Average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 River Ridge Rehabilitation And Care Center during CMS and state inspections, most recent first.
The facility did not maintain adequate nursing staff as outlined in its own assessment, resulting in numerous shifts with insufficient coverage. This led to delays in resident care, unmade beds, missed assistance with meals, multiple falls (including some with major injury), and repeated late administration of insulin to a resident. Staff interviews confirmed ongoing staffing shortages and their impact on resident care.
An LPN failed to administer multiple ordered medications, including antihistamines, vitamins, and other treatments, to four residents during a medication pass. The omissions were not initially recognized by the LPN, who had marked the medications as given in the MAR. This resulted in a medication error rate of 26.19%, significantly exceeding the acceptable threshold.
Surveyors identified that food storage and handling practices were not followed, including the presence of dented cans, unrefrigerated opened beverages, unsealed dry goods, and expired food items on shelves. These actions were not in accordance with facility policy for sanitary food service.
A resident with severe cognitive and physical impairments, who required substantial assistance with dressing and had a documented preference for wearing a white T-shirt, was repeatedly observed in a hospital gown despite having personal clothing available. Facility leadership and staff acknowledged that this failure to follow the care plan did not honor the resident's dignity or rights.
A resident with COPD and chronic respiratory failure was given supplemental oxygen at flow rates higher than ordered by the physician, despite being unable to adjust the oxygen concentrator independently. Staff failed to follow the care plan and facility policy, resulting in the resident receiving oxygen at four and five liters per minute instead of the prescribed two liters per minute as needed.
A resident who was dependent on staff for transfers and required to be up in a wheelchair three times a week did not have this physician-ordered intervention included or implemented in their care plan or Kardex. Despite requests and family concerns, staff did not assist the resident as ordered, and documentation failed to reflect the required care.
A resident who was dependent on staff for transfers and at risk for skin breakdown was not assisted to a chair as ordered by the physician, despite making direct requests to staff. Staff failed to follow the care plan and physician orders, did not document required interventions, and left the resident in bed for an extended period, contrary to facility policy and standard care practices.
The facility's kitchen was found to have multiple sanitation issues, including unclean and damaged surfaces, uncovered food items, and improper hand hygiene by dietary staff. Expired food items were also found in storage, indicating a lack of adherence to food safety standards.
The facility failed to prepare and serve meals according to the planned menu, affecting residents on mechanical soft, pureed, and super calorie diets. The dietary cook prepared insufficient servings of meatloaf, omitted gravy for a pureed diet, and served smaller portions of super cereal. Additionally, water was used for pureeing food instead of nutrient-preserving liquids like milk or broth.
The facility failed to ensure meals were served in a manner that conserved nutritive value and maintained appearance, and that food items were stored and served at safe and appetizing temperatures. Residents reported receiving cold food, and observations revealed that the dietary cook used tap water instead of stock or milk to puree food items, resulting in bland meals. Additionally, food temperatures on meal trays were below acceptable levels, compromising the palatability and safety of the food.
The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets. Observations on two separate days revealed lumpy and clumpy pureed meatloaf, cubed steak, and cabbage, confirmed by the Activity Director and a CNA.
A resident with multiple health issues, including morbid obesity and a urinary tract infection, did not receive proper incontinent care. Two CNAs cleaned only the backside after an incontinent episode, neglecting the perineal area, which was confirmed by an LPN and the DON. This failure to follow facility policy put the resident at risk for infections and skin breakdown.
The facility failed to assist a resident with proper positioning, leading to difficulty in reaching a meal tray. Despite the resident's need for substantial assistance due to medical conditions, staff did not position the resident correctly, and the facility lacked a policy on positioning residents in bed.
The facility failed to ensure a leg strap was in place to prevent trauma from an indwelling catheter for a resident with retention of urine and reflux uropathy. Despite the care plan's instructions, the catheter was not secured, and staff confirmed the absence of a secure device. The DON and Administrator acknowledged the need for a leg strap, but no specific policy was in place.
Expired medications, including a hypodermic needle, a liquid multivitamin/mineral supplement, and Lorazepam Intensol syringes, were found in the medication storage room. LPNs confirmed the expiration dates and removed the items, with the DON confirming the expiration of the syringes.
