HIRAM SHADDOX HEALTH AND REHAB
1100 PINETREE LANE
MOUNTAIN HOME, AR, 72653
8702320320
CCN: 045471
5
Overall5
Health2
Staffing4
QualitySpecial 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
| Name | Role | % |
|---|---|---|
| EAGLE HEALTH SYSTEMS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ADAMS, ANTHONY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| ADAMS, BRYAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| DVORAK, NORA | CORPORATE DIRECTOR | NOT APPLICABLE |
| ADAMS, ANTHONY | CORPORATE OFFICER | NOT APPLICABLE |
| ADAMS, BRYAN | CORPORATE OFFICER | NOT APPLICABLE |
| ELLIS, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| KOEHLER, TOBEY | CORPORATE OFFICER | NOT APPLICABLE |
| LOCKARD, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
3.51
RN Hrs/Resident/Day0.54
0.48
LPN Hrs/Resident/Day0.81
1.05
CNA Hrs/Resident/Day2.33
1.98
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01