Nursing Care Index

Oak Ridge Health And Rehabilitation

El Dorado, Union County, Arkansas · CCN 045271 · For-profit (LLC) · part of Anthony & Bryan Adams (38 facilities, chain average 3.8 stars)

CMS rates Oak Ridge Health And Rehabilitation 4 of 5 overall as of August 2026. 180 certified beds, 76 residents a day on average. 15 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $74,825.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 2 of 5

Staffing

Total nurse staffing3.91144 hours per resident per day
Registered nurses0.28346 hours per resident per day
Weekend total3.52365 hours per resident per day
Nursing staff turnover29.8% (registered nurses 0%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-19 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-10
2024-09-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-10-24
2024-09-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-24
2024-09-26 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-24
2023-11-03 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · tag F0801
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-11-30
2023-11-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-11-30
2023-11-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-30
2023-11-03 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-30
2023-11-03 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-30
2023-11-03 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-30
2023-11-03 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-30
2023-11-03 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-30
2023-11-03 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-30
2023-09-13
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2023-09-07
2023-09-13
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-29

Fines and payment denials

DatePenaltyAmount
2023-12-29Fine$66,632
2023-09-13Fine$8,193

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Centennial Bank
Organization
adp of the snf2023-07-01
Home Bancshares
Organization
adp of the snf2018-08-01
Incite Rehab, LLC
Organization
adp of the snf2018-08-01
Ltc Systems/Rx, LLC
Organization
adp of the snf2018-08-01
Pharmacy Consults, LLC
Organization
adp of the snf2018-08-01
Reliance Health Care, Inc.
Organization
adp of the snf2018-08-01
Sebastian Holdings, LLC
Organization
adp of the snf2023-07-01
Adams, Anthony
Individual
adp of the snf2018-08-01
Adams, Bryan
Individual
adp of the snf2023-07-01
Ellis, John
Individual
adp of the snf2004-07-01
Joiner, Ginger
Individual
adp of the snf2018-08-01
Koehler, Tobey
Individual
adp of the snf2018-08-01
Mainord, William
Individual
adp of the snf2018-08-01
Mancell, Sandra
Individual
adp of the snf2024-07-01
Mcginnis, Larry
Individual
adp of the snf2018-08-01
Mcguire, Stephen
Individual
adp of the snf2016-08-01
Pedigo, Rita
Individual
adp of the snf2018-08-01
Smart, Gregory
Individual
adp of the snf2024-08-28
Adams, Anthony
Individual
corporate officer2018-04-09
Adams, Bryan
Individual
corporate officer2018-04-09
Joiner, Ginger
Individual
managing control - governing body2018-08-01
Mancell, Sandra
Individual
managing control - governing body2024-07-01
Mcguire, Stephen
Individual
managing control - governing body2018-08-01
Mancell, Sandra
Individual
operational/managerial control2024-07-15

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Union County.