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Nursing HomeMedicaid

Little River Nursing & Rehab

Strong Medicare quality ratings; families often praise friendly and professional individual nursing staff. Still worth an in-person visit.

162 Hwy 32-2a, Ashdown, AR 7182285 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 15 Google reviews

5
4
3
2
1
Little River Nursing & Rehab Nursing Home in Ashdown, AR — Street View
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What this means for your family

While some families report positive end-of-life care, there are serious concerns regarding the lack of a dedicated dementia unit and poor administrative communication. If your loved one has memory care needs, ensure you ask for a detailed tour of the facility's layout and a clear explanation of their assessment process before admission.

Google Reviews

Google Reviews

15 reviews on Google
Little River Nursing & Rehab receives polarized feedback, with some families praising the friendliness of individual staff members while others report significant operational failures. Critical concerns include a lack of specialized dementia care, poor communication regarding patient admissions and medical instructions, and long wait times for basic services like meals. Prospective families should be aware of reports regarding inconsistent care standards and potential issues with patient safety and transport.

Quality Themes

Tap a score for details
Food3.0Staff6.0CleanN/AActivitiesN/AMeds1.0Memory1.0Comms2.0ValueN/A

Strengths

  • Friendly and professional individual nursing staff
  • Helpful and polite LPNs
  • Clean and well-maintained facility environment

Concerns

  • Lack of specialized dementia/Alzheimer's unit (mentioned by 2 reviewers)
  • Poor communication and administrative follow-through (mentioned by 2 reviewers)
  • Inconsistent or slow response times for care and meals (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02016(1)5.02017(3)5.02018(1)3.02019(2)2.32022(3)3.32024(4)5.02025(2)

Distribution · 16 analyzed

5
11
4
0
3
0
2
1
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since the facility does not have a dedicated memory care unit, how do you ensure safety and specialized support for residents who may experience cognitive decline or wandering?
  • 2I noticed some feedback regarding administrative follow-through; what is the best way for family members to reach leadership to ensure we stay updated on our loved one's care?
  • 3With the current staffing rating being quite strong, how does your team manage response times for daily needs like meal delivery and assistance calls to ensure they remain consistent?
  • 4Could you walk me through the process for medication management to ensure accuracy and timely administration for residents?
  • 5What steps are being taken to enhance the dining experience and variety of meal options for residents?
  • 6How does your team handle medical emergencies or sudden changes in health status, especially during evening or weekend hours?

Personalized based on this facility's data


Key Review Excerpts

I didn’t know they didn’t have a separate alzheimers wing or unit that most nursing homes have . The dementia folks co mingle with the others.

Friend of a resident · 2024★★☆☆☆

My dad spent the last 5 days of his life here. He was well cared for by their very friendly professional staff.

Family member · 2025★★★★★

The nurses refused to follow his doctors instructions. The administration did not express condolences or care except to send me bill.

Family member of hospice patient · 2022☆☆☆☆
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
4.12hrs
OK
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.3%
Worse than Avg
Here
30.3%
US
19.5%
AR
21.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.2%
Worse than Avg
Here
20.2%
US
15.3%
AR
11.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.6%
Mixed vs Avgs
Here
3.6%
US
12.1%
AR
1.4%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.8%
Worse than Avg
Here
16.8%
US
14.4%
AR
10.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
19.4%
AR
14.0%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
1.6%
AR
1.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.9%
Better than Avg
Here
93.9%
US
79.8%
AR
77.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.6%
Better than Avg
Here
82.6%
US
81.8%
AR
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
AR
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (4.3)
1 complaint-triggered

Little River Nursing & Rehab shows a pattern of deficiencies across multiple areas, with one complaint filed by families regarding resident notification rights. The facility has struggled most with resident assessment and care planning (appearing in 6 violations across all surveys), nutrition and dietary services, and quality of life issues. While all violations have correction dates, problems persist into 2025, suggesting ongoing challenges with fundamental care processes that families should investigate during visits.

Jan 24, 2025Routine
2
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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Mar 1, 2024Routine
11
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.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Mar 1, 2024Complaint
1
0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

Dec 30, 2022Routine
3
0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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.

0657Minimal · 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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Little River Nursing & Rehab

Organization Type

government

Ownership & Management

Owners

Battiest, Dana

Owner (parent company)

Dowell, James

Owner (parent company)

Key personnel

Adams, JudyManaging Control - Governing BodyBishop, ThadManaging Control - Governing BodyDowell, JamesManaging Control - Governing BodyGrounds, KennethManaging Control - Governing BodyHenderson, DorothyManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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