Federal inspection record · CMS data as of October 1, 2026
Fianna Hills Nursing And Rehabilitation Center
8411 South 28th Street, Fort Smith, AR · (479) 648-9600
- Certified beds
- 102
- Residents per day
- 97
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 25, 2000
1
How this home got 3 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Fianna Hills Nursing And Rehabilitation Center carries 27 inspection points. That is fewer than 45% 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
19 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
Quality of Life and Care5E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- D
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.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- B
Ensure staff are vaccinated for COVID-19
Resident Rights2E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service1E
- 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.
Administration1C
- C
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspection history
2025-06-05
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-31
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-04-28
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
4 h 9 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 33% 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 days0.5 pts better | 1.4 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 100.0% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 100.0% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 3.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 0.7% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 3.9% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better | 17.7% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts better | 4.1% | 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 worsened6.3 pts worse | 15.5% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.7 pts worse | 17.8% | 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 infection3.7 pts worse | 4.8% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse | 14.1% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.4% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.3 pts better | 98.2% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts better | 8.9% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.2 pts better | 98.1% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 24.5% | 23.4% | 23.4% |
·
Who owns and runs it
7 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 |
|---|---|---|---|
| Rhs Nursing, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Hathorn, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| M&M Hathorn, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Mundy, Karen | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Schaap, Don | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Schaap, Kimberly | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Schaap, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Brooken Hill Health And Rehab, Llc
Fort Smith, AR · Central Arkansas Nursing Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 44 min
- Fines
- $0
-
The Blossoms At Fort Smith Rehab & Nursing Center
Fort Smith, AR · The Blossoms Rehab & Nursing Center
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Covington Court Health And Rehabilitation Center
Fort Smith, AR · Nhs Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0