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Hiram Shaddox Health and Rehab
1100 Pinetree Lane, Mountain Home, AR 72653 (opens Google Maps) · Baxter County · (870) 232-0320· 140 certified beds · avg 81 residents/day · certified since Jan 29, 2020 · 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 →
Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)
4/5
Health inspection rating (on-site)
inspected May 15, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.41
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★★☆4/5 · CMS overall rating: 4/5 · 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 17 inspection findings. Open the full record below to read every finding.
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. F-0759
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
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. F-0582
View all 17 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 |
|---|---|---|
| May 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| May 15, 2025 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 23, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0582 |
| Feb 23, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0865 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Dec 1, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0554 |
| Dec 1, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Dec 1, 2022 | 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 |
| Dec 1, 2022 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Dec 1, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0885 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0553 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
All citationsSerious citations (G–L)
2022
All citations: 11
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 11 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 2 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityArkansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.41
Arkansas average: 4.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.33
Arkansas average: 0.48
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.68
Arkansas average: 4.04
U.S. average: 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) | 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 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 3.08, RN 0.30, weekend 2.42.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.08 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Hiram Shaddox Health and Rehab. 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 - 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 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Anthony & Bryan Adams — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Katherine's Place at Wedington — Fayetteville, AR · overall 4/5
- Mountain Meadows Health and Rehabilitation — Batesville, AR · overall 4/5
- North Hills Life Care and Rehab — Fayetteville, AR · overall 5/5
- Oak Ridge Health and Rehabilitation — El Dorado, AR · overall 4/5
- Pioneer Therapy and Living — Melbourne, AR · overall 5/5
- Quail Run Health and Rehab — Trumann, AR · overall —/5
- Rector Nursing and Rehab — Rector, AR · overall 5/5
- Ridgecrest Health and Rehabilitation — Jonesboro, AR · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Arkansas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 58% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 045471.
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