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
5 of 5 overall
HIRAM SHADDOX HEALTH AND REHAB has an overall 5-star rating, with 5 stars for health inspections and quality measures, but staffing is lower at 3 stars and reported nurse staffing (3.58 hours per resident per day) is below the federal benchmark of 4.1. There were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5829 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 3.5829.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.11
- Weekend nursing
- 2.86
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 36%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.1%Worsening
Residents with a fall causing major injury
5.6%Improving
Residents with pressure ulcers (bedsores)
4.4%Steady
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
3.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.9%Improving
Residents whose ability to walk got worse
6.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21.5%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
7.2%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97%Steady
Long-stay residents given the pneumonia vaccine
99.1%Improving
Short-stay residents given the seasonal flu vaccine
83.3%Steady
Short-stay residents given the pneumonia vaccine
91.7%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 nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2023 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — 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.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ANTHONY & BRYAN ADAMS · 38 homes · 3.8 stars avg
- Occupancy
- 67.6 residents on an average day (48% 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.