Federal inspection record · CMS data as of October 1, 2026
Pioneer Therapy And Living
1506 East Main Street, Melbourne, AR · (870) 368-4377
- CMS high-performer trophy
- Certified beds
- 86
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- Anthony & Bryan Adams
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1997
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
★★★★★no change (already 5)
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
Pioneer Therapy And Living carries 3 inspection points. That is fewer than 96% 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
10 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 Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Quality of Life and Care2E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1E
- E
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.
Pharmacy Service1E
- E
Ensure medication error rates are not 5 percent or greater.
Administration1E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-05-21
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-10-31
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-10-26
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 29 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 63% 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 days1.6 pts better | 0.4 | 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 injury1.9 pts worse | 5.8% | 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 weight2.1 pts better | 2.0% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19 pts better | 2.8% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts better | 2.8% | 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 increased5.3 pts better | 3.8% | 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 infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts better | 3.7% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.0% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.5 pts better | 99.4% | 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 medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.1 pts better | 100.0% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.3 pts better | 12.1% | 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 | Adp Of The SNF · Individual | 0% | 10 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 |
| Kever, Jody | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Kever, Jody | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kever, Jody | Adp Of The SNF · Individual | 0% | 1 facilities |
| Koehler, Tobey | Adp Of The SNF · Individual | 0% | 33 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 | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Scribner, John | Adp Of The SNF · Individual | 0% | 7 facilities |
| Speaks, Kathy | Adp Of The SNF · Individual | 0% | 5 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure proper usage of power strips and extension cords.
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Other homes nearby
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White River Healthcare
Calico Rock, AR
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
The Blossoms At Mountain View Rehab & Nursing Cen
Mountain View, AR · The Blossoms Rehab & Nursing Center
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Eaglecrest Nursing And Rehab
Ash Flat, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0