Fianna Hills Nursing and Rehabilitation Center

Name: Fianna Hills Nursing and Rehabilitation Center
Address: 8411 SOUTH 28TH STREET, Fort Smith, AR, 72908, US
Telephone: 4796489600

8411 South 28th Street, Fort Smith, AR 72908 · Sebastian County · 102 certified beds · avg 96 residents/day · certified since Jan 25, 2000

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.65

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

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
Feb 6, 2026	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 5, 2025	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.
Jun 5, 2025	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.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 28, 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.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 28, 2023	E · Potential for harm, repeated	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.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 28, 2023	E · Potential for harm, repeated	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.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Apr 28, 2023	E · Potential for harm, repeated	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.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Apr 28, 2023	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.
Apr 28, 2023	C · Minimal risk, facility-wide	The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.
Apr 28, 2023	B · Minimal risk, repeated	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.

Inspection trend by year

Year	Citations	Worst severity that year
2023	15	F
2025	3	F
2026	1	E

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)

No fines or payment denials in the published 3-year window.

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)	4.65	4.71	3.95	top 43% in Arkansas; top 19% in the U.S.
Registered Nurse hours	0.30	0.48	0.69	bottom 18% in Arkansas; bottom 10% in the U.S.
Weekend total nurse staffing	4.04	4.04	3.50	top 41% in Arkansas; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.19	0.28	0.48	bottom 26% in Arkansas; bottom 10% in the U.S.
Total nursing staff turnover (%)	59.3	49.5	45.8	bottom 23% in Arkansas; bottom 17% in the U.S.
RN turnover (%)	25.0	44.8	42.9	top 20% in Arkansas; top 20% 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 4.15, RN 0.27, weekend 3.60. 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: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Hathorn, Michael	Individual	5% or Greater Indirect Ownership Interest	—	01/01/2013
M&M Hathorn, LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2013
RHS Nursing, LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2013
Schaap, Don	Individual	5% or Greater Indirect Ownership Interest	—	01/01/2013
Schaap, Kimberly	Individual	5% or Greater Indirect Ownership Interest	—	01/01/2013
Schaap, LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2013
Mundy, Karen	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Brooken Hill Health and Rehab, LLC	1.0 mi	Fort Smith, AR	★★★☆☆	3/5
The Blossoms at Fort Smith Rehab & Nursing Center	2.4 mi	Fort Smith, AR	★☆☆☆☆	2/5
Covington Court Health and Rehabilitation Center	2.6 mi	Fort Smith, AR	★★★★☆	4/5
Riverside Health Services	3.8 mi	Arkoma, OK	★☆☆☆☆	2/5
Pocola Health and Rehab	4.6 mi	Pocola, OK	★☆☆☆☆	2/5	abuse
Chapel Ridge Health and Rehab	4.6 mi	Fort Smith, AR	★★★★☆	3/5
Methodist Health and Rehab	5.1 mi	Fort Smith, AR	★★★☆☆	3/5
Ashton Place Health and Rehab, LLC	5.3 mi	Barling, AR	★★★★☆	4/5
Legacy Health and Rehabilitation Center	7.6 mi	Fort Smith, AR	★★☆☆☆	2/5
Sequoyah East Nursing Center, LLC	8.8 mi	Roland, OK	★☆☆☆☆	1/5
The Blossoms at Van Buren Rehab and Nursing Center	9.9 mi	Van Buren, AR	★☆☆☆☆	1/5
Pink Bud Home for the Golden Years	10.1 mi	Greenwood, AR	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Fort Smith →

Facility data as of CMS processing date 2026-08-01. CCN 045354.

The Care File

Visit checklist — Fianna Hills Nursing and Rehabilitation Center

8411 South 28th Street, Fort Smith, AR 72908 · 4796489600

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 045354 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)