Fianna Hills Nursing and Rehabilitation Center

8411 South 28th Street, Fort Smith, AR 72908 (opens Google Maps) · Sebastian County · (479) 648-9600· 102 certified beds · avg 96 residents/day · certified since Jan 25, 2000 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5

Health inspection rating (on-site)

inspected Jun 5, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.

Feb 6, 2026E · Potential for more than minimal harm, pattern
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 F-0684
Jun 5, 2025F · Potential for more than minimal harm, widespread
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. F-0812
Jun 5, 2025E · Potential for more than minimal harm, pattern
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. F-0761

View all 19 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Feb 6, 2026	E · Potential for more than minimal harm, pattern	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 · F-0684
Jun 5, 2025	F · Potential for more than minimal harm, widespread	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. · F-0812
Jun 5, 2025	E · Potential for more than minimal harm, pattern	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. · F-0761
Jun 5, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Apr 28, 2023	F · Potential for more than minimal harm, widespread	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. · F-0812
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0550
Apr 28, 2023	E · Potential for more than minimal harm, pattern	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0645
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0657
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0686
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0690
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0695
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0805
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0880
Apr 28, 2023	E · Potential for more than minimal harm, pattern	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. · F-0887
Apr 28, 2023	D · Potential for more than minimal harm, isolated	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. · F-0558
Apr 28, 2023	D · Potential for more than minimal harm, isolated	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. · F-0803
Apr 28, 2023	C · Potential for minimal harm, widespread	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. · F-0848
Apr 28, 2023	B · Potential for minimal harm, pattern	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityArkansas averageU.S. average

Total nurse staffing (hours per resident per day)

4.65

4.71

3.95

Registered Nurse hours

0.30

0.48

0.69

Weekend total nurse staffing

4.04

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.15 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Fianna Hills Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 7 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 59% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 16 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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Fianna Hills Nursing and Rehabilitation Center

8411 South 28th Street, Fort Smith, AR 72908 · (479) 648-9600

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 59% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)