Nursing Care Index

Cavalier Healthcare Of England

England, Lonoke County, Arkansas · CCN 045442 · For-profit (LLC) · part of Cavalier Healthcare (4 facilities, chain average 2.5 stars)

CMS rates Cavalier Healthcare Of England 2 of 5 overall as of August 2026. 70 certified beds, 61 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $18,356.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay5 / 1 of 5

Staffing

Total nurse staffing3.1571 hours per resident per day
Registered nurses0.38697 hours per resident per day
Weekend total2.70499 hours per resident per day
Nursing staff turnover44.4% (registered nurses 77.8%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-07-03 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-07-27
2025-07-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-07-27
2025-07-03 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · tag F0553
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-27
2025-07-03 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-27
2025-07-03 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-27
2025-07-03 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-27
2025-07-03
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-27
2025-03-11
complaint survey
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-26
2024-04-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-05-01
2024-04-04
complaint survey
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · tag F0577
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-08
2024-04-04 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-01
2024-04-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-01
2024-04-04 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-01
2024-04-04 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-01
2024-04-04 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · tag F0805
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-01
2024-04-04 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-01
2024-01-31
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2024-01-28
2023-01-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-02-13
2023-01-19 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-02-13
2023-01-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-02-13
2023-01-19 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-02-13
2023-01-19 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-02-13
2023-01-19 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-02-13

Fines and payment denials

DatePenaltyAmount
2024-01-31Fine$10,196
2024-01-31Fine$8,160

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Cavalier Healthcare Of England, LLC
Organization
5% or greater direct ownership interest100%2014-06-01
Bethel Investments, LLC
Organization
5% or greater indirect ownership interest2014-06-01
Limited Holdings, LLC
Organization
5% or greater indirect ownership interest2014-06-01
Bethel Investments, LLC
Organization
operational/managerial control2014-06-01
Limited Holdings, LLC
Organization
operational/managerial control2014-06-01
Cunningham, Joann
Individual
5% or greater indirect ownership interest2014-06-01
Cunningham, Michael
Individual
5% or greater indirect ownership interest2014-06-01
Hubbard, Brien
Individual
5% or greater indirect ownership interest2014-06-01
Cunningham, Michael
Individual
corporate officer2014-06-01
Hubbard, Brien
Individual
corporate officer2014-06-01
Cunningham, Joann
Individual
operational/managerial control2014-06-01
Cunningham, Michael
Individual
operational/managerial control2014-06-01
Hubbard, Brien
Individual
operational/managerial control2014-06-01
Hubbard, Brien
Individual
w-2 managing employee2014-06-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lonoke County.