Fianna Hills Nursing & Rehabilitation

Nursing Home in Fort Smith

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Fianna Hills Nursing & Rehabilitation

Nursing Home in Fort Smith

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

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.

Managed by Karen Mundy, LNHA

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5 ▲ 1.9 Arkansas average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
5/5 ▲ 2.1 Arkansas average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5 ▼ 1.3 Arkansas average: 3.3/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5 ▼ 0.7 Arkansas average: 3.7/5

Staffing hours breakdown

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 — compared to Arkansas state averages

Total nursing care / resident Info This home is ranked 53rd out of 170 homes in Arkansas.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 51m per day
This facility Arkansas avg (4h 45m per day)
vs Arkansas avg
+2%

2 of 5 metrics below state avg

Standout metric Physical Therapist is +50% above state avg
Staff typeHours / dayvs 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 per day ▼ 33% State avg: 24m per day · National avg: 41m 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 per day ▲ 17% State avg: 2h 44m per day · National avg: 2h 21m per day
Total Nursing (Weekend) 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 per day ■ 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 per day ▲ 50% State avg: 2m per day · National avg: 4m per day
RN (Weekend) 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 per day ▼ 50% State avg: 16m per day · National avg: 29m per day

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.

Similar demand to the Arkansas average: 71.3%
Occupancy rate 85.3%
Avg. Length of Stay 59 days
Occupancy rate
85.3%
Avg. Length of Stay
59 days

Who this home usually serves

TYPE OF STAY

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.

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

Privately-owned community
Home revenue
$10.9M
Profit
$1.5M
Privately-owned community
Home revenue
$10.9M
Profit
$1.5M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.9M
35.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.5M
Total costs $9.4M
Walk Score
Walk Score: 46 / 100
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

2 services
Skilled Nursing
24-Hour Staffing

Additional Services

1 service
Rehabilitation

Amenities & Lifestyle

0 amenities
Specific ProgramsRehabilitation Services, Activities Program

Contact Fianna Hills Nursing & Rehabilitation

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.

Payment & Funding Options

Medicaid

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.

3 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

2 routine inspections

Results

2 with issues

1 without issues

Latest inspection

Date June 5, 2025
Routine

19 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Arkansas average: 21 deficiencies

Health Inspection History

Inspections
Total health inspections 2

Arkansas average 4.2


Last Health inspection on Jun 2025

Total health citations 20

Arkansas average 21.8

Citations per inspection
10

Arkansas average 5.32


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 More info 0
100% better than Arkansas average

Arkansas average: 0.4


Serious Health citations More info 0
100% better than Arkansas average

Arkansas average: 0.2

0 critical citations More info Arkansas average: 0.4

0 serious citations More info Arkansas average: 0.2

17 moderate citations More info Arkansas average: 20.9

3 minor citations More info Arkansas average: 0.4
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 05, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 05, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 05, 2025
Corrected

Administration minor citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Apr 28, 2023
Corrected

Compare Nursing Homes around Fort Smith The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.

5 facilities compared · CMS & AR Dept. of Health data · Updated Apr 2026

Filter by care type
Fianna Hills Nursing & Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fort Smith102 91.7% +29%4.84 -13%+4%02010.0096A+ 46 Rhs Nursing, Llc$10.9M$3.9M35.6%45354
Ashton Place Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Barling122 93.0% +30%5.12 -71%+10%0174.30116- 19 Bush, Jennifer$19.3M$6.5M33.5%45419
Chapel Ridge Health and Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fort Smith157 52.0% -27%5.51 -42%+18%0204.0069A+-Williams, Jennifer$10.6M$4.0M37.5%45364
Arbor Oaks Healthcare and Rehabilitation Center -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Malvern---------000.00-- 5 -----
Brownwood Life Care Center, Inc. -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fort Smith50--------000.00--------

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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)

Senior Community Service Employment Program (SCSEP)

Arkansas SCSEP (federally funded, state-administered)

Age 55+
General unemployed, low-income, Arkansas resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
AR

Priority for veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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. — 4.2 miles to nearest hospital (The Center for Pediatric and Adolescent Medicine)

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 166
Employees 145
Contractors 21
Staff to resident ratio 1.80:1
12% better than Arkansas average

Arkansas average ratio: 1.61:1

Avg staff/day 63
Average shift 7.9 hours
0% compared with Arkansas average

Arkansas average: 8 hours

Total staff hours (quarter) 45,113
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 95
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

7.6%

3,436 contractor hours this quarter

Physical Therapy Aide: 7 Speech Language Pathologist: 5 Qualified Social Worker: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant9509524,77991100%8.3
Licensed Practical Nurse200207,31691100%8.7
Medication Aide/Technician5052,4229099%8.4
Nurse Aide in Training110112,19891100%6.5
Registered Nurse8081,99991100%7.7
Speech Language Pathologist0551,1017987%7
RN Director of Nursing2029976470%8.2
Physical Therapy Aide0778547684%4.3
Mental Health Service Worker1015156369%8.2
Administrator1015076470%7.9
Dietitian1014826369%7.6
Nurse Practitioner1014625864%8
Respiratory Therapy Technician0114586976%6.6
Qualified Social Worker0334466167%5.9
Physical Therapy Assistant0224046571%6.2
Occupational Therapy Aide0111201820%6.7
Medical Director011301516%2
Occupational Therapy Assistant0112433%8
95 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 99%
11 Nurse Aide in Training
% of Days 100%
8 Registered Nurse
% of Days 100%
5 Speech Language Pathologist
% of Days 87%
2 RN Director of Nursing
% of Days 70%
7 Physical Therapy Aide
% of Days 84%
1 Mental Health Service Worker
% of Days 69%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 69%
1 Nurse Practitioner
% of Days 64%
1 Respiratory Therapy Technician
% of Days 76%
3 Qualified Social Worker
% of Days 67%
2 Physical Therapy Assistant
% of Days 71%
1 Occupational Therapy Aide
% of Days 20%
1 Medical Director
% of Days 16%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 92
Medicare
19
20.7% of residents
Medicaid
45
48.9% of residents
Private pay or other
28
30.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info 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 average

Arkansas average: 7.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.9
11% worse than Arkansas average

Arkansas average: 13.3

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.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.5%
87% worse than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.9%
41% better than Arkansas average

Arkansas average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.1%
In line with Arkansas average

Arkansas average: 15.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.8%
72% worse than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.6%
65% better than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.1%
141% worse than Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.2%
76% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.5%
6% better than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.3%
40% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Arkansas average

Arkansas average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Arkansas average

Arkansas average: 96.2%

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: 2.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
23% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
27% better than Arkansas average

Arkansas average: 77.7%

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%

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