Mountain Meadows Health and Rehabilitation
1680 Batesville Boulevard, Batesville, AR 72501 · Independence County · 110 certified beds · avg 86 residents/day · certified since Sep 21, 2001
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: ★★★☆☆3/5 · 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 |
|---|---|---|
| Aug 13, 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. |
| Aug 13, 2025 | 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. · from a complaint |
| May 8, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 8, 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. |
| May 8, 2024 | 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. · from a complaint |
| May 8, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| May 8, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 8, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| May 8, 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. |
| May 8, 2024 | 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 8, 2024 | 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. · from a complaint |
| May 8, 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. |
| May 8, 2024 | 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. |
| May 8, 2024 | 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. |
| Apr 6, 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 6, 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. |
| Apr 6, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2024 | 12 | 0 | F |
| 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)
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) | 4.89 | 4.71 | 3.95 | top 31% in Arkansas; top 15% in the U.S. |
| Registered Nurse hours | 0.39 | 0.48 | 0.69 | bottom 36% in Arkansas; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.82 | 4.04 | 3.50 | bottom 40% in Arkansas; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.28 | 0.48 | bottom 31% in Arkansas; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 45.7 | 49.5 | 45.8 | top 38% in Arkansas; bottom 48% in the U.S. |
| RN turnover (%) | 44.4 | 44.8 | 42.9 | top 48% in Arkansas; bottom 45% 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 3.74, RN 0.30, weekend 2.92. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 | 01/01/2013 |
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 11/13/2012 |
| Adams, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 11/13/2012 |
| Adams, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Ellis, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Independence Re, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Ivie, Bobbie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Ivie, Bobbie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Koehler, Tobey | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| McGinnis, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Moser, Tonya | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/26/2016 |
| Moser, Tonya | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/26/2016 |
| Moser, Tonya | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2016 |
| Pharmacy Consults, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Reliance Health Care, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Wood-Lawn Heights | 4.3 mi | Batesville, AR | ★★★★☆ | 4/5 | |
| The Springs Batesville | 5.7 mi | Batesville, AR | ★★★☆☆ | 3/5 | |
| Cave City Nursing Home INC | 17.1 mi | Cave City, AR | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 045369.