HIRAM SHADDOX HEALTH AND REHAB

1100 PINETREE LANE
MOUNTAIN HOME, AR, 72653
8702320320
CCN: 045471
5
Overall
5
Health
2
Staffing
4
Quality
ChainANTHONY & BRYAN ADAMS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CEN MED, INC
1128Aa
Excluded 1992-09-09
Ownership
NameRole%
EAGLE HEALTH SYSTEMS INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ADAMS, ANTHONY5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
ADAMS, BRYAN5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
DVORAK, NORACORPORATE DIRECTORNOT APPLICABLE
ADAMS, ANTHONYCORPORATE OFFICERNOT APPLICABLE
ADAMS, BRYANCORPORATE OFFICERNOT APPLICABLE
ELLIS, JOHNCORPORATE OFFICERNOT APPLICABLE
KOEHLER, TOBEYCORPORATE OFFICERNOT APPLICABLE
LOCKARD, TIFFANYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (18)
2025-05-15 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
2024-02-23 · Health
E
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2023-05-11 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2022-12-01 · Health
E
F885 · Infection Control Deficiencies
Report COVID19 data to residents and families.
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
F761 · Pharmacy Service Deficiencies
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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F700 · Quality of Life and Care Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
E
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
D
F553 · Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.51
3.68
RN Hrs/Resident/Day
0.48
0.54
LPN Hrs/Resident/Day
1.05
0.81
CNA Hrs/Resident/Day
1.98
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01