Timberlane Health & Rehabilitation
2002 Timberwood Road, El Dorado, AR 71730 · Union County · 106 certified beds · avg 88 residents/day · certified since May 5, 2006
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: 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 (14)
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 |
|---|---|---|
| Jul 1, 2026 | 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. · from a complaint |
| Jul 1, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Aug 29, 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. |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Aug 29, 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. |
| Aug 29, 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. |
| Aug 29, 2024 | 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. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 29, 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. |
| Nov 14, 2023 | 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. · from a complaint |
| Sep 29, 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. |
| Sep 29, 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. |
| Sep 29, 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. |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 7 | 0 | F |
| 2026 | 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) | 4.78 | 4.71 | 3.95 | top 37% in Arkansas; top 17% in the U.S. |
| Registered Nurse hours | 0.40 | 0.48 | 0.69 | bottom 37% in Arkansas; bottom 22% in the U.S. |
| Weekend total nurse staffing | 4.01 | 4.04 | 3.50 | top 42% in Arkansas; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.28 | 0.48 | bottom 19% in Arkansas; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 49.5 | 45.8 | top 28% in Arkansas; top 44% in the U.S. |
| RN turnover (%) | 37.5 | 44.8 | 42.9 | top 38% in Arkansas; top 42% 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 4.06, RN 0.34, weekend 3.40. 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 |
|---|---|---|---|---|
| 3b Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2006 |
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 04/16/2004 |
| Adams, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2006 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 04/16/2004 |
| Adams, Bryan | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2009 |
| Dornan, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/22/2025 |
| Dornan, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/22/2025 |
| Dornan, William | Individual | ADP of the SNF | NOT APPLICABLE | 03/22/2025 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 12/20/2007 |
| Incite Rehab, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2006 |
| Joiner, Ginger | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2014 |
| Joiner, Ginger | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
| Koehler, Tobey | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2007 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 12/20/2007 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2006 |
| Mainord, William | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2006 |
| McGinnis, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 09/10/2007 |
| McGuire, Stephen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2014 |
| McGuire, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
| Pedigo, Rita | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2006 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Hudson Memorial Nursing Home | 0.6 mi | El Dorado, AR | ★★☆☆☆ | 2/5 | |
| The Springs of el Dorado | 1.4 mi | El Dorado, AR | ★★★☆☆ | 3/5 | |
| Oak Ridge Health and Rehabilitation | 1.4 mi | El Dorado, AR | ★★★★☆ | 4/5 | |
| Courtyard Rehabilitation and Health Center, LLC | 1.9 mi | El Dorado, AR | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045416.