B83

FIANNA HILLS NURSING AND REHABILITATION CENTER

Grade B 83/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
3/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

102

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

8411 SOUTH 28TH STREET, FORT SMITH, AR 72908
4796489600

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.29h
LPN
1.07h
CNA
3.43h
Total
4.79h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

RHS NURSING, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2013

100%

M&M HATHORN, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2013

SCHAAP, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2013

HATHORN, MICHAEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2013

SCHAAP, DON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2013

SCHAAP, KIMBERLY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2013

MUNDY, KAREN

IndividualW-2 MANAGING EMPLOYEESince Jun 2015

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (20)

June 5, 2025Health3 deficiencies
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 4, 2025
0761EMinimal harm, Pattern

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

Corrected Jul 4, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 4, 2025
April 28, 2023Health17 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jun 1, 2023
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 1, 2023
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Jun 1, 2023
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 1, 2023
0645EMinimal harm, Pattern

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jun 1, 2023
0657EMinimal harm, Pattern

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

Corrected Jun 1, 2023
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 1, 2023
0690EMinimal harm, Pattern

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

Corrected Jun 1, 2023
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 1, 2023
0803DMinimal harm, Isolated

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

Corrected Jun 1, 2023
0805EMinimal harm, Pattern

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Jun 1, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 1, 2023
0847CNo harm, Widespread

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Administration Deficiencies

Corrected Apr 28, 2023
0848CNo harm, Widespread

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Administration Deficiencies

Corrected Apr 28, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 1, 2023
0887EMinimal harm, Pattern

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Infection Control Deficiencies

Corrected Jun 1, 2023
0888BNo harm, Pattern

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Apr 28, 2023

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Frequently Asked Questions

What is the CareGrader rating for FIANNA HILLS NURSING AND REHABILITATION CENTER?

FIANNA HILLS NURSING AND REHABILITATION CENTER in FORT SMITH, Arkansas has a CareGrader grade of B (Good), with a composite score of 83.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for FIANNA HILLS NURSING AND REHABILITATION CENTER?

FIANNA HILLS NURSING AND REHABILITATION CENTER has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FIANNA HILLS NURSING AND REHABILITATION CENTER have?

FIANNA HILLS NURSING AND REHABILITATION CENTER has 20 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does FIANNA HILLS NURSING AND REHABILITATION CENTER have?

FIANNA HILLS NURSING AND REHABILITATION CENTER has 102 certified beds with approximately 95 current residents (93% occupancy). The facility is located at 8411 SOUTH 28TH STREET, FORT SMITH, Arkansas 72908. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.