Federal inspection record · CMS data as of October 1, 2026
Hiram Shaddox Health And Rehab
1100 Pinetree Lane, Mountain Home, AR · (870) 232-0320
- Certified beds
- 140
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Anthony & Bryan Adams
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 29, 2020
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
Hiram Shaddox Health And Rehab carries 18 inspection points. That is fewer than 67% 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
17 health citations on record since 2022. 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 Rights4E
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Quality of Life and Care4E
- D
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 care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
Pharmacy Service3E
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Report COVID19 data to residents and families.
Resident Assessment and Care Planning2D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2025-05-15
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-02-23
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-12-01
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 12 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 44% 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 days1.1 pts better | 0.8 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 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 vaccine2.9 pts better | 98.2% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 4.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 0.0% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 3.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 23.2% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.7 pts better | 3.2% | 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 worsened6.7 pts better | 2.5% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better | 5.8% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 0.9% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.1 pts better | 1.8% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 3.7% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts better | 97.7% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 11.1% | 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 vaccine17.7 pts better | 93.6% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse | 26.8% | 23.4% | 23.4% |
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Who owns and runs it
26 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 |
| Incite Rehab, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Koehler, Tobey | Corporate Officer · Individual | 0% | 33 facilities |
| Koehler, Tobey | Adp Of The SNF · Individual | 0% | 33 facilities |
| Lockard, Tiffany | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lockard, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lockard, Tiffany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ltc Systems/Rx, LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Mainord, William | Adp Of The SNF · Individual | 0% | 19 facilities |
| Mcginnis, Larry | Adp Of The SNF · Individual | 0% | 38 facilities |
| Pedigo, Rita | Adp Of The SNF · Individual | 0% | 19 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 |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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Care Manor Nursing And Rehab
Mountain Home, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 42 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