Cycle 1
Health 2025-12-04 · Fire 2025-12-04
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Springdale, AR
The Maples At Har-Ber Meadows
5-star overall rating with 4-star inspections with 2 recent health deficiencies
6456 Lynchs Prairie Cove, Springdale, AR
(479) 361-4669
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
140
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Anthony & Bryan Adams
Operator or chain grouping
Approved since
2005-07-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
38 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.15
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.88
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
4.20
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.10
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.19
CMS adjusted RN staffing hours
Adjusted total hours
5.05
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
43%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,456
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.22
Composite VBP score used to determine payment impact.
Payment multiplier
0.9973
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.11
Baseline 16.24% · Performance 19.06% · Measure score 5.11 · Achievement 5.11 · Improvement 0
Healthcare-associated infections
5.97
Baseline 5.99% · Performance 6.05% · Measure score 5.97 · Achievement 5.97 · Improvement 0
Total nurse turnover
2.56
Baseline 63.93% · Performance 53.23% · Measure score 2.56 · Achievement 2.56 · Improvement 2.24
Adjusted total nurse staffing
4.05
Baseline 4.03 hours · Performance 4.23 hours · Measure score 4.05 · Achievement 4.05 · Improvement 0.65
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 8.55% · Lower 95% interval 7.07% |
| Discharge to community | 53.66% |
50.57%
3.1 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 49.22% · Lower 95% interval 46.02% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.1% |
95.27%
3.8 pts better
|
Numerator 110 · Denominator 111 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 111 |
| Discharge self-care score | 61.19% |
53.69%
7.5 pts better
|
Numerator 41 · Denominator 67 |
| Discharge mobility score | 62.69% |
50.94%
11.8 pts better
|
Numerator 42 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 111 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 6.05% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 87 · Observed rate 3.45% · Lower 95% interval 3.37% |
| Staff COVID-19 vaccination coverage | 1.89% |
8.2%
6.3 pts worse
|
Numerator 3 · Denominator 159 |
| Staff flu vaccination coverage | 91.35% |
42%
49.3 pts better
|
Numerator 190 · Denominator 208 |
| Discharge function score | 79.1% |
56.45%
22.6 pts better
|
Numerator 53 · Denominator 67 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 38 · Denominator 38 |
| Transfer of health information to patient | 95.92% |
96.28%
0.4 pts worse
|
Numerator 47 · Denominator 49 |
| Resident COVID-19 vaccinations up to date | 17.24% |
25.2%
8 pts worse
|
Numerator 10 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.2
1.5 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
94.9%
4.3 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 99.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
96.1%
2.9 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.9%
0.6 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.2% · Q3 4.1% · Q4 5.8% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.4%
1.4 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
4.9%
2.1 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.4% · Q3 3.4% · Q4 0.0% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
21.8%
11.9 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 10.6% · Q3 8.0% · Q4 6.5% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.4% |
12.5%
9.1 pts better
|
16.7%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.0% · Q3 2.7% · Q4 1.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.3% |
11.4%
2.1 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 10.0% · Q3 19.8% · Q4 2.6% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.8% |
10.4%
4.6 pts better
|
14.9%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.0% · Q3 10.5% · Q4 2.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.1%
1.1 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.7% |
14.6%
4.9 pts better
|
19.8%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 11.3% · Q3 12.0% · Q4 6.1% · 4Q avg 9.7% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
4.6%
2.6 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.7% · Q3 2.3% · Q4 1.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.9% |
81.8%
0.1 pts better
|
81.7%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.1% · Q2 77.1% · Q3 85.2% · Q4 84.0% · 4Q avg 81.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
13.8%
3.7 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.6% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.4% |
77.9%
3.5 pts better
|
79.7%
1.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.0% |
25.2%
3.8 pts worse
|
23.9%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 25.3% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-18 · Fire 2024-07-18
8 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-07-21 · Fire 2023-07-21
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-16
F · Potential for more than minimal harm
2024-07-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-16
F · Potential for more than minimal harm
2023-07-21
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-08-18
E · Potential for more than minimal harm
2023-07-21
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-18
E · Potential for more than minimal harm
2023-07-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-10-28
D · Potential for more than minimal harm
2025-12-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-02
E · Potential for more than minimal harm
2024-07-18
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-18
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-18
F727 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-18
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-18
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-16
D · Potential for more than minimal harm
2024-07-18
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-08-16
D · Potential for more than minimal harm
2023-07-21
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-18
D · Potential for more than minimal harm
2023-04-05
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-28
Penalties and ownership
What sits behind the stars
Ownership
3b Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Adams, Anthony
5% Or Greater Indirect Ownership Interest · Individual
Adams, Anthony
Corporate Officer · Individual
Adams, Bryan
5% Or Greater Indirect Ownership Interest · Individual
Adams, Bryan
Corporate Officer · Individual
Ellis, John
Corporate Officer · Individual
Koehler, Tobey
Corporate Officer · Individual
Mcpherson, John
Operational/Managerial Control · Individual
Rhc Operations Inc
5% Or Greater Direct Ownership Interest · Organization
Thomas, Darryl
Corporate Director · Individual
Washington Care, LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Springdale Health And Rehabilitation Center
Springdale, AR
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Westwood Health And Rehab, Inc
Springdale, AR
2-star overall rating with 1-star inspections with $13,871 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Shiloh Nursing And Rehab, LLC
Springdale, AR
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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