Federal inspection record · CMS data as of October 1, 2026

Concordia Nursing & Rehab, LLC

7 Professional Drive, Bella Vista, AR · (479) 855-3735

  • Special Focus Facility

CMS overall rating

Not rated
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Certified beds
102
Residents per day
26
Ownership
For-Profit
Chain
Bradford Montgomery
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1989

3

What inspectors found

39 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 3 100 pts
L 2 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts
E 15 8 pts
F 10 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 1 0 pts

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.

Harm and immediate-jeopardy citations (7)

  1. L

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    May 6, 2025 · Standard inspection · Nursing and Physician Services · F727 · Corrected October 7, 2025

  2. L

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    May 6, 2025 · Standard inspection · Administration · F835 · Corrected June 6, 2025

  3. K

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

    May 6, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected June 6, 2025

  4. K

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    May 6, 2025 · Standard inspection · Quality of Life and Care · F700 · Corrected June 6, 2025

  5. K

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 6, 2025 · Standard inspection · Nursing and Physician Services · F726 · Corrected June 6, 2025

  6. J

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    May 6, 2025 · Standard inspection · Quality of Life and Care · F688 · Corrected June 6, 2025

  7. G

    Provide enough food/fluids to maintain a resident's health.

    February 1, 2024 · Standard inspection · Quality of Life and Care · F692 · Corrected February 29, 2024

Everything else, by area of care

Resident Assessment and Care Planning8F
  1. F

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 6, 2025 · Standard · F842 · Corrected June 6, 2025

  2. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    May 6, 2025 · Standard · F636 · Corrected June 6, 2025

  3. E

    Ensure each resident receives an accurate assessment.

    May 6, 2025 · Standard · F641 · Corrected June 6, 2025

  4. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 6, 2025 · Standard · F656 · Corrected October 7, 2025

  5. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 6, 2025 · Standard · F657 · Corrected June 6, 2025

  6. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    May 6, 2025 · Complaint · F655 · Corrected June 6, 2025

  7. E

    Maintain 15 months of resident assessments in the resident's active clinical record.

    February 1, 2024 · Standard · F639 · Corrected February 29, 2024

  8. B

    Ensure each resident receives an accurate assessment.

    October 27, 2022 · Standard · F641 · Corrected October 27, 2022

Administration7F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    May 6, 2025 · Standard · F838 · Corrected June 6, 2025

  2. F

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    May 6, 2025 · Standard · F844 · Corrected June 6, 2025

  3. F

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    May 6, 2025 · Standard · F944 · Corrected June 6, 2025

  4. F

    Provide training in compliance and ethics.

    May 6, 2025 · Standard · F946 · Corrected June 6, 2025

  5. E

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    May 6, 2025 · Standard · F847 · Corrected October 7, 2025

  6. E

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    May 6, 2025 · Standard · F848 · Corrected October 7, 2025

  7. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    February 1, 2024 · Standard · F849 · Corrected February 29, 2024

Nutrition and Dietary7F
  1. E

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

    May 6, 2025 · Standard · F812 · Corrected June 6, 2025

  2. F

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

    February 1, 2024 · Standard · F812 · Corrected February 29, 2024

  3. E

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    February 1, 2024 · Standard · F801 · Corrected February 29, 2024

  4. E

    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.

    February 1, 2024 · Standard · F803 · Corrected February 29, 2024

  5. E

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

    February 1, 2024 · Standard · F804 · Corrected February 29, 2024

  6. E

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

    February 1, 2024 · Standard · F805 · Corrected February 29, 2024

  7. F

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

    October 27, 2022 · Standard · F812 · Corrected November 25, 2022

Nursing and Physician Services3F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    August 21, 2026 · Complaint · F727 · Corrected September 15, 2026

  2. C

    Post nurse staffing information every day.

    August 21, 2026 · Complaint · F732 · Corrected September 15, 2026

  3. F

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    May 6, 2025 · Complaint · F729 · Corrected October 7, 2025

Resident Rights3F
  1. F

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    May 6, 2025 · Standard · F577 · Corrected June 6, 2025

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    February 1, 2024 · Standard · F554 · Corrected February 29, 2024

  3. D

    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.

    October 27, 2022 · Standard · F578 · Corrected November 25, 2022

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    May 6, 2025 · Standard · F880 · Corrected June 6, 2025

  2. E

    Provide and implement an infection prevention and control program.

    February 1, 2024 · Standard · F880 · Corrected February 29, 2024

Quality of Life and Care2E
  1. D

    Provide enough food/fluids to maintain a resident's health.

    May 6, 2025 · Standard · F692 · Corrected June 6, 2025

  2. E

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

    October 27, 2022 · Standard · F695 · Corrected November 25, 2022

Inspection history

  1. 2025-05-06

    24 health deficiencies · 4 fire-safety deficiencies

    Top issue: Administration (7 deficiencies)

  2. 2024-02-01

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (5 deficiencies)

  3. 2022-10-27

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 16 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 16 min

Arkansas average

4 h 5 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 95% of nursing staff and 0% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$123,918 in federal fines on record over the past three years.

DatePenaltyAmount
2025-05-06Fine$113,710
2025-05-06Payment Denial · 62 day denial$0
2024-02-01Fine$10,208

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better99.0%95.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts better100.0%95.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse4.0%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms2.9 pts worse4.3%1.4%13.5%
Percentage of long-stay residents who lose too much weightAbout the same4.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication13.7 pts worse35.5%21.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.7 pts worse18.6%10.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened49.4 pts worse58.6%9.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased13.3 pts worse22.4%9.1%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3.2 pts worse3.7%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection2 pts worse3.1%1.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse13.5%12.9%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better3.8%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts better93.3%81.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication6.3 pts worse7.7%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.5 pts better77.4%75.9%80.1%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Huddleston, NadineW-2 Managing Employee · Individual0%1 facilities
Montgomery, Bradford5% Or Greater Direct Ownership Interest · Individual0%13 facilities
Montgomery, BradfordCorporate Director · Individual0%13 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 6, 2025 · K345 · Corrected May 30, 2025

  2. F

    Properly provide smoke detection systems in areas open to corridors.

    May 6, 2025 · K347 · Corrected May 30, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    May 6, 2025 · K363 · Corrected May 30, 2025

  4. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 1, 2024 · K321 · Corrected February 27, 2024

  5. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 27, 2022 · K321 · Corrected November 25, 2022

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure proper usage of power strips and extension cords.

    May 6, 2025 · K920 · Corrected May 30, 2025

  2. F

    Have proper medical gas storage and administration areas.

    October 27, 2022 · K923 · Corrected November 25, 2022

Miscellaneous1E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    February 1, 2024 · K741 · Corrected February 27, 2024

·

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