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Nursing HomeMedicaid Investigative

The Woods, a Nightingale Community

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

1194 N Chester St, Monticello, AR 71655122 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 17 Google reviews

5
4
3
2
1
The Woods, a Nightingale Community Nursing Home in Monticello, 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 (10 vs median 3)
  • High staff turnover (51%)

Bottom 25% in AR · Below recommended RN staffing · Worst in NIGHTINGALE chain · $15,940 in fines

Source: Medicare data

What this means for your family

The facility is highly regarded for its clinical care and rehabilitation outcomes, making it a strong candidate for medical recovery. However, families should be aware of potential issues regarding the security of personal belongings and should clarify communication protocols with administration upon admission.

Google Reviews

Google Reviews

17 reviews on Google
The Woods, A Nightingale Community generally receives high praise for its compassionate nursing staff and effective rehabilitation services, with many families noting that their loved ones felt safe and well-cared for. However, there are serious concerns regarding administrative communication and the security of residents' personal belongings, as evidenced by reports of staff hanging up on family members during disputes.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and therapy services
  • Warm and welcoming facility environment
  • Proactive discharge planning and follow-up

Concerns

  • Poor administrative communication and unprofessional conduct (mentioned by 2 reviewers)
  • Missing or stolen personal property (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.52025(12)4.52026(6)

Distribution · 18 analyzed

5
12
4
5
3
0
2
0
1
1

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the management team is very active in responding to feedback; how do you typically communicate important updates or changes to families regarding resident care?
  • 2With the recent health inspections, what specific steps has the facility taken to address past deficiencies and improve clinical outcomes?
  • 3How do you ensure that residents' personal belongings are kept secure and accounted for within their rooms?
  • 4We've heard great things about the therapy services here; could you tell us more about how the rehabilitation process works for new residents?
  • 5What does a typical day look like in terms of social activities and engagement for the residents?
  • 6In the event of a medical emergency during the night, what is the protocol for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The Woods staff is simply amazing!!! They take great care of my mother and Uncle Donald!! During their stay they have both had their life saved because of the quick action of their staff!!

Long-term resident's family · 2025★★★★★

My mother entered the facility scarred but the staff made her feel safe, I would have to say a part of their family. The rehab department gave excellent therapy and the nursing staff went beyond to make her feel at home.

Long-term resident's family · 2025★★★★★

Today the admin, director and office staff hang up on me because our family wanted to know why our loved ones personal items we coming up missing...cell phone. valentine gift. Bed pillows etc.

Family member · 2025☆☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
3.67hrs
90%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
50%
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
2/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
15.5%
AR
11.1%
😔

Residents with depression symptoms

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

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility18.2%
Worse than Avg
Here
18.2%
US
15.3%
AR
11.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.7%
Worse than Avg
Here
89.7%
US
95.5%
AR
96.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility9.8%
Worse than Avg
Here
9.8%
US
5.3%
AR
4.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.6%
Mixed vs Avgs
Here
14.6%
US
19.4%
AR
14.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.0%
Worse than Avg
Here
65.0%
US
79.8%
AR
77.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
81.8%
AR
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
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

8deficiencies
1penalties
Well above state avg (4.3)
11 complaint-triggered
$15,940 in fines

Families have filed complaints triggering investigations that found recurring issues with care planning, infection control, and daily living assistance across multiple years. The facility has persistent problems with resident assessment and care planning, infection prevention programs, and providing appropriate help with activities like toileting and feeding. While all deficiencies show correction dates, the pattern of repeated violations in core care areas suggests ongoing challenges with quality standards.

Jul 3, 2025Complaint
2
0689Immediate jeopardy · 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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Jul 3, 2025Routine
9
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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.

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.

Mar 21, 2025Complaint
2
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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 26, 2024Complaint
5
0690Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0623Potential for harm · IsolatedCorrected

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Apr 4, 2024Routine
7
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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0925Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

0567Minimal · WidespreadCorrected

Resident Rights Deficiencies

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

0568Minimal · WidespreadCorrected

Resident Rights Deficiencies

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

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Apr 4, 2024Complaint
2
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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Federal Penalties

Fine

Jul 3, 2025

$15,940

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Woods, a Nightingale Community

Organization Type

for profit

Chain Affiliation

Chain Name

Nightingale

Chain Size

5 facilities nationwide

Chain avg rating: 3.6/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Ardj LLC

Owner · Organization

33%

Cutlass Op Family Trust II

Owner (parent company) · Organization

23%

Sri Family Irrevocable Trust

Owner (parent company) · Organization

11%

Braun, Dov

Owner (parent company)

23%

Isaac, Steven

Owner (parent company)

22%

Key personnel

Independence Arkansas Hcm LLCManagerDonaldson, VickieManagerJakobowitch, DavidManagerPortnoy, RikiManagerSimon, TimManager
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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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