Hiram Shaddox Health and Rehab

1100 Pinetree Lane · Mountain Home, AR · 72653 · 8702320320

140 certified beds For profit - Corporation Chain: Anthony & Bryan Adams

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 75
Serious harm & abuse 20% 100
Staffing 20% 57
Federal penalties 15% 100
Trend 10% 71
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.583.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day2.86≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · E May 15, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 9, 2025 · Pharmacy Service

  • Potential for harm · E May 15, 2025

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

    Corrected June 9, 2025 · Nutrition and Dietary

  • Potential for harm · D February 23, 2024

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

    Corrected March 23, 2024 · Resident Rights

  • Potential for harm · E February 23, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 23, 2024 · Resident Rights

  • Potential for harm · D February 23, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 23, 2024 · Quality of Life and Care

  • Potential for harm · E February 23, 2024

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 23, 2024 · Administration

  • Potential for harm · D December 1, 2022

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected December 29, 2022 · Resident Rights

  • Potential for harm · E December 1, 2022

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

    Corrected December 29, 2022 · Resident Rights

  • Potential for harm · D December 1, 2022

    Assess the resident when there is a significant change in condition

    Corrected December 29, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D December 1, 2022

    Ensure each resident receives an accurate assessment.

    Corrected December 29, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E December 1, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 29, 2022 · Quality of Life and Care

  • Potential for harm · D December 1, 2022

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

    Corrected December 29, 2022 · Quality of Life and Care

  • Potential for harm · D December 1, 2022

    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.

    Corrected December 29, 2022 · Quality of Life and Care

  • Potential for harm · D December 1, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 29, 2022 · Pharmacy Service

  • Potential for harm · E December 1, 2022

    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.

    Corrected December 29, 2022 · Pharmacy Service

  • Potential for harm · E December 1, 2022

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected December 29, 2022 · Infection Control

  • Potential for harm · E December 1, 2022

    Report COVID19 data to residents and families.

    Corrected December 29, 2022 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045471 · certified since January 29, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.