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Nursing HomeMedicaid Investigative

Cavalier Healthcare of England

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

400 Stuttgart Highway, England, AR 7204670 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 39 Google reviews

5
4
3
2
1
Cavalier Healthcare of England Nursing Home in England, 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 (2/5 stars)
  • Above-median deficiencies (8 vs median 3)
  • High RN turnover (64%)

Bottom 25% in AR · Below recommended RN staffing · Best in CAVALIER HEALTHCARE chain · $18,356 in fines

Source: Medicare data

What this means for your family

Cavalier Healthcare is frequently praised for its clean, renovated environment and dedicated nursing staff. However, families should verify current staffing ratios and inquire about how resident laundry and dining services are managed, as recent feedback suggests potential limitations in these areas.

Google Reviews

Google Reviews

39 reviews on Google
Cavalier Healthcare of England is frequently praised for its recent renovations and the friendliness of its nursing and therapy staff. However, recent feedback suggests potential operational challenges, specifically regarding staffing levels and the availability of certain amenities like an on-site laundry facility.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean9.0ActivitiesN/AMeds8.0MemoryN/AComms8.0ValueN/A

Strengths

  • Newly remodeled, clean facility
  • Friendly and attentive nursing staff
  • Professional physical therapy team
  • Compassionate care environment

Concerns

  • Understaffing impacting dining room usage (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.0'17(1)2.05.0'19(1)5.05.0'22(1)5.04.9'25(33)3.0'26(2)

Distribution · 43 analyzed

5
39
4
0
3
0
2
3
1
1
22 reviews posted between May 26, 2025May 31, 2025 · 21 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has been recently remodeled; how have these physical updates impacted the daily environment and comfort for the residents?
  • 2With the high level of engagement shown in your online review responses, how do you typically incorporate family feedback into your daily care planning?
  • 3I understand that mealtime is a social highlight; could you walk me through how your team manages dining room support to ensure everyone receives the assistance they need?
  • 4Given the recent focus on health inspection outcomes, what specific quality improvement initiatives are currently underway to enhance the overall resident experience?
  • 5How does your physical therapy team collaborate with the nursing staff to ensure residents maintain their mobility and strength on a daily basis?
  • 6In the event of a medical emergency, what is your established protocol for communicating with family members and coordinating care with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

The staff is very friendly and professional. The patients are well cared for and their medical needs are seen to promptly and according to doctors’ orders.

Rehab patient's family · 2022★★★★★

This place gave me a renewed faith in nursing homes bc I see so much bad. Not a single person was rude or wrote me off. They have a truly amazing team!

Hospice nurse · 2021★★★★★

I spoke to a staff member who was passing out trays and I asked if they had a dining room and was told they did but they don’t use it often because they don’t have enough workers which is common.

Prospective family member · 2026☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
82%
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
3/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

5

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%
Lonoke
0.0%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.1%
Worse than Avg
Here
21.1%
US
19.4%
AR
14.0%
Lonoke
13.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.3%
Better than Avg
Here
16.3%
US
19.5%
AR
21.7%
Lonoke
18.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.8%
Mixed vs Avgs
Here
10.8%
US
15.5%
AR
11.1%
Lonoke
8.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
93.4%
AR
94.9%
Lonoke
93.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.9%
Mixed vs Avgs
Here
11.9%
US
14.4%
AR
10.1%
Lonoke
8.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.3%
Better than Avg
Here
85.3%
US
79.8%
AR
77.7%
Lonoke
79.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.4%
Mixed vs Avgs
Here
78.4%
US
81.8%
AR
82.0%
Lonoke
74.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.9%
Worse than Avg
Here
3.9%
US
1.6%
AR
1.3%
Lonoke
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Well above state avg (4.3)
4 complaint-triggered
$18,356 in fines

Cavalier Healthcare has recurring issues across multiple areas, with families filing four complaint reports over the review period. The facility repeatedly struggled with food service safety and quality, fire safety systems, and resident care planning across all five surveys. While the provider reports correcting each deficiency, the pattern of repeated violations in the same areas - particularly food handling, smoke detection systems, and care plan development - suggests ongoing operational challenges that families should carefully consider when evaluating this facility.

Jul 3, 2025Routine
8
0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

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.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Jul 3, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 11, 2025Complaint
1
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Apr 4, 2024Routine
13
0321Immediate jeopardy · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Apr 4, 2024Complaint
1
0577Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Jan 31, 2024Complaint
1
0689Immediate jeopardy · 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.

Federal Penalties

Fine

Jan 31, 2024

$8,160

Fine

Jan 31, 2024

$10,196

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cavalier Healthcare of England

Organization Type

for profit

Chain Affiliation

Chain Name

Cavalier Healthcare

Chain Size

4 facilities nationwide

Chain avg rating: 2.0/5 · Rank 1 of 2 (Worst) (Best)

Ownership & Management

Owners

Cavalier Healthcare of England, LLC

Owner · Organization

100%

Bethel Investments, LLC

Owner (parent company) · Organization

Limited Holdings, LLC

Owner (parent company) · Organization

Cunningham, Joann

Owner (parent company)

Cunningham, Michael

Owner (parent company)

Hubbard, Brien

Owner (parent company)

Key personnel

Hubbard, BrienW-2 Managing EmployeeCunningham, MichaelOfficer / DirectorHubbard, BrienOfficer / DirectorBethel Investments, LLCManagerLimited Holdings, LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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