The Woods, a Nightingale Community
1194 N Chester St · Monticello, AR · 71655 · 8703676852
122 certified beds For profit - Limited Liability company Chain: Nightingale
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $15,940 |
Inspection citations (36 in the current record)
-
Immediate jeopardy · J July 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 7, 2025 · Quality of Life and Care
-
Potential for harm · D July 3, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected July 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E July 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 7, 2025 · Resident Rights
-
Potential for harm · D July 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 3, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 7, 2025 · Quality of Life and Care
-
Potential for harm · E July 3, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 7, 2025 · Nutrition and Dietary
-
Potential for harm · E July 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 7, 2025 · Nutrition and Dietary
-
Potential for harm · E July 3, 2025
Provide and implement an infection prevention and control program.
Corrected July 7, 2025 · Infection Control
-
Potential for harm · D March 21, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 4, 2025 · Quality of Life and Care
-
Potential for harm · D March 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 4, 2025 · Infection Control
-
Potential for harm · D September 26, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 25, 2024 · Resident Rights
-
Potential for harm · D September 26, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 25, 2024 · Quality of Life and Care
-
Potential for harm · E September 26, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 25, 2024 · Quality of Life and Care
-
Potential for harm · D September 26, 2024 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 25, 2024 · Quality of Life and Care
-
Potential for harm · E September 26, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 25, 2024 · Infection Control
-
Potential for harm · E April 4, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 3, 2024 · Nutrition and Dietary
-
Potential for harm · F April 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 3, 2024 · Nutrition and Dietary
-
Potential for harm · D April 4, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 3, 2024 · Quality of Life and Care
-
Potential for harm · D April 4, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 3, 2024 · Environmental
-
No harm found · C April 4, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected April 4, 2024 · Resident Rights
-
No harm found · C April 4, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected April 4, 2024 · Resident Rights
-
Potential for harm · E March 30, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 28, 2023 · Resident Rights
-
Potential for harm · D March 30, 2023
Assess the resident when there is a significant change in condition
Corrected April 28, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E March 30, 2023
Ensure each resident receives an accurate assessment.
Corrected April 28, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D March 30, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 28, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 3, 2025 | Fine | $15,940 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045176 · certified since November 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.