Home›Browse›Arkansas›Little Rock›Madison Assisted Living Facility

Nursing homeFAID #580

Madison Assisted Living Facility

2821 W DIXON RD, LITTLE ROCK, AR, 72206

(501) 888-4200

127 licensed beds

CMS rates Madison Assisted Living Facility 2 out of 5 overall. Federal inspectors issued 38 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of Madison Assisted Living Facility

Photo via Google · The Blossoms at West Dixon Nursing Center & Rehab

Address

2821 W Dixon Rd

Little Rock, AR 72206

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Public record summary

What we can show you for free.

Bed capacity

127

CMS facility ID

045446

Care type

Nursing home

County

Pulaski

Facility name

Madison Assisted Living Facility

Legal entity

The Blossoms At West Dixon Rehab & Nursing Center

Street address

2821 W DIXON RD

City / state / ZIP

Little Rock, AR 72206

Phone

(501) 888-4200

Website

blossomsrnc.com

About this facility — Madison Assisted Living Facility

Madison Assisted Living Facility is a Medicare/Medicaid-certified skilled nursing facility in Little Rock, Arkansas. It is licensed for 127 beds — above the median for skilled nursing facilities in Arkansas (106 beds).

It is one of 31 senior care facilities in Little Rock and 222 skilled nursing facilities across Arkansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Blossoms Rehab & Nursing Center, a group of 23 facilities on this site.

Federal inspectors have cited Madison Assisted Living Facility 38 times across 9 inspections in the last three years, including 7 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Joseph Schwartz

Parent company

The Blossoms Rehab & Nursing Center

Ownership type

For profit - Limited Liability company

Registered owners & officers

Pine Tree Holding Llc

Direct owner — 100% stake — since 2021

Herzka, Matisyohu

Indirect owner — since 2023

Mcmillan, Cynthia

Managing employee — since 2021

Mh Ar Opco Llc

Indirect owner — since 2023

Scheinbaum, Shlomo

Officer — since 2021

Regulatory standing

Licensed / certified since

2011-10-25

CMS overall rating

2 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-15

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$319 per day (≈ $9,700/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

89% Medicaid · 3% Medicare · 8% private/other

Occupancy

57% (fiscal year 2024)

Vs. state median

3% below the AR median of $329/day — full state cost breakdown

Services & coverage

Licensed beds

127

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-15Health inspectionComplaint-triggered3 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-09

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-02-09

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-02-09

2025-07-17Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-11

F-0563

D · No harm foundFrom a complaint

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2025-08-11

5 earlier / fire-safety inspections (33 citations)

2024-08-22Health inspectionComplaint-triggered11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-01

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-01

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-01

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-01

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-10-01

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-01

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-10-01

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-01

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-10-01

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-10-01

F-0919

E · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-10-01

2023-09-01Health inspection15 citations

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-09-26

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-26

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-26

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-26

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-09-26

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-09-26

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-26

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-26

F-0761

D · No harm found

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.

Corrected 2023-09-26

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-09-26

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-09-26

F-0805

E · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-09-26

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-26

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-09-26

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-09-26

2026-01-15Fire-safety inspection4 citations

K-0344

F · No harm found

Have an alternate power supply for its alarm system.

Corrected 2026-02-09

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2026-02-09

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-09

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-02-09

2024-08-22Fire-safety inspection2 citations

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-10-01

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-10-01

2023-09-01Fire-safety inspection1 citation

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-10-02

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 045446.

Quality of care & staffing

How it compares in Arkansas.

Inspection citations, 3 years

More than 89% of nursing homes in the state

State median: 22

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.4

Higher than 8% of nursing homes in the state

State median: 4.0

Nursing staff turnover, annual

66%

Higher than 89% of nursing homes in the state

State median: 49%

Resident outcomes

On 21 federal quality measures, this facility does better than the Arkansas average on 11 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	5.2%	9.1%	13.5%	Better than state
Lose too much weight	0.0%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.2%	0.5%	0.7%	Better than state
With a urinary tract infection	0.0%	1.1%	1.5%	Better than state
Have depressive symptoms	0.0%	1.4%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	0.9%	3.9%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.7%	95.1%	93.7%	Near state average
Ability to walk independently worsened	5.3%	9.2%	12.7%	Better than state
Received an antianxiety or hypnotic medication	19.8%	21.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	95.3%	95.3%	Near state average
With pressure ulcers	1.7%	4.2%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	12.5%	12.9%	18.3%	Near state average
Received an antipsychotic medication	16.3%	10.9%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.51	1.94	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.07	2.03	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	85.7%	81.9%	82.3%	Near state average
Newly received an antipsychotic medication	6.7%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	80.8%	75.9%	80.1%	Near state average
Were rehospitalized after a nursing home admission	20.4%	23.4%	23.4%	Better than state
Had an outpatient emergency department visit	10.9%	11.7%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0347 2 inspections. Properly provide smoke detection systems in areas open to corridors.
F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0803 2 inspections. Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F-0805 2 inspections. Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

What its owners also hold

Mh Ar Opco Llc has an ownership stake on file at 14 nursing homes, averaging 2.1 of 5 on CMS's overall rating.
Pine Tree Holding Llc has an ownership stake on file at 6 nursing homes, averaging 2 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Arkansas

Licensing: Arkansas Department of Human Services, DPSQA, Office of Long Term Care
File a complaint: 800-582-4887 · Online
Adult Protective Services: 800-482-8049. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Arkansas Children's Hospital, about 5.9 miles.
Va Central Ar. Veterans Healthcare System Lr, about 6.3 miles. CMS rating 2 of 5.
University of Arkansas Medical Sciences, about 6.7 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

The Blossoms At Cumberland Rehab & Nursing Center, Little Rock, about 5.3 miles. CMS rating 1 of 5.
The Springs of Barrow, Little Rock, about 7.0 miles. CMS rating 4 of 5.
The Blossoms At Midtown Rehab & Nursing Center, Little Rock, about 7.1 miles. CMS rating 1 of 5.
The Green House Cottages of Poplar Grove, Little Rock, about 7.1 miles. CMS rating 4 of 5.
Briarwood Nursing and Rehabilitation Center, Little Rock, about 7.3 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.735 ratings on Google

★★★★★Krystal Kinsey · 2026-04-30 · via Google
“My dad has been here for a while. He loves the place. Of course, being my dad he complains about the food but he did that at my house. Very picky eater. The staff always have a smile on their faces and are willing to talk to you about any problems.”

★Kaity Knowlton · 2026-04-28 · via Google
“Absolutely terrible place. My friend is a paraplegic that was so excited to move there away from the nursing home and is now packing up to go back to the nursing home because of how terrible these cnas are. Seriously if you love the person that needs to be put in one of these places I would not put them here if I could give zero stars I would”

★★★★★Jack Rogers · 2025-09-18 · via Google
“The Blossoms at West Dixon is a wonderful facility. Administrator Steve and DON Monique set the tone for the entire building - their leadership is hands-on, approachable, and focused on both residents and staff. Steve ensures the facility runs smoothly and always takes time to connect with families, while Monique's nursing leadership is compassionate and thorough, making sure residents receive e…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Federal NPI Registry (NPPES)

NPI 1356798300

Monthly federal file

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered