs
94%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AR
1.4%
Garland
0.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
15.5%
AR
11.1%
Garland
10.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.3%
AR
11.0%
Garland
11.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
14.4%
AR
10.1%
Garland
12.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
AR
94.9%
Garland
97.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
19.4%
AR
14.0%
Garland
16.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
81.8%
AR
82.0%
Garland
91.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.1%
Better than Avg
Here
86.1%
US
79.8%
AR
77.7%
Garland
73.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
AR
1.3%
Garland
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
3penalties
Near state avg (4.3)
2 complaint-triggered
$206,908 in fines

Families have filed complaints about safety hazards and infection control at this facility, which has recurring deficiencies in resident assessment and care planning, infection control, and safety supervision across multiple surveys from 2022-2024. The facility shows a pattern of repeated violations in the same care areas, including assessment processes that appeared on every survey. While the provider reports correcting each deficiency, the persistence of similar issues across years suggests ongoing quality challenges families should carefully consider.

Mar 14, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Nov 7, 2024Routine
5
0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 21, 2023Routine
13
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Oct 13, 2023Complaint
1
0880Immediate jeopardy · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 28, 2022Routine
9
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Federal Penalties

Fine

Mar 14, 2025

$10,188

Fine

Oct 13, 2023

$196,720

Payment Denial

Oct 13, 2023

26-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Belvedere Nursing and Rehabilitation Center, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Central Arkansas Nursing Centers

Chain Size

39 facilities nationwide

Chain avg rating: 3.5/5 · Rank 38 of 38 (Worst)

Ownership & Management

Owners

Hursh, Paralea

Owner

10%

Sams, Jerry

Owner

10%

Key personnel

Lamb, BobbyManagerCentral Arkansas Nursing Centers INCAdp of the SnfNursing Consultants INCAdp of the SnfSpring Valley Holdings LLCAdp of the SnfFerguson, ClayAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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