Nursing homeActive
Hiram Shaddox Health And Rehab
1100 Pinetree Lane, Mountain Home, AR 726538702320320140 certified beds · 81 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
17
● 0● 17● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-05-15
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Arkansas Office of Long Term Care · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-05-15 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-02-23 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2022-12-01 | Standard | 0110 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Arkansas Office of Long Term Care publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-09Record 045471-20250515-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-09Record 045471-20250515-F812
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 045471-20240223-F554
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 045471-20240223-F582
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 045471-20240223-F690
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 045471-20240223-F865
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F553
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F554
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F695
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F700
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F757
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F761
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F883
F885Report COVID19 data to residents and families.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-29Record 045471-20221201-F885
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.30
Facility
Arkansas
National
Arkansas 0.41 · National 0.69
Total nurse hours per resident day3.08
Facility
Arkansas
National
Arkansas 4.03 · National 3.86
Weekend total nurse hours2.42
Facility
Arkansas
National
Arkansas 3.46 · National 3.42
Total nursing staff turnover58%
Facility
Arkansas
National
Arkansas 50% · National 46%
Registered nurse turnover33%
Facility
Arkansas
National
Arkansas 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Arkansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.4% | 10.9% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.1% | 9.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 4.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.8% | 21.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Lockard, Tiffany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, Anthony Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Adams, Bryan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cooper, Benjamin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cooper, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cooper, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dvorak, Nora Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dvorak, Nora Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dvorak, Nora Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ellis, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ellis, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Health Care Solutions, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Incite Rehab, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Koehler, Tobey Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Koehler, Tobey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lockard, Tiffany Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lockard, Tiffany Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ltc Systems/Rx, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mainord, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcginnis, Larry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pedigo, Rita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pharmacy Consults, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reliance Health Care, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scribner, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Speaks, Kathy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Speaks, Kathy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Anthony & Bryan Adams — 38 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Arkansas.
No county cost figures on file for Baxter.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Care Manor Nursing And Rehab Mountain Home | 0.7 mi | 2025-08-29 | 090 |
| Lake Forest Senior Living At Mountain Home Mountain Home | 2.6 mi | 2025-08-20 | 1100 |
| Gassville Therapy And Living Gassville | 6.6 mi | 2025-12-18 | 0120 |
| Twin Lakes Therapy And Living Flippin | 12.4 mi | 2025-06-12 | 1202 |
| Gainesville Nursing Gainesville | 16.9 mi | 2026-03-12 | 0100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |