The nursing home failed to keep medication mistakes below the allowed level. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Nursing home report
HIRAM SHADDOX HEALTH AND REHAB
MOUNTAIN HOME, AR · Medicare-certified · 140 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
HIRAM SHADDOX HEALTH AND REHAB has an overall rating of 4 out of 5 stars. Its health inspection and quality measures are also 4 stars, but staffing is lower at 2 stars with 3.08 nurse hours per resident per day versus the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0835 hrs/resident/day
Quality measures
Last inspection: May 15, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0835.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 0.91
- Nurse aides
- 1.87
- Weekend nursing
- 2.42
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.6%2.5%No change
Residents with a fall causing major injury
8.3%3.7%Improving
Residents with pressure ulcers (bedsores)
8.2%6%Improving
Residents with a urinary tract infection
0%1.9%Worsening
Residents who lost too much weight
5.8%8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.3%6.2%Improving
Residents whose ability to walk got worse
—3.9%—
Long-stay residents on antianxiety or sleep medication
25%24%Improving
Short-stay residents newly given an antipsychotic
0%1.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.4%3.9%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97%—
Long-stay residents given the pneumonia vaccine
98.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—83.3%—
Short-stay residents given the pneumonia vaccine
89.9%98.7%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 582 — 42 CFR §483.10 — S/S: E
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 865 — 42 CFR §483.75 — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited December 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 11 health deficiencies.
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Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ANTHONY & BRYAN ADAMS · 38 homes · 3.9 stars avg
- Occupancy
- 80.9 residents on an average day (58% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.