Map showing the location of BUTTERFIELD TRAIL VILLAGE in FAYETTEVILLE, Arkansas
1923 EAST JOYCE BLVD, FAYETTEVILLE, AR, 72703

Overall Score

CMS Five-Star Quality Rating
2/5Below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • ArkansasAbove only 15% of peers218 rated homes · average 3.3★
  • Washington CountyLowest tier among peers12 rated homes · average 3.5★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point2★−1.0 vs AR avg
  • StaffingCan add or remove a star4★+0.9 vs AR avg
  • Quality measuresCan add or remove a star4★+0.2 vs AR avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles2★Above only 15% of peersAR avg3.0★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover4★Above 62% of peersAR avg3.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above only 35% of peersAR avg3.8★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff6.76hrsTop 1%AR avg4.08Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.79hrsTop 5%AR avg0.40Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better80%Above only 1% of peersAR avg51%RN turnover82%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$58,006Above only 3% of peersAR avg$9,163Fines · denials1 · 1
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
17citations
6inspection dates
3actual harm (G–I)
0immediate jeopardy (J–L)
Mar 6, 2025most recent

Citations by monthMar 2023 – Mar 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Mar 6, 20252 citationsCycle 1worst H · actual harm$58,006, payment denial
  1. F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician ServicesH · patternCorrected Apr 5, 2025
  2. F602Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Apr 5, 2025
Nov 20, 20242 citationsCycle 2worst G · actual harm
  1. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceG · isolatedCorrected Mar 3, 2025
  2. F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceD · isolatedCorrected Mar 3, 2025
Jul 11, 20244 citationsCycle 2worst E · no actual harm
  1. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Aug 9, 2024
  2. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsE · patternCorrected Aug 9, 2024
  3. F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Resident Assessment and Care PlanningB · patternCorrected Jul 11, 2024
  4. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Aug 9, 2024
May 26, 20237 citationsCycle 3worst G · actual harm
  1. F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EnvironmentalF · widespreadCorrected Jun 29, 2023
  2. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsD · isolatedCorrected Jun 29, 2023
  3. F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Quality of Life and CareE · patternCorrected Jun 29, 2023
  4. F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy ServiceE · patternCorrected Jun 29, 2023
  5. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jun 29, 2023
  6. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningE · patternCorrected Jun 29, 2023
  7. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Jun 29, 2023
Apr 11, 20231 citationCycle 3worst E · no actual harm
  1. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationE · patternCorrected Apr 27, 2023
Mar 23, 20231 citationCycle 3worst E · no actual harm
  1. F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Resident RightsE · patternCorrected Apr 11, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined6.76hrsTop 1%+2.68 vs AR avg
  • Registered nursesRN hours only0.79hrsTop 5%+0.39 vs AR avg
  • Licensed practical nursesLPN hours1.43hrs
  • Nurse aidesCNA hours4.54hrs
  • Weekend nursingAll staff on Saturdays and Sundays5.67hrs
  • Arkansas average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better80%Above only 1% of peersAR avg 51%
  • RN turnoverRegistered nurses only82%Not ranked by CMS
  • Administrators who leftIn the past year2Leadership changed
  • Occupancy87 certified beds · ~38 residents a day43%Above only 6% of peersAR avg 70%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $58,006In fines
  • 1Fine
  • 1Payment denial
  • $9,163AR avg in fines
Above only 3% of peersFewer fines than 3% of rated homes in Arkansas

Actions on record

  1. Mar 6, 2025Civil money penalty$58,006
  2. Mar 6, 2025Denial of payment for new admissionsfrom Apr 4, 2025

Ownership

As filed with CMS

Structure

Ownership type
Non profit - Corporation
Chain
Independent
Certification
Medicare
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Operational or managerial control
  • Michael Spears
Corporate directors
  • Kimberly Chapman
  • William Clark
  • Ray Culver
  • Marc Duell
  • Charles Nickle
  • Thomas Olmstead
  • Nina Simmons
  • Timothy Stults
  • +2 more
Corporate officers
  • Kimberly Chapman
  • William Clark
  • Kimberly Moore
  • Charles Nickle
  • Michael Spears

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 045125 · 1923 EAST JOYCE BLVD, FAYETTEVILLE, AR, 72703.
  • Percentiles compare this facility with every rated nursing home in Arkansas and Washington County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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