Chapel Woods Health and Rehabilitation
1440 East Church, Warren, AR 71671 · Bradley County · 140 certified beds · avg 71 residents/day · certified since Sep 1, 1992
Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 13, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 2, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Jan 23, 2025 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 25, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 14, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 7 | 0 | F |
| 2025 | 3 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,281.
| Date | Type | Amount / length |
|---|---|---|
| May 13, 2025 | Fine | $8,281 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arkansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.58 | 4.71 | 3.95 | top 50% in Arkansas; top 21% in the U.S. |
| Registered Nurse hours | 0.28 | 0.48 | 0.69 | bottom 13% in Arkansas; bottom 8% in the U.S. |
| Weekend total nurse staffing | 3.69 | 4.04 | 3.50 | bottom 30% in Arkansas; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.28 | 0.48 | bottom 12% in Arkansas; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 59.8 | 49.5 | 45.8 | bottom 22% in Arkansas; bottom 17% in the U.S. |
| RN turnover (%) | 33.3 | 44.8 | 42.9 | top 30% in Arkansas; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.87, RN 0.23, weekend 3.12. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3b Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | 34% | 11/27/2019 |
| Adams, Anthony | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2023 |
| Adams, Bryan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/13/2012 |
| Ovation Health Systems, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/13/2012 |
| 3b Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/27/2019 |
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 11/13/2012 |
| Adams, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2012 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 11/13/2012 |
| Adams, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 11/13/2012 |
| Centennial Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/25/2025 |
| Centennial Bank | Organization | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Ellis, John | Individual | Corporate Officer | NOT APPLICABLE | 11/13/2012 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 11/13/2012 |
| George, Ladonna | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/25/2025 |
| George, Ladonna | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Home Bancshares | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/25/2025 |
| Home Bancshares | Organization | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Jackson, Mishana | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/09/2024 |
| Jackson, Mishana | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/09/2024 |
| Jackson, Mishana | Individual | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Belle View Estates Rehabilitation and Care Center | 13.2 mi | Monticello, AR | ★★★★★ | 5/5 | |
| The Woods, a Nightingale Community | 14.5 mi | Monticello, AR | ★☆☆☆☆ | 1/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045201.