Fianna Hills Nursing & Rehabilitation
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Fort Smith, AR

Fianna Hills Nursing & Rehabilitation

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Fort Smith, AR
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Fianna Hills Nursing & Rehabilitation accepts Medicaid.

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.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Arkansas averages

Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
16m
−33% State avg: 24m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 0m
+5% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 12m
+17% State avg: 2h 44m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 33m
Avg State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
+50% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
8m
−50% State avg: 16m per day · National avg: 29m per day

2 of 6 metrics below state avg

Capacity and availability

Residents per day
87
Years in operation
27 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 46 / 100 Rank #122 / 394Walk Score — State benchmarkedThis home is ranked 122nd out of 394 homes we track in Arkansas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Arkansas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Arkansas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
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

About this community

License Details

CMS Certification Number45354
AccreditationsMedicare, Medicaid, and VA certified
Inspection RatingFive-Star Quality Measures rating

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsActivities Program

Contact Fianna Hills Nursing & Rehabilitation

Inspection History

In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.

Since 2023 · 3 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 19 deficiencies 3 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Arkansas state average
Overall vs. AR average 1 Worse Metrics worse than Arkansas average:
• Deficiencies per inspection (19% above)
1 Better Metrics better than Arkansas average:
• Total deficiencies (10% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAR Averagevs. AR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1921 This facility has 10% fewer total deficiencies than a typical Arkansas nursing home (19 vs. AR avg 21).↓ 10% better
Deficiencies per inspection Info Average deficiencies per inspection. 6.35.3 This facility has 19% more deficiencies per inspection than a typical Arkansas nursing home (6.3 vs. AR avg 5.3).↑ 19% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityAR Averagevs. AR Avg
Total inspections Info Combined count of all inspections conducted at this facility. 34 This facility has had 25% fewer total inspections than the Arkansas average (3 vs. AR avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Above average Arkansas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.21
12% worse than Arkansas average

Arkansas average: 1.97

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.33
7% worse than Arkansas average

Arkansas average: 2.18

Short-stay resident measures
Below average Arkansas avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.6%
10% worse than Arkansas average

Arkansas average: 25.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.6%
13% worse than Arkansas average

Arkansas average: 13.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Arkansas average

Arkansas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 44.1%
18% worse than Arkansas average

Arkansas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 54.8%
8% better than Arkansas average

Arkansas average: 50.6%

Managed by Lnha Karen Mundy

Administrator

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.

Places of interest near Fianna Hills Nursing & Rehabilitation

Address 5.6 miles from city center Info Estimated distance in miles from Fort Smith's city center to Fianna Hills Nursing & Rehabilitation's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the AR Dept. of Human Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Arkansas average is: 46.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Ashton Place Health and Rehabilitation
NH
RC
Barling
122
Facility 122
AR AVG 84
Rank #53 / 329
94.5%
Facility 94.5%
AR AVG 67.4
Rank #7 / 161
+40%
5.40
Facility 5.40
AR AVG 4.67
Rank #30 / 186
-25%+16%
$0
Facility $0
AR AVG $27.3k
Rank #1 / 188
17
Facility 17
AR AVG 21.8
Rank #59 / 187
4.3
Facility 4.3
AR AVG 5.3
Rank #58 / 187
-115-
19
Facility 19
AR AVG 35
Rank #296 / 394
Jennifer Bush
$15.3MFiscal year ending 12/2023
Facility $15.3MFiscal year ending 12/2023
AR AVG $9.1M
Rank #6 / 177
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
AR AVG $4.1M
Rank #7 / 177
46.6%Fiscal year ending 12/2023
Facility 46.6%Fiscal year ending 12/2023
AR AVG 46%
Rank #59 / 177
45419
Chapel Ridge Health and Rehab
NH
SNF
Fort Smith
84
Facility 84
AR AVG 84
Rank #175 / 329
96.4%
Facility 96.4%
AR AVG 67.4
Rank #2 / 161
+43%
5.13
Facility 5.13
AR AVG 4.67
Rank #42 / 186
-43%+10%
$0
Facility $0
AR AVG $27.3k
Rank #1 / 188
20
Facility 20
AR AVG 21.8
Rank #86 / 187
4.0
Facility 4.0
AR AVG 5.3
Rank #44 / 187
-81A+
6
Facility 6
AR AVG 35
Rank #361 / 394
Jennifer Williams
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
AR AVG $9.1M
Rank #77 / 177
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
AR AVG $4.1M
Rank #66 / 177
47.3%Fiscal year ending 12/2023
Facility 47.3%Fiscal year ending 12/2023
AR AVG 46%
Rank #54 / 177
45364
Covington Court Health And Rehabilitation Center
NH
PC
SNF
Fort Smith
140
Facility 140
AR AVG 84
Rank #18 / 329
69.3%
Facility 69.3%
AR AVG 67.4
Rank #80 / 161
+3%
4.97
Facility 4.97
AR AVG 4.67
Rank #49 / 186
+30%+6%
$12.2k
Facility $12.2k
AR AVG $27.3k
Rank #151 / 188
37
Facility 37
AR AVG 21.8
Rank #174 / 187
5.3
Facility 5.3
AR AVG 5.3
Rank #106 / 187
197-
39
Facility 39
AR AVG 35
Rank #164 / 394
Dow Wilson
$14.6MFiscal year ending 12/2023
Facility $14.6MFiscal year ending 12/2023
AR AVG $9.1M
Rank #13 / 177
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
AR AVG $4.1M
Rank #8 / 177
47.9%Fiscal year ending 12/2023
Facility 47.9%Fiscal year ending 12/2023
AR AVG 46%
Rank #50 / 177
45363
Arbor Oaks Healthcare and Rehabilitation Center
NH
RC
SNF
Malvern
94
Facility 94
AR AVG 84
Rank #153 / 329
69.5%
Facility 69.5%
AR AVG 67.4
Rank #79 / 161
+3%
4.26
Facility 4.26
AR AVG 4.67
Rank #129 / 186
-50%-9%
$8.0k
Facility $8.0k
AR AVG $27.3k
Rank #136 / 188
20
Facility 20
AR AVG 21.8
Rank #86 / 187
4.0
Facility 4.0
AR AVG 5.3
Rank #44 / 187
165-
5
Facility 5
AR AVG 35
Rank #367 / 394
James Towers
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
AR AVG $9.1M
Rank #137 / 177
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
AR AVG $4.1M
Rank #142 / 177
43.7%Fiscal year ending 12/2023
Facility 43.7%Fiscal year ending 12/2023
AR AVG 46%
Rank #89 / 177
45270

