01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-29 | 2 | 2025-08-29 | 1 |
| Cycle 2 | 2024-05-16 | 7 | 2024-05-16 | 1 |
| Cycle 3 | 2023-03-10 | 6 | 2023-03-10 | 1 |
CMS CCN 0453512026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Care Manor Nursing And Rehab
804 Burnett Drive · Mountain Home, AR 72653 · Baxter County
Certified beds104CMS provider file
Recent citation rows18current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
18 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-29 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-29 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-29 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-01-17 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2025-03-03 · complaint2024-05-16 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-06-15 · complaint2024-05-16 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-05-16 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-05-16 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-06-152024-05-16 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-06-15 · complaint2024-05-16 · HEALTHF0882Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-06-15 · complaint2024-05-16 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-06-152023-03-10 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-04-092023-03-10 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-04-092023-03-10 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-04-092023-03-10 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-04-092023-03-10 · HEALTHF0805Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2023-04-092023-03-10 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-04-092023-03-10 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-04-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DVORAK, NORAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- SPEAKS, KATHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- SUTTERFIELD, RANDYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/07/2022
- DVORAK, NORAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- ADAMS, ANTHONYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- ADAMS, BRYANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- ELLIS, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- KOEHLER, TOBEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2013
- SUTTERFIELD, RANDYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/07/2022
- HEALTH CARE SOLUTIONS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- LTC SYSTEMS/RX, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- PHARMACY CONSULTS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- RELIANCE HEALTH CARE, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- COOPER, BENJAMINIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- COOPER, JAMESIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- COOPER, ROBERTIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- DVORAK, NORAIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2025
- ELLIS, JOHNIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2013
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.80per resident day
RN hours0.51per resident day
Weekend nurse hours3.06per resident day
Staff turnover65.1%CMS reported field
06 / LOCAL RECORDS
Open the Mountain Home ledger →