Deficiency Index

Fianna Hills Nursing and Rehabilitation Center

Fort Smith, Arkansas · CCN 045354

19 surveys since 2011. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
127
Surveys
19
Harm or worse
3
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
102
Ownership
For profit - Limited Liability company
Chain
Independent
County
Sebastian
Medicare-certified since
2000

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 85 for-profit facilities of 100–127 beds in Arkansas.

Last survey on record

Feb 6, 2026

276 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.153.91
Registered-nurse hours per resident day0.27—
Annual nurse turnover59.3%49.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD315.8%E1263.2%F210.5%
No harm, potential for minimalA—B15.3%C15.3%
CMS’s current file: 19 of the 127 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6451×

    PASARR screening for Mental disorders or Intellectual Disabilities

In the surveyor’s words

From the most serious findings on record at Fianna Hills Nursing and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 5, 2025

    Based on interviews, observations, record review, and facility policy review, the facility failed to ensure chemical solutions were available to effectively clean and sanitize dishware and kitchen equipment; failed to store, prepare, distribute and serve food in accordance with professional standards of safety; failed to ensure dietary staff washed their hands following the removal of gloves and between task during meal preparation; failed to ensure food preparation surfaces were cleaned and sanitized using a sanitizing solution; failed to ensure equipment was clean and sanitized between uses; and failed to ensure the dietary staff cleaned and sanitized the test thermometer between testing the temperatures of food items on the steamtable. […]

  • No harm, potential for more than minimal, widespreadF812Apr 28, 2023

    Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer were covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure 1 of 1 dietary staff washed their hands before handling clean equipment. These failed practices had the potential to affect 86 residents who received meals from the kitchen (total census: 86) as documented on a list provided by Dietary Supervisor on 04/25/23. The findings are: 1. On 04/24/23 at 11:09 AM, the following observations were made in the walk-in the refrigerator: a. An unsealed open zip lock bag that contained slices of cheese. b. […]

  • No harm, potential for more than minimal, patternF684Feb 6, 2026

    Based on observation, interviews, record review and facility policy review, it was determined that facility staff failed to follow care planned interventions for two (Resident #2 and Resident #3) of three residents reviewed for assistance and supervision. The findings include: Resident #2 Review of Resident #2's Medical Diagnosis, indicated the facility admitted Resident #2 with diagnoses which included Alzheimer's disease (progressive brain disorder that destroys memory and thinking skills over time), spastic hemiplegic cerebral palsy (brain damage that affects movement on one side of the body), and a neuromuscular dysfunction of the bladder (loss of bladder control due to nerve damage preventing brain-bladder communication). […]

  • No harm, potential for more than minimal, patternF761Jun 5, 2025

    Based on observation, interview, record review, and facility policy review, the facility failed to ensure medication was not left at the bedside for one of one observation and the facility failed to ensure insulins and antianxiety medications were stored at manufacturer recommended temperature for one of one observation of medication storage. The findings include: 1. During an observation on 06/02/2025 at 1:02 PM, a medication cup containing a clumpy white powdery substance was observed on Resident #48's over-bed table. Licensed Practical Nurse (LPN) #8 stated, Resident #48 would have to be asked because LPN #8 did not know what was in the medication cup. LPN #8 left the room, with the medication cup still at the bedside. a. […]

  • No harm, potential for more than minimal, patternF550Apr 28, 2023

    Based on observation, interview, and record review, the facility failed to ensure resident's dining space was not infringed upon by other residents to ensure residents were able to have a pleasant dining experience for 1 (Resident # 25) sampled resident and meals for residents at the same dining table in the Main Dining Room were served together to promote dignity and respect for 1 (Resident #62) of 24 (Residents #5, #12, #15, #24, #25, #26, #39, #44, #48, #51, #53, #54, #58, #60, #61, #62, #65, #67, #72, #77, #79, #84, #291 and #342) sampled residents. This failed practice had the potential to affect 87 residents who had the ability to dine in the Main Dining Room as documented on the Census and Conditions of Residents provided by the Administrator on 04/24/23 at 11:52 AM. […]

Read 23 findings in full →The most serious and the most recent: 23 of 127 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 6, 2026Complaint1 finding
  • Jun 5, 2025Standard3 findings
  • Apr 28, 2023Standard17 findings
  • Sep 24, 2021Standard6 findings
  • Mar 6, 2020Standard26 findings
  • Sep 24, 2019Complaint1 finding · 1 harm
  • Jan 29, 2019Standard8 findings
  • Mar 23, 2018Standard19 findings · 1 harm
Show the 11 earlier surveys
  • Sep 22, 2017Complaint1 finding · 1 harm
  • Feb 16, 2017Standard8 findings
  • Mar 17, 2016Standard2 findings
  • Nov 24, 2015Complaint2 findings
  • Jul 24, 2015Complaint1 finding
  • Dec 5, 2014Complaint1 finding
  • May 2, 2014Standard and complaint7 findings
  • May 24, 2013—3 findings
  • Apr 27, 2012—12 findings
  • May 5, 2011—1 finding
  • Mar 11, 2011—8 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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