Financial Assistance for
Nursing Home in Arkansas

Fianna Hills Nursing & Rehabilitation is located in Fort Smith, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.

Get Financial aid guidance

ARChoices

Arkansas Medicaid ARChoices

Age 65+ or 21+ with disability
General Arkansas resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Rural focus; possible waitlists.

Benefits
Personal care (5-7 hours/day) Meals ($7/meal) Respite care (240 hours/year) Adult day services ($60/day)

Choices in Living Resource Center

Arkansas Choices in Living

Age 60+
General Arkansas resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
AR

Limited direct funding; mostly referral-based.

Benefits
Care coordination Limited respite (up to 5 days/year) Transportation assistance (~5 trips/month)

Living Choices Assisted Living Waiver

Arkansas Medicaid Living Choices Assisted Living Waiver

Age 65+
General Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple); spousal rules apply.
AR

Limited provider network; excludes Level I facilities (no nursing services).

Benefits
Personal care (~5 hours/day) Medication management Nursing Activities Transportation

Program of All-Inclusive Care for the Elderly (PACE)

Arkansas Medicaid PACE

Age 55+
General Arkansas resident, nursing home-level care, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
AR

Limited geographic availability.

Benefits
Primary/preventive care Personal care (5-7 hours/day) Meals Transportation Therapy

Arkansas State Plan Personal Care

Arkansas Medicaid Personal Care Program

Age
General Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.
Income Limits (2025) ~$1,004/month individual
Asset Limits $9,660 (individual), $14,470 (couple).
AR

No nursing home-level care requirement.

Benefits
Personal care (~4-6 hours/day) Homemaker services (e.g., meal prep)

Frequently Asked Questions about Fianna Hills Nursing & Rehabilitation

Is Fianna Hills Nursing & Rehabilitation in a walkable area?

Fianna Hills Nursing & Rehabilitation has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

How long has Fianna Hills Nursing & Rehabilitation been in business?

Fianna Hills Nursing & Rehabilitation has been operating for approximately 27 years, based on available licensing and registration records.

Are pets allowed at Fianna Hills Nursing & Rehabilitation?

No, Fianna Hills Nursing & Rehabilitation has a no-pet policy.

Has Fianna Hills Nursing & Rehabilitation had any deficiencies?

Fianna Hills Nursing & Rehabilitation has had 19 reported deficiencies since 2021 according to records from Arkansas Dept. of Human Services (DHS).

Are there photos of Fianna Hills Nursing & Rehabilitation?

Yes — there are 9 photos of Fianna Hills Nursing & Rehabilitation in the photo gallery on this page.

What is the address of Fianna Hills Nursing & Rehabilitation?

Fianna Hills Nursing & Rehabilitation is located at 8411 S 28Th St, Fort Smith, AR 72908.

What is the phone number of Fianna Hills Nursing & Rehabilitation?

(479) 648-9600 will put you in contact with the team at Fianna Hills Nursing & Rehabilitation.

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