Map showing the location of LAKE FOREST SENIOR LIVING AT HOT SPRINGS VILLAGE in HOT SPRINGS VILLAGE, Arkansas
121 CORTEZ RD, HOT SPRINGS VILLAGE, AR, 71909

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★
  • Garland CountyAbove only 25% of peers9 rated homes · average 2.9★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point3★±0.0 vs AR avg
  • StaffingCan add or remove a star1★−2.1 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 cycles3★Above only 36% 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 turnover1★Lowest tier among 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 staff3.31hrsAbove only 8% of peersAR 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 only0.42hrsAbove 65% of peersAR 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 better78%Above only 3% of peersAR avg51%RN turnover88%
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$13,627Above only 19% of peersAR avg$9,163Fines · denials1 · 0
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
13citations
4inspection dates
0actual harm (G–I)
1immediate jeopardy (J–L)
Sep 5, 2025most recent

Citations by monthJul 2023 – Sep 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.

Sep 5, 20252 citationsCycle 1worst D · no actual harm
  1. F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Resident RightsD · isolatedCorrected Sep 26, 2025
  2. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Sep 26, 2025
Sep 26, 20241 citationCycle 2worst J · immediate jeopardy$13,627
  1. Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and CareJ · isolatedCorrected Nov 6, 2024
Jun 12, 20245 citationsCycle 2worst F · no actual harm
  1. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareE · patternCorrected Jul 12, 2024
  2. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareD · isolatedCorrected Jul 12, 2024
  3. F583Keep residents' personal and medical records private and confidential.Resident RightsE · patternCorrected Jul 12, 2024
  4. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jul 12, 2024
  5. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Jul 12, 2024
Jul 7, 20235 citationsCycle 3worst E · no actual harm
  1. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryE · patternCorrected Jul 28, 2023
  2. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected Jul 28, 2023
  3. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Jul 28, 2023
  4. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Jul 28, 2023
  5. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareE · patternCorrected Jul 28, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.31hrsAbove only 8% of peers−0.77 vs AR avg
  • Registered nursesRN hours only0.42hrsAbove 65% of peers+0.02 vs AR avg
  • Licensed practical nursesLPN hours1.00hrs
  • Nurse aidesCNA hours1.89hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.16hrs
  • Arkansas average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better78%Above only 3% of peersAR avg 51%
  • RN turnoverRegistered nurses only88%Not ranked by CMS
  • Administrators who leftIn the past year0Stable leadership
  • Occupancy50 certified beds · ~39 residents a day78%Above 60% of peersAR avg 70%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $13,627In fines
  • 1Fine
  • 0Payment denials
  • $9,163AR avg in fines
Above only 19% of peersFewer fines than 19% of rated homes in Arkansas

Actions on record

  1. Sep 26, 2024Civil money penalty$13,627

Ownership

As filed with CMS

Structure

Ownership type
For profit - Corporation
Chain
Continuum Healthcare12 facilities in the chain2.4★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Daniel Bruckstein
Operational or managerial control
  • Continuum Healthcare I INC
  • Wellsky Corporation
  • Daniel Bruckstein
  • Cheryl Dorn
  • Phyllis Hancock
5% Or Greater Security Interest
  • Daniel Bruckstein

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 045191 · 121 CORTEZ RD, HOT SPRINGS VILLAGE, AR, 71909.
  • Percentiles compare this facility with every rated nursing home in Arkansas and Garland 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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