Hiram Shaddox Health and Rehab

Name: Hiram Shaddox Health and Rehab
Address: 1100 PINETREE LANE, Mountain Home, AR, 72653, US
Telephone: 8702320320

1100 Pinetree Lane, Mountain Home, AR 72653 · Baxter County · 140 certified beds · avg 81 residents/day · certified since Jan 29, 2020

Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.41

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (17)

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 15, 2025	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.
May 15, 2025	E · Potential for harm, repeated	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.
Feb 23, 2024	E · Potential for harm, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 23, 2024	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 23, 2024	D · Potential for harm, one-off	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.
Dec 1, 2022	E · Potential for harm, repeated	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Dec 1, 2022	E · Potential for harm, repeated	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 1, 2022	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 1, 2022	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 1, 2022	E · Potential for harm, repeated	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
Dec 1, 2022	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Dec 1, 2022	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Dec 1, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 1, 2022	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.
Dec 1, 2022	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Dec 1, 2022	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2022	11	E
2024	4	E
2025	2	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)	3.41	4.71	3.95	bottom 1% in Arkansas; bottom 32% in the U.S.
Registered Nurse hours	0.33	0.48	0.69	bottom 20% in Arkansas; bottom 13% in the U.S.
Weekend total nurse staffing	2.68	4.04	3.50	bottom 1% in Arkansas; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.28	0.48	bottom 37% in Arkansas; bottom 14% in the U.S.
Total nursing staff turnover (%)	57.8	49.5	45.8	bottom 24% in Arkansas; bottom 20% 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 3.08, RN 0.30, weekend 2.42. Staffing rating: 2/5.

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 - Corporation

Owner / manager	Type	Role	Stake	Since
Adams, Anthony	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014
Adams, Bryan	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014
Cooper, Benjamin	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Cooper, James	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Cooper, Robert	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Dvorak, Nora	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2017
Dvorak, Nora	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
Dvorak, Nora	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2017
Ellis, John	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014
Ellis, John	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Health Care Solutions, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2014
Incite Rehab, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2014
Koehler, Tobey	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014
Koehler, Tobey	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Lockard, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/31/2021
Lockard, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	12/20/2021
Lockard, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	12/20/2021
LTC Systems/Rx, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2014
Mainord, William	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
McGinnis, Larry	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014

Questions to ask on your visit

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

"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Care Manor Nursing and Rehab	0.7 mi	Mountain Home, AR	★★★★★	4/5
Lake Forest Senior Living at Mountain Home	2.6 mi	Mountain Home, AR	★★★☆☆	3/5
Gassville Therapy and Living	6.6 mi	Gassville, AR	★★★★☆	3/5
Twin Lakes Therapy and Living	12.4 mi	Flippin, AR	★★☆☆☆	1/5
Gainesville Nursing	16.9 mi	Gainesville, MO	★★★☆☆	4/5
Creekside at the Springs	17.6 mi	Yellville, AR	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Mountain Home →

Facility data as of CMS processing date 2026-08-01. CCN 045471.

The Care File

Visit checklist — Hiram Shaddox Health and Rehab

1100 Pinetree Lane, Mountain Home, AR 72653 · 8702320320

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 045471 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)