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Little River Nursing & Rehab

⌖ Ashdown, AR · Little River County
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Medicare overall rating 5 of 5 stars
Certified beds85
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (city/county)

About Little River Nursing & Rehab

Little River Nursing & Rehab is a 85-bed government-run nursing home in Ashdown, AR. Medicare rates it 5 out of 5 stars overall (much above average); the average in Arkansas is 3.4. At its last full inspection (Jun 2026), inspectors found 0 problems, fewer than the Arkansas average of 2.7. Nurses and aides spend about 3 hr 47 min a day with each resident, about the same as the Arkansas average of 4 hr 01 min. About 40% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (2 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameLittle River Nursing & Rehab
LocationLittle River County, Arkansas
Address162 Hwy 32-2a, Ashdown, AR 71822 · Little River County
CMS provider number45244
Ownership typeGovernment (city/county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 1, 1994 (32 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections5 of 5Much above average
Quality measures2 of 5Below average
Staffing3 of 5Average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths in Medicare's inspection, fine and staffing records for this home. 5 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection0 (Jun 2026)Arkansas average: 2.7. Most citations are minor and corrected within weeks.
    Strength
  • Nursing staff turnover40% a yearArkansas average: 50%
    Strength

About average

  • Nurse staffing per resident3 hr 47 min a dayArkansas average: 4 hr 01 min
    About average
  • Registered nurse time per resident22 min a dayArkansas average: 24 min
    About average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Arkansas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 2 of 5 (below average)

  • Sent back to the hospital33.6%State average: 24.1%
    Worse than average
  • Needed an emergency room visit26.3%State average: 12.5%
    Worse than average
  • Newly given antipsychotic drugs1.2%State average: 1.3%
    About average

Physical therapist time: about 2 minutes per resident a day. That is more than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury5.4%State average: 3.9%
    Worse than average
  • Pressure sores (bedsores)6.6%State average: 4.2%
    Worse than average
  • Given antipsychotic drugs10.9%State average: 10.9%
    About average
  • Hospital stays per 1,000 resident days2.9State average: 2.0
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Arkansas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Arkansas, Medicaid pays for 67% of resident days at a typical home.

  • 73% Medicaid
  • 7% Medicare
  • 20% Private pay, insurance and other
Beds in use, on average88%Arkansas typical: 72%
Cost of care per resident day$284Arkansas typical: $308

Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 13 times.

Overall rating5★
Health inspections5★
Staffing3★
Quality of care2★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201955433.8
Jan 202034414.1
Jan 202143444.5
Jan 202244434.0
Jan 202333233.2
Jan 202455534.0
Feb 202544423.8
Feb 202654524.4
Sep 202655323.8

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.