A facility failed to perform proper hand hygiene during incontinence care for a resident with multiple health issues, including morbid obesity and a urinary tract infection. The CNA did not follow hand hygiene protocols before applying gloves, between glove changes, or after removing gloves, as confirmed by the CNA, an LPN, and the DON.
A resident with urinary retention and an indwelling catheter was prescribed Macrobid for a UTI based on symptoms that did not meet the facility's criteria. The ADON/IP confirmed the criteria were not met, but the prescribing physician proceeded with the antibiotic prescription based on the appearance of the urine and the diagnosis of urinary retention.
A resident with a stage 4 pressure ulcer did not receive wound care treatments as ordered, leading to the deterioration of the wound. The resident, with multiple health issues, missed 13 treatments over April and May. The wound worsened, resulting in a hospital admission for sepsis and a urinary tract infection. Facility staff confirmed the absence of a dedicated wound care nurse, and the Director of Nursing noted that unsigned treatments in the TAR indicated they were not completed.
Failure to Maintain Sufficient Nursing Staff per Facility Assessment
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of its residents, as evidenced by not following its own facility assessment staffing guidelines for 74 out of 87 shifts reviewed over a one-month period. The facility's assessment outlined specific staffing requirements per shift, including the number of RNs, LPNs, CNAs, and other support staff needed to care for residents with a wide range of diagnoses and care needs, such as psychiatric disorders, heart and circulatory conditions, neurological disorders, and residents requiring assistance with activities of daily living. Despite these guidelines, staffing records showed that many shifts were either partially or completely unstaffed according to the facility's own standards. Observations and interviews with staff revealed that the lack of adequate staffing led to delays in meeting residents' needs. CNAs reported that residents often had to wait a long time for assistance, and that beds were left unmade and rooms were messy, particularly on weekends. Dietary staff noted that residents complained about their food getting cold while waiting for help, and that food trays were sometimes returned untouched, possibly due to the absence of staff to assist residents to the dining room. Record reviews further indicated that the insufficient staffing contributed to care issues, including multiple resident falls, some resulting in major injury, and medication administration delays. For example, one resident with orders for both long-acting and fast-acting insulin received doses late on 16 occasions during the month, sometimes up to four hours past the scheduled time. The DON confirmed that the facility did not use temporary or contract staff and acknowledged the ongoing staffing challenges.
Medication Error Rate Exceeds Acceptable Threshold During Medication Pass
Penalty
Summary
During a medication administration observation, an LPN failed to administer multiple ordered medications to four residents during a morning medication pass. Specifically, the LPN did not provide antihistamines to two residents, and omitted antihistamine, laxative solution, and eye drops for another resident. For a fourth resident, the LPN failed to administer vitamin C, ferrous sulfate elixir, a multivitamin, protein oral liquid, zinc, and a laxative. These omissions were observed during 42 medication administration opportunities, resulting in 11 medication errors and a medication error rate of 26.19%. The LPN initially indicated that all medications due had been administered, but upon review of the Medication Administration Record (MAR), confirmed that the omitted medications were not given, stating she did not scroll to see those orders. The MAR had been marked as if the medications were administered. The facility's policy requires medications to be administered according to prescriber orders and proper medication administration practices. The administrator confirmed that staff are expected to follow these procedures.
Deficient Food Storage and Handling Practices
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's food storage and handling practices during a tour of the kitchen and pantries with the Dietary Manager. Eight dented cans of various food items were found on shelves intended for resident use, despite the Dietary Manager stating that such cans should be discarded due to the risk of metal shavings. An opened bottle of lemon flavor sweet tea was found unrefrigerated after opening, contrary to proper storage requirements. Additionally, an opened bag of rice was left unsealed and exposed to air. Two bags of corn chips and several seasoning/spice bottles, a bottle of steak sauce, and three grated cheese containers were all found with use-by dates that had already passed, indicating expired food items were not discarded as required. These findings were in direct violation of the facility's policy to store, prepare, distribute, and serve food under sanitary conditions.
