Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Highlands Of Bella Vista Health & Rehab, Llc during CMS and state inspections, most recent first.
Failure to Immediately Report Alleged Abuse: A CNA did not immediately report suspected abuse involving two dependent residents with severe cognitive impairment and dementia-related care needs. One resident was described as combative during care and the other as totally dependent with resistive behaviors; the incident reports and witness statement described rough handling, hitting, arm restraint, and degrading profanity by another CNA. The report states the allegation was not brought to the administrator or supervisor right away, contrary to facility abuse-reporting expectations.
The facility failed to follow written recipes for scrambled eggs, oatmeal, and creamy wheat cereal, as observed during breakfast preparation. The cook added margarine and water, which were not part of the recipes, and used a multi-mix powder in the wheat cereal. The Dietary Director confirmed these deviations from the recipes, noting the cook's inability to read and previous instructions not to alter recipes.
The facility failed to maintain kitchen sanitation and ensure food was prepared under sanitary conditions. Observations revealed significant cleanliness issues, including debris on kitchen equipment and missing cleaning log entries. Dietary staff did not perform proper hand hygiene during food preparation, despite in-service training. Additionally, a trash can was improperly placed next to the stove, raising infection control concerns.
Failure to Immediately Report Allegations of Abuse
Penalty
Summary
The facility failed to ensure an allegation of abuse was immediately reported to the administrator for two residents. One resident had diagnoses including major depressive disorder, generalized anxiety disorder, chronic pain syndrome, blindness in one eye, difficulty swallowing, and communication difficulties related to cognitive impairment. A quarterly MDS showed severely impaired decision-making, and the care plan described progressive dementia, ALS-related functional decline, dependence on staff for daily care, and combative behavior during care, including grabbing, slapping, and attempting to scratch or pinch staff. An OLTC Incident and Accident report documented that a CNA reported another CNA was rough with this resident during care, pushed the resident’s hand back when the resident was aggressive, and told the resident that hitting a healthcare worker was a felony. The report also noted a small red area on the resident’s hand and stated it was undetermined whether the mark was from abuse or self-inflicted. A second resident had diagnoses including Alzheimer’s disease, dementia, fatigue, spinal curvature, and back pain. The MDS showed severely impaired decision-making and total dependence on staff for all aspects of care, and the care plan described total dependence for turning, repositioning, hygiene, and resistive and physically aggressive behaviors during personal care. For the second resident, the incident report stated that a CNA reported another CNA was rough, hit the resident on the arm, held the resident’s arm down to finish care, and used profanity toward the resident. A witness statement also described the CNA being aggressive with the first resident and later hitting the second resident and making degrading comments. The reporting CNA did not immediately report the allegation to the administrator or supervisor and instead reported it the next day of business. Facility interviews confirmed that abuse reporting was expected immediately, that rough handling, hitting, and name-calling were considered abuse, and that the first allegation should have been reported immediately so the second incident would not have occurred.
Failure to Follow Written Recipes in Meal Preparation
Penalty
Summary
The facility failed to ensure that the planned, written recipes were followed for meals prepared in the kitchen, specifically for scrambled eggs, oatmeal, and creamy wheat cereal. The facility's policy on food preparation, which aims to conserve nutritive value and provide palatable flavor, was not adhered to. During breakfast preparation, the cook used margarine and water in the recipes for eggs, oatmeal, and wheat cereal, which were not part of the written recipes. The cook also added a multi-mix powder to the wheat cereal for some residents, which was not specified in the recipe. Observations revealed that the cook, who was unable to read, did not follow the package directions for the eggs, oatmeal, and wheat cereal. The Dietary Director confirmed that the recipes did not call for margarine or butter and was unaware of the reason for adding water to the cooked eggs. The cook had been instructed not to add ingredients to recipes, yet failed to comply, leading to the deficiency in meal preparation as per the facility's standards.
Kitchen Sanitation and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to maintain kitchen sanitation and ensure food was prepared under sanitary conditions, as observed during a survey. The kitchen had significant cleanliness issues, including debris on the griddle, oven, fryer, and preparation tables. The cleaning logs for November 2024 showed missing entries for required cleaning tasks, indicating a lack of adherence to the facility's cleaning schedule. The Dietary Director acknowledged that the kitchen did not appear to have been cleaned in the last month, despite policies in place for regular cleaning. Dietary staff also failed to perform proper hand hygiene during food preparation. Observations revealed that a cook did not wash hands after handling various items and touching clothing, which is against the facility's hand hygiene policy. The Dietary Director confirmed that hand hygiene should have been performed after certain activities, and an in-service training on hand washing had been conducted, but the staff did not adhere to these practices. Additionally, the placement of a trash can next to the stove, with its handle overlapping the griddle, raised infection control concerns. The Dietary Director initially stated that the trash can could be within two inches of the stove, but later moved it due to infection control concerns. The Administrator also noted the debris and trash can placement during a walkthrough, indicating awareness of the sanitation issues in the kitchen.
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Illustrative
What surveyors actually found near you
We read the 45 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bella Vista
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Concordia Nursing & Rehab, Llc | 2.7 mi | ★★★★★ | 0 | 0 |
| Apple Creek Health And Rehab, Llc | 6.5 mi | ★★★★★ | 0 | 0 |
| The Green House Cottages Of Northwest Arkansas | 7.5 mi | ★★★★★ | 1 | 0 |
| Bradford House Nursing And Rehab, Llc | 8.9 mi | ★★★★★ | 0 | 0 |
| Ashley Rehabilitation And Health Care Center | 10.5 mi | — | 17 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.