Skilled nursing · Marshall, AR

Highland Court, A Rehabilitation And Resident Care

942 NORTH HIGHWAY 65, Marshall, AR 72650

5 / 5CMS 78 bedsCapacity Apr 2026Inspected

PALMELLE

Top 15%

Federal · State

Strong

The Palmelle read

Legit. Highland Court is pulling off a rare statistical hat trick in Marshall, where the five-star staffing actually matches the high-end inspection reports instead of just looking good on a brochure. Having 0.73 RN hours per resident and a low 36% turnover means when you press the call button, you’re likely seeing a familiar face who isn't sprinting toward a mental breakdown. They’ve earned a LOW_ANTIPSYCHOTIC flag because only 3% of residents are on those heavy-hitting meds, suggesting they actually use human interaction to manage dementia instead of just turning down the volume on people. However, you need to look at the HIGH_SEDATION_BENZO flag, because while they aren't using antipsychotics, a 38% antianxiety or sleep med rate is high enough to wonder if they’re just using a different cabinet to keep everyone quiet. It’s a classic "pick your sedative" trade-off that usually happens when one door closes and another opens, so you’ll want to see how sharp Mom feels during lunch. There are zero federal fines on record, and while we can't tell if that's a lifelong streak or just a clean recent run, it’s a hell of a lot better than the alternative. When you tour the place, skip the small talk and ask the director why their benzo prescribing is so high while their antipsychotic use is so low. make them explain the strategy behind that gap.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Arkansas DPH

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In their own words

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

No federal fines

Zero fines on record in the last 36 months.

Low antipsychotic prescribing

This

2.9%

National

14%

Below national median. Suggests staff manages behaviors with non-medication approaches.

Worth asking about

High sedative / sleep-medication prescribing

This

38.1%

National

15%

Above national median. Worth asking — sedative use sometimes rises when antipsychotic prescribing comes under pressure.

Federal CMS + Arkansas state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5

Health inspection★★★★★4 / 5

Staffing★★★★★5 / 5

Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This

0.73

Nat

0.78

Total nurse hours / resident, daily

This

3.98

Nat

3.62

Annual nurse turnover

This

36%

Nat

53%

Annual RN turnover

This

33%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

2.9%

Nat

14%

Sedative / sleep med

This

38.1%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

3.5%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID045353

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds78

Avg residents55

Citations · last 36 months

Flagged by CMS data
Long-stay antianxiety / sleep medication rate is 38%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antipsychotic rate is just 3% — well below the national median of about 14%. This facility is treating behavior and dementia symptoms with engagement, environmental design, and personalized routines instead of prescriptions. That's hard to do and rare to find.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Arkansas DPH · Last reconciled May 7, 2026

Questions families ask

Common questions.

What is the CMS rating for Highland Court, A Rehabilitation And Resident Care?

Highland Court, A Rehabilitation And Resident Care has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 4 of 5 on health inspection, 5 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Highland Court, A Rehabilitation And Resident Care been cited for resident harm?

CMS data flagged 2 concerns on the latest reconcile. The full record for Highland Court, A Rehabilitation And Resident Care appears in the record section above.

Does Highland Court, A Rehabilitation And Resident Care use antipsychotic medications?

2.9 percent of long-stay residents at Highland Court, A Rehabilitation And Resident Care are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 38.1 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Highland Court, A Rehabilitation And Resident Care's Palmelle Clarity Score?

Highland Court, A Rehabilitation And Resident Care has a Palmelle Clarity Score of 85 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and Arkansas state inspection data. Higher is better.

How can I tour or contact Highland Court, A Rehabilitation And Resident Care?

Highland Court, A Rehabilitation And Resident Care is located at 942 NORTH HIGHWAY 65, Marshall, AR 72650. Phone: (870) 448-3577. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Highland Court, A Rehabilitation And Resident Care a special focus facility?

Highland Court, A Rehabilitation And Resident Care is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Highland Court, A Rehabilitation And Resident Care's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Highland Court, A Rehabilitation And Resident Care has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Highland Court, A Rehabilitation And Resident Care compare to other Marshall skilled nursing facilities?

Highland Court, A Rehabilitation And Resident Care holds a Palmelle Clarity Score of 85. Browse the full Marshall directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Highland Court, A Rehabilitation And Resident Care?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Highland Court, A Rehabilitation And Resident Care and two other facilities on your shortlist.

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