Failure to Honor Resident's Dignity by Not Dressing in Preferred Attire
Penalty
Summary
A deficiency was identified when staff failed to honor a resident's right to dignity by not dressing the resident in their preferred attire, as specified in the care plan. The resident, who had a history of hemiplegia and hemiparesis following a cerebral infarction and was severely impaired in daily decision making, required substantial assistance with dressing. The care plan clearly indicated that the resident preferred to wear a white T-shirt at all times and required staff assistance for dressing due to cognitive and physical impairments. Despite these documented preferences and needs, the resident was repeatedly observed lying in bed wearing a hospital gown on multiple occasions. Interviews with the resident's representative confirmed that the resident was always seen in a hospital gown during visits, even though personal clothing was available at the facility. Facility leadership, including the DON and Administrator, acknowledged that the resident should have been dressed in regular clothes as per the care plan and that failing to do so did not honor the resident's dignity or rights. Staff also recognized that keeping a resident in a hospital gown was against resident rights, as outlined in facility policy.
Failure to Administer Supplemental Oxygen per Physician Orders
Penalty
Summary
A resident with diagnoses of chronic obstructive pulmonary disease (COPD) and chronic respiratory failure was observed receiving supplemental oxygen at flow rates higher than those ordered by the physician. Multiple observations showed the resident receiving oxygen at four and five liters per minute via nasal cannula, while the physician's order specified oxygen at two liters per minute as needed. The resident's care plan instructed staff to check oxygen settings and provide oxygen as ordered, referencing the physician's orders. Interviews with the Director of Nursing (DON) and Assistant Director of Nursing (ADON) confirmed that the oxygen concentrator was set above the ordered rate and that the resident was unable to adjust the flow independently due to physical limitations. The facility's policy required staff to check the physician's order for liter flow and set the flow meter accordingly, but this was not followed, resulting in the resident receiving oxygen at a higher rate than prescribed.
Failure to Implement Physician-Ordered Transfers in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan that included all ordered care for a resident who was dependent on staff for transfers and required to be up in a wheelchair three times a week, as ordered by the physician. Observations revealed that despite the resident's request to be transferred to a chair, staff did not provide the required assistance during the observed period. The care plan and Kardex did not include the physician's order for the resident to be up in a wheelchair three times weekly, and there was no documentation of this intervention being carried out. Interviews with staff confirmed that they relied on the care plan and Kardex for resident care instructions, but these documents lacked the necessary information regarding the transfer order. The resident was cognitively intact and required maximum to total assistance for most activities of daily living, including transfers, as documented in the Minimum Data Set. Family members reported that the resident was not being transferred to a chair as ordered and expressed concerns about the resident being left in bed for extended periods. Staff interviews indicated a lack of training on repositioning and an absence of documentation or interventions in the care plan to address the physician's order for regular transfers to a chair. This failure to include and implement the ordered care in the resident's care plan led to the deficiency.
Failure to Implement Physician's Order for Resident Transfer to Chair
Penalty
Summary
A deficiency occurred when staff failed to implement a physician's order for a resident to be transferred to a chair three times a week during the day shift. Despite the resident being cognitively intact and able to request assistance, staff did not respond to the resident's request to be gotten up to a chair during the observed period. The resident pressed the call light and directly asked a CNA for help, who stated they would return with assistance but did not follow through. Over a two-hour and seventeen-minute observation period, no staff entered the room to assist the resident, and the resident remained in bed throughout. Record reviews confirmed that the resident was dependent on staff for all transfers and required a two-person assist with a mechanical lift, as documented in the care plan and physician orders. However, there was no documentation of the resident being transferred to a chair as ordered, nor was this intervention included in the Kardex. Interviews with staff revealed a lack of training on repositioning and inconsistent documentation practices regarding position changes and transfers. Staff indicated that residents should be turned every two hours and assisted to a chair upon request, but these practices were not consistently followed or documented for this resident. Family interviews corroborated that the resident was not routinely gotten up to a chair as ordered, and concerns were raised about the resident being left on their back for extended periods. Facility leadership acknowledged that residents should not remain in one position for hours and that failure to assist with transfers could lead to negative outcomes. Facility policies reviewed emphasized the importance of frequent repositioning and activity to prevent pressure ulcers, but these were not adhered to in the resident's care.
