Total health inspections
2
Arkansas average 4.2
Last Health inspection on Jun 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Fianna Hills Nursing & Rehabilitation
Nursing Home
Fianna Hills Nursing & Rehabilitation
Nursing Home
Overview of Fianna Hills Nursing & Rehabilitation
Fianna Hills Nursing & Rehabilitation offers an exceptional home for seniors that goes beyond traditional nursing care. With their innovative approach and unwavering commitment to excellence, they provide a comprehensive range of services tailored to meet the unique needs of each resident. From skilled nursing and rehabilitation to a vibrant array of nursing home activities, they ensure that residents can lead fulfilling lives in a supportive and caring environment. With a team of highly trained and professional staff, they not only meet the nursing home requirements but also create an atmosphere of warmth and compassion.
From stimulating exercises to interactive games and group discussions, residents can actively participate in a variety of enriching experiences. These activities foster a sense of community, encourage social interaction, and promote overall well-being. Whether it’s engaging in crafts, enjoying musical performances, or participating in educational programs, there’s something for everyone to enjoy. From proper staffing levels to comprehensive care plans and adherence to strict protocols, every aspect of their operations is designed to meet and exceed regulatory requirements.
Karen Mundy, LNHA, serves as the Administrator at Fianna Hills Nursing & Rehabilitation. She leads the community with a focus on providing quality care and ensuring a supportive environment for residents. Karen works closely with the nursing and care teams to maintain high standards and a warm, professional atmosphere.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
102
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.7%
Residents per day (avg)
96
Occupancy rate
91.7%
Residents per day (avg)
96
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
58% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Other
Home revenue
$10.9M
Profit
$1.5M
Proprietary home
Other
Home revenue
$10,880,728.00
Profit
$1,523,399.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.4M
Walk Score: 46 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Additional licensing details
CMS Certification Number:
45354
Accreditations:
Medicare, Medicaid, and VA certified
Inspection Rating:
Five-Star Quality Measures rating
Care Services
Accepts Medicaid
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Nursing Services, Rehabilitation Services, Activities Program, Social Services
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Compare Nursing Homes around Fort Smith
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
Fianna Hills Nursing & Rehabilitation
-13%
+4%
+29%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Fort Smith
102
No
A+
46
RHS NURSING, LLC
91.7%
$10,865,326.00
$3,870,329.00
35.6%
95.80
4.8448
20
-13%+4%+29%
Ashton Place Manor
-71%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Barling
122
No
-
19
BUSH, JENNIFER
93.0%
$19,332,498.00
$6,473,030.00
33.5%
116.10
5.1244
17
-71%+10%+30%
Chapel Ridge Health and Rehab
-42%
+18%
-27%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72903
157
No
-
-
WILLIAMS, JENNIFER
52.0%
$10,607,330.00
$3,981,374.00
37.5%
68.60
5.5131
20
-42%+18%-27%
Arbor Oaks Healthcare and Rehabilitation Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Malvern
-
No
-
5
-
-
-
-
-
-
-
-
-
-
Brownwood Life Care Center, Inc.
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72916
50
No
-
-
-
-
-
-
-
-
-
-
-
-
Fianna Hills Nursing & Rehabilitation
Type of care:
SNF
AL
Community:
Fort Smith
Bed Count:
102
Pets Allowed:
No
Operator:
RHS NURSING, LLC
CCN:
45354
Occupancy:
91.7%
Home Revenue:
$10,865,326.00
Payroll Costs:
$3,870,329.00
Payroll %:
35.6%
Avg Residents/Day:
95.80
Overall Rating:
Adj Nurse Hours:
4.8448
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
20
RN share vs State Avg:
-13%
-13%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
+29%
+29%
Ashton Place Manor
Type of care:
SNF
AL
Community:
Barling
Bed Count:
122
Pets Allowed:
No
Operator:
BUSH, JENNIFER
CCN:
45419
Occupancy:
93.0%
Home Revenue:
$19,332,498.00
Payroll Costs:
$6,473,030.00
Payroll %:
33.5%
Avg Residents/Day:
116.10
Overall Rating:
Adj Nurse Hours:
5.1244
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
RN share vs State Avg:
-71%
-71%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Chapel Ridge Health and Rehab
Type of care:
SNF
AL
Community:
AR 72903
Bed Count:
157
Pets Allowed:
No
Operator:
WILLIAMS, JENNIFER
CCN:
45364
Occupancy:
52.0%
Home Revenue:
$10,607,330.00
Payroll Costs:
$3,981,374.00
Payroll %:
37.5%
Avg Residents/Day:
68.60
Overall Rating:
Adj Nurse Hours:
5.5131
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
20
RN share vs State Avg:
-42%
-42%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
-27%
-27%Places of interest near Fianna Hills Nursing & Rehabilitation
5.6 miles from city center — 4.2 miles to nearest hospital (The Center for Pediatric and Adolescent Medicine)
8411 S 28th St, Fort Smith, AR 72908
Calculate Travel Distance to Fianna Hills Nursing & Rehabilitation
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
166
Total Staff
145
Employees
21
Contractors
45,113
Total Hours (Quarter)
63
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 7.7 | No |
| Licensed Practical Nurse | 20 | 8.7 | No |
| Certified Nursing Assistant | 95 | 8.3 | No |
Staff by Category
Administration ⓘ
2 staff
6.8hs shift avg
Nursing Staff ⓘ
141 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
1 staff
8hs shift avg
Therapy Services ⓘ
17 staff
5.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
5.9hs shift avg
Dietary Services ⓘ
1 staff
7.6hs shift avg
Other Services ⓘ
1 staff
8.2hs shift avg
Contractor Analysis
7.6%
of total hours from contractors
3,436 contractor hours this quarter
Physical Therapy Aide: 7
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 2
Occupational Therapy Aide: 1
Speech Language Pathologist: 5
Qualified Social Worker: 3
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 95 | 0 | 95 | 24,779 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 20 | 0 | 20 | 7,316 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,422 | 90 | 99% | 8.4 |
| Nurse Aide in Training | 11 | 0 | 11 | 2,198 | 91 | 100% | 6.5 |
| Registered Nurse | 8 | 0 | 8 | 1,999 | 91 | 100% | 7.7 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,101 | 79 | 87% | 7 |
| RN Director of Nursing | 2 | 0 | 2 | 997 | 64 | 70% | 8.2 |
| Physical Therapy Aide | 0 | 7 | 7 | 854 | 76 | 84% | 4.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 515 | 63 | 69% | 8.2 |
| Administrator | 1 | 0 | 1 | 507 | 64 | 70% | 7.9 |
| Dietitian | 1 | 0 | 1 | 482 | 63 | 69% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 58 | 64% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 458 | 69 | 76% | 6.6 |
| Qualified Social Worker | 0 | 3 | 3 | 446 | 61 | 67% | 5.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 404 | 65 | 71% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 120 | 18 | 20% | 6.7 |
| Medical Director | 0 | 1 | 1 | 30 | 15 | 16% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Health Inspection History
Inspections
Total health citations
20
Citations per inspection
10
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Arkansas averageArkansas average: 0.4
Serious Health citations
0
0
100% better than Arkansas averageArkansas average: 0.2
0 critical citations
0 serious citations
17 moderate citations
3 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Jun 05, 2025
Corrected
Pharmacy moderate citation
Jun 05, 2025
Corrected
Quality of Care moderate citation
Jun 05, 2025
Corrected
Administration minor citation
Apr 28, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
92
Total Residents
Medicare
19
(20.7%)
ⓘ
Medicaid
45
(48.9%)
ⓘ
Private Pay/Other
28
(30.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
In line with Arkansas averageArkansas average: 7.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
11% worse than Arkansas averageArkansas average: 13.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.5%
Percent of long-stay residents whose need for help with daily activities has increased
21.5%
87% worse than Arkansas averageArkansas average: 11.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.9%
Percent of long-stay residents whose ability to move independently worsened
7.9%
41% better than Arkansas averageArkansas average: 13.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.1%
In line with Arkansas averageArkansas average: 15.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
72% worse than Arkansas averageArkansas average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.6%
Percent of long-stay high risk residents with pressure ulcers
1.6%
65% better than Arkansas averageArkansas average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
141% worse than Arkansas averageArkansas average: 1.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.2%
Percent of long-stay residents who lose too much weight
1.2%
76% better than Arkansas averageArkansas average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
6% better than Arkansas averageArkansas average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.3%
Percent of long-stay residents who received an antipsychotic medication
6.3%
40% better than Arkansas averageArkansas average: 10.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Arkansas averageArkansas average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Arkansas averageArkansas average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.21
Number of hospitalizations per 1,000 long-stay resident days.
2.21
12% worse than Arkansas averageArkansas average: 1.97
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.33
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.33
7% worse than Arkansas averageArkansas average: 2.18
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
23% better than Arkansas averageArkansas average: 80.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
27% better than Arkansas averageArkansas average: 77.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
10% worse than Arkansas averageArkansas average: 25.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
15.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.6%
13% worse than Arkansas averageArkansas average: 13.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas averageArkansas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
44.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.1%
18% worse than Arkansas averageArkansas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.8%
Rate of successful return to home or community from a skilled nursing facility.
54.8%
8% better than Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Fianna Hills Nursing & Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
91.7%
↑ 4.5pp vs 2022
Net Income
$1,523,399
↓ ~$120K vs 2022
Total Payroll
$5,092,222
↑ ~$284K vs 2022
Profit Margin
14.0%
↓ 3.1pp vs 2022
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