Hiram Shaddox Health And Rehab
Mountain Home, Baxter County, Arkansas · CCN 045471 · For-profit (Corporation) · part of Anthony & Bryan Adams (38 facilities, chain average 3.8 stars)
CMS rates Hiram Shaddox Health And Rehab 4 of 5 overall as of August 2026. 140 certified beds, 81 residents a day on average. 17 citations on record from the current inspection cycles; no fines on record.
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 | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.08348 hours per resident per day |
|---|---|
| Registered nurses | 0.29821 hours per resident per day |
| Weekend total | 2.41908 hours per resident per day |
| Nursing staff turnover | 57.8% (registered nurses 33.3%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-05-15 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-09 |
| 2025-05-15 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-09 |
| 2024-02-23 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-23 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-23 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2022-12-01 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-29 |
| 2022-12-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-29 |
| 2022-12-01 | 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 2022-12-29 |
| 2022-12-01 | 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 2022-12-29 |
| 2022-12-01 | Report COVID19 data to residents and families. Infection Control Deficiencies · tag F0885 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-29 |
| 2022-12-01 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-29 |
| 2022-12-01 | 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 2022-12-29 |
| 2022-12-01 | 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 2022-12-29 |
| 2022-12-01 | 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 2022-12-29 |
| 2022-12-01 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-29 |
| 2022-12-01 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-29 |
Fines and payment denials
No fines or payment denials on record since 2023.
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Health Care Solutions, LLC Organization | adp of the snf | — | 2014-04-01 |
| Incite Rehab, LLC Organization | adp of the snf | — | 2014-04-01 |
| Ltc Systems/Rx, LLC Organization | adp of the snf | — | 2014-04-01 |
| Pharmacy Consults, LLC Organization | adp of the snf | — | 2014-04-01 |
| Reliance Health Care, Inc. Organization | adp of the snf | — | 2014-04-01 |
| Cooper, Benjamin Individual | adp of the snf | — | 2014-04-01 |
| Cooper, James Individual | adp of the snf | — | 2014-04-01 |
| Cooper, Robert Individual | adp of the snf | — | 2014-04-01 |
| Dvorak, Nora Individual | adp of the snf | — | 2017-01-01 |
| Ellis, John Individual | adp of the snf | — | 2014-04-01 |
| Koehler, Tobey Individual | adp of the snf | — | 2014-04-01 |
| Lockard, Tiffany Individual | adp of the snf | — | 2021-12-20 |
| Mainord, William Individual | adp of the snf | — | 2014-04-01 |
| Mcginnis, Larry Individual | adp of the snf | — | 2014-04-01 |
| Pedigo, Rita Individual | adp of the snf | — | 2014-04-01 |
| Scribner, John Individual | adp of the snf | — | 2024-08-14 |
| Speaks, Kathy Individual | adp of the snf | — | 2017-01-01 |
| Dvorak, Nora Individual | corporate director | — | 2017-01-01 |
| Adams, Anthony Individual | corporate officer | — | 2014-04-01 |
| Adams, Bryan Individual | corporate officer | — | 2014-04-01 |
| Ellis, John Individual | corporate officer | — | 2014-04-01 |
| Koehler, Tobey Individual | corporate officer | — | 2014-04-01 |
| Dvorak, Nora Individual | managing control - governing body | — | 2017-01-01 |
| Lockard, Tiffany Individual | managing control - governing body | — | 2021-12-31 |
| Speaks, Kathy Individual | managing control - governing body | — | 2021-01-01 |
| Lockard, Tiffany Individual | operational/managerial control | — | 2021-12-20 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Hiram Shaddox Health And Rehab.
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 Baxter County.