Sanitation and Food Safety Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain a sanitary environment in the kitchen, as evidenced by multiple observations of unclean and damaged surfaces. The kitchen floor, walls, and ceiling tiles were found to be stained, chipped, greasy, and peeling, with rust and discoloration in various areas. Additionally, the ice machine and milk refrigerator had visible residue and mildew, and the walk-in refrigerator and freezer contained uncovered and unsealed food items. These conditions were observed during a survey and were confirmed through interviews with dietary staff and the Activity Director. Dietary staff were also observed failing to follow proper hand hygiene protocols. On several occasions, dietary aides and cooks handled clean equipment and food items without washing their hands after touching dirty objects or surfaces. This included handling dishes, glasses, and food items directly with their bare hands, which could lead to cross-contamination and potential foodborne illness. The staff acknowledged their failure to wash hands when questioned by the surveyor. Expired food items were found in the dry storage room, including parmesan cheese without open dates and a bottle of Hershey's syrup that should have been refrigerated after opening. Additionally, expired gluten-free thousand island dressing was found on a shelf. These practices indicate a lack of adherence to food safety standards and proper stock rotation, further compromising the safety and quality of food served to the residents. The facility's handwashing policy was not being followed, as staff did not consistently wash their hands before starting food-related tasks or after touching dirty equipment and surfaces.
Deficiencies in Meal Preparation and Serving
Penalty
Summary
The facility failed to ensure meals were prepared and served according to the planned written menu, and recipes were followed to meet the nutritional needs of the residents. During lunch, the dietary cook prepared only 8 servings of meatloaf for residents on mechanical soft diets, instead of the required 15 servings. Additionally, a resident on a pureed diet did not receive the specified 2 ounces of gravy with mashed potatoes. The dietary cook admitted to not seeing the requirement for gravy on the menu. Furthermore, during breakfast, residents on super calorie diets were served only a half-cup portion of super cereal instead of the specified one cup. The dietary cook confirmed using a 1/2 cup scoop to serve the cereal, contrary to the menu specifications. The surveyor also inquired about the liquid used for pureeing food items, and the dietary cook stated that she used water. The cook acknowledged that using milk or broth would be better for maintaining nutrient content and taste. These deficiencies in meal preparation and serving had the potential to affect the nutritional intake of residents on mechanical soft, pureed, and super calorie diets.
Failure to Maintain Nutritive Value and Temperature of Meals
Penalty
Summary
The facility failed to ensure that meals were served in a manner that conserved nutritive value and maintained appearance, and that food items were stored and served at safe and appetizing temperatures. During the observation, it was noted that residents receiving meal trays in their rooms consistently received cold food. For instance, Resident #34, who is cognitively intact, reported that the food was always cold when it arrived. Similarly, Resident #13, who has moderately impaired cognitive function, confirmed that their meals also arrived cold. The dietary cook was observed using tap water instead of the recommended stock or milk to puree food items, which resulted in bland and less nutritious meals. The Activity Director confirmed that the pureed meatloaf tasted bland and required more salt, indicating a failure to follow the facility's recipes properly. Additionally, the temperature of food items on meal trays delivered to various halls was found to be below acceptable levels. For example, scrambled eggs and ground sausage with gravy were served at temperatures ranging from 91 to 105 degrees Fahrenheit, and milk was served at temperatures as high as 55 degrees Fahrenheit. These temperatures are not within the safe and appetizing range, which compromises the palatability and safety of the food. The use of unheated carts for meal delivery further exacerbated the issue, as observed during the delivery of breakfast trays to different halls. The dietary cook acknowledged that using water to puree food items would not taste as good as using milk or broth, further highlighting the facility's failure to maintain the nutritive value and palatability of the meals served to residents.
Failure to Ensure Smooth Pureed Food Consistency
Penalty
Summary
The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets. On 05/28/2024, a dietary cook prepared pureed meatloaf that was observed to be lumpy and not smooth. The Activity Director confirmed the meatloaf appeared chunky. On 05/29/2024, pureed cubed steak and cabbage served at lunch were also found to contain clumps and were not smooth. The Activity Director described the cubed steak as thick and stringy, and a Certified Nursing Assistant described the meat and cabbage as thick and gritty. These observations were made during two meals and had the potential to affect one resident on a pureed diet.
