Federal inspection record · CMS data as of October 1, 2026
Care Manor Nursing And Rehab
804 Burnett Drive, Mountain Home, AR · (870) 424-5030
- CMS high-performer trophy
- Certified beds
- 104
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- Anthony & Bryan Adams
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 25, 1999
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Care Manor Nursing And Rehab carries 21 inspection points. That is fewer than 57% of Arkansas's 218 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–18 pts
- 3★ 18–29 pts
- 2★ 29–44 pts
- 1★ over 44 pts
Bars show every rated home in Arkansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5E
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
Resident Rights2D
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service2E
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Quality of Life and Care2E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2025-08-29
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-05-16
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-03-10
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 42 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.9 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.6 pts worse | 83.5% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 95.5% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts better | 0.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.1 pts worse | 4.5% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.6 pts better | 0.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts worse | 23.9% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.8 pts better | 1.1% | 10.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 5.9% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 7.1% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.4% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse | 17.6% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.4% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts worse | 75.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts better | 11.2% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.4 pts better | 88.3% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts better | 19.0% | 23.4% | 23.4% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Adams, Anthony | Corporate Officer · Individual | 0% | 39 facilities |
| Adams, Bryan | Corporate Officer · Individual | 0% | 39 facilities |
| Cooper, Benjamin | Adp Of The SNF · Individual | 0% | 10 facilities |
| Cooper, James | Adp Of The SNF · Individual | 0% | 10 facilities |
| Cooper, Robert | Adp Of The SNF · Individual | 0% | 12 facilities |
| Dvorak, Nora | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Dvorak, Nora | Corporate Director · Individual | 0% | 10 facilities |
| Dvorak, Nora | Adp Of The SNF · Individual | 0% | 10 facilities |
| Ellis, John | Corporate Officer · Individual | 0% | 35 facilities |
| Ellis, John | Adp Of The SNF · Individual | 0% | 35 facilities |
| Health Care Solutions, LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Koehler, Tobey | Corporate Officer · Individual | 0% | 33 facilities |
| Koehler, Tobey | Adp Of The SNF · Individual | 0% | 33 facilities |
| Ltc Systems/Rx, LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Mcginnis, Larry | Adp Of The SNF · Individual | 0% | 38 facilities |
| Pharmacy Consults, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Reliance Health Care, Inc. | Adp Of The SNF · Organization | 0% | 33 facilities |
| Scribner, John | Adp Of The SNF · Individual | 0% | 7 facilities |
| Speaks, Kathy | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Speaks, Kathy | Adp Of The SNF · Individual | 0% | 5 facilities |
| Sutterfield, Randy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Sutterfield, Randy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sutterfield, Randy | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure proper usage of power strips and extension cords.
Smoke1F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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Other homes nearby
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Hiram Shaddox Health And Rehab
Mountain Home, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Lake Forest Senior Living At Mountain Home
Mountain Home, AR · Continuum Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Gassville Therapy And Living
Gassville, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0