Failure to Perform Proper Incontinent Care
Penalty
Summary
The facility failed to perform proper incontinent care for Resident #9, who was admitted with diagnoses including morbid obesity, dysuria, and a urinary tract infection. The resident, who was cognitively intact with a BIMS score of 14, required substantial assistance with toileting hygiene. During an observation, two CNAs cleaned only the backside of the resident after an incontinent episode, neglecting to clean the perineal area. This was confirmed by both CNAs and an LPN present in the room, who acknowledged that the front should have been cleaned to prevent potential infections and skin breakdown. The Director of Nursing confirmed that proper incontinent care should include cleaning from the top of the buttocks to the thighs, between the thighs, and the front to prevent skin breakdown and urinary tract infections. The facility's policy on perineal care also indicated that cleaning should be done from front to back to prevent contamination. The failure to follow these guidelines resulted in incomplete incontinent care for Resident #9, putting the resident at risk for further health complications.
Failure to Assist Resident with Proper Positioning
Penalty
Summary
The facility failed to ensure proper assistance in positioning and repositioning for Resident #26, who required substantial assistance due to diagnoses including cerebral infarction, retention of urine, and obstructive and reflux uropathy. The resident's care plan indicated the need for maximal assistance with bed mobility. However, during an observation, the resident was found lying in bed with the head elevated but not positioned high enough to reach the meal tray, which was placed on the bedside table to the left side of the bed. The resident struggled to reach the tray to feed themselves. Interviews with CNAs and an LPN confirmed that the resident should have been positioned higher in the bed with the bedside table across the bed for easier access to the meal tray. The Director of Nursing also corroborated this positioning requirement. Despite these acknowledgments, the facility lacked a policy on positioning residents in bed, contributing to the observed deficiency in care for Resident #26.
Failure to Secure Indwelling Catheter with Leg Strap
Penalty
Summary
The facility failed to ensure a leg strap was in place to prevent trauma from the indwelling catheter for Resident #26, who had diagnoses of retention of urine and reflux uropathy. The resident was admitted with an indwelling catheter, and the care plan indicated that the catheter tubing should be secured to the leg with an applicable device. However, during an observation, it was noted that the indwelling catheter was not secured to Resident #26's leg with a leg strap. Both CNAs present during the observation confirmed that there was nothing to secure the tubing, and the LPN and DON also acknowledged that a leg strap or secure device should always be in place to prevent pulling or tugging of the catheter tubing. The facility did not have a policy on indwelling catheter care, and the responsibility for ensuring the leg strap was in place was stated to be shared by all staff members. The deficiency was identified through observations, interviews, and record reviews. The Admission Minimum Data Set (MDS) indicated that Resident #26 had a moderately impaired mental status and was dependent on staff for indwelling catheter care. Despite the care plan's instructions, the lack of a leg strap was observed, and staff interviews confirmed the absence of a secure device. The Director of Nursing and the Administrator both acknowledged the need for a leg strap and the shared responsibility among staff to ensure its use, but no specific policy was in place to guide this practice.
Expired Medications Found in Storage
Penalty
Summary
The facility failed to ensure expired medications were removed and placed into an area for destruction to prevent potential administration to residents. On 05/30/2024 at 1:40 PM, expired items were found in the medication storage room, including a hypodermic needle that expired on 03/31/2022, a liquid multivitamin/mineral supplement that expired in 04/2024, and 30 syringes of Lorazepam Intensol that expired on 05/04/2024. LPN #9 and LPN #10 confirmed the expiration dates and removed the items from the shelves, placing them in the medication discard box or giving them to the Director of Nursing (DON). The DON confirmed the expiration of the oral syringes.
Failure to Perform Hand Hygiene During Incontinence Care
Penalty
Summary
The facility failed to perform proper hand hygiene during the care of a resident, specifically during incontinence care. Resident #9, who had diagnoses including morbid obesity, dysuria, and a urinary tract infection, was observed receiving care from a CNA. The CNA did not perform hand hygiene before applying gloves, between glove changes, or after removing gloves. This was confirmed by both the CNA and an LPN present during the care. The resident's care plan indicated a need for incontinence care due to risks related to impaired skin integrity, but the proper hand hygiene protocol was not followed during the observed care session. The Director of Nursing confirmed that hand hygiene should be performed between glove changes and after contact with soiled surfaces to prevent the spread of infection. The facility's policy on hand hygiene, which includes handwashing and the use of alcohol-based hand rubs, was not adhered to during the care of Resident #9. The policy specifies that hand hygiene should be performed before direct contact with patients, after contact with body fluids, and after removing gloves, among other situations. The failure to follow these guidelines was observed and confirmed through interviews with the involved staff and the DON.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to ensure the antibiotic stewardship program was consistently implemented, as evidenced by a resident being prescribed an antibiotic for a suspected urinary tract infection (UTI) that did not meet the selected criteria. Resident #26, who had a diagnosis of urinary retention and an indwelling catheter, was prescribed Macrobid for a UTI based on symptoms of weakness and cloudy urine. However, the resident did not exhibit other required symptoms such as fever, new flank or suprapubic pain/tenderness, change in character of urine, or worsening of mental or functional status. The APRN documented that the resident was alert, oriented, and reported no fever or abdominal pain. The urinalysis showed 1+ bacteria, but no culture and sensitivity were ordered, and the prescription was based on the appearance of the urine and the diagnosis of urinary retention, which did not meet the criteria for a UTI with a catheter as per the facility's policy. The Assistant Director of Nursing/Infection Preventionist (ADON/IP) confirmed that the antibiotic stewardship form was completed and that the criteria for prescribing antibiotics were not met. Despite this, the prescribing physician proceeded with the antibiotic prescription. The facility's Infection Prevention and Control Program policy and the Antibiotic Stewardship policy both require the use of specific criteria when considering the initiation of antibiotics. The ADON/IP documented that the urinalysis was reviewed by the medical doctor, who prescribed the antibiotic due to the urine's cloudy appearance and the diagnosis of urinary retention, which was not listed under the required criteria for a UTI with a catheter.
Failure to Perform Wound Care as Ordered
Penalty
Summary
The facility failed to perform wound care treatments as ordered by the physician for a resident with a stage 4 pressure ulcer, leading to the deterioration of the wound. The resident, who was cognitively intact, had multiple diagnoses including immunodeficiency, peripheral vascular disease, and a sacral pressure ulcer. The care plan for the resident included administering treatments as ordered and observing for effectiveness. However, the Treatment Administration Record (TAR) indicated that several wound care treatments were missed over a period of time, totaling 13 missed treatments between April and May. The resident's condition worsened, as evidenced by a Wound Healing Center Progress Note that documented the wound's deterioration. The resident was later admitted to the Intensive Care Unit with sepsis, a urinary tract infection, and a sacral decubitus ulcer. The sacral wound was noted to have a foul odor and significant undermining, with measurements indicating an increase in size compared to previous assessments. An MRI revealed osteomyelitis of the sacrum and iliac bone, with findings worse than a previous study. Interviews with facility staff, including the Director of Nursing (DON) and a Registered Nurse (RN), revealed that there was no dedicated wound care nurse, and all nurses were responsible for wound treatments. The DON confirmed that if treatments were not signed off in the TAR, they were not completed. The facility's policy emphasized the importance of following physician orders for wound care to ensure continuity of care and prevent further deterioration of pressure ulcers.
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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.
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Nursing homes near Wynne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crestpark Wynne, Llc | 0.5 mi | ★★★★★ | 0 | 0 |
| Crestpark Forrest City, Llc | 13.4 mi | ★★★★★ | 11 | 0 |
| Woodruff County Health Center | 23.6 mi | ★★★★★ | 8 | 0 |
| Woodbriar Nursing Home | 24.8 mi | ★★★★★ | 4 | 0 |
| Three Rivers Health And Rehabilitation Center | 29.4 mi | ★★★★★ | 5 | 0 |
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