Pioneer Therapy and Living — nursing home in Melbourne, AR

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 86 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 68.4 CMS, MDS-derived
CMS Certification Number: 045322
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 1, 1997
Ownership type: For profit - Corporation
Operator (legal business name): Mlbnc Inc
CMS chain: Anthony & Bryan Adams 38 facilities
Phone: (870) 368-4377
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 21, 2026

Citations

16

10 health · 6 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E7	F6
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 045322
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 86
First approved: May 1, 1997
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Arkansas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 21, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 21, 2026	Health	Health Standard	0	No citations	—	Open →
Oct 31, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Oct 31, 2024	Health	Health Standard	2	Potential harm	—	Open →
Oct 26, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 26, 2023	Health	Health Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E7	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
May 21, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 9, 2026
May 21, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 9, 2026
Oct 31, 2024	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 29, 2024
Oct 31, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 29, 2024
Oct 31, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 29, 2024
Oct 31, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 29, 2024
Oct 31, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 29, 2024
Oct 31, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 29, 2024
Oct 26, 2023	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 24, 2023
Oct 26, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 24, 2023
Oct 26, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 24, 2023
Oct 26, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 24, 2023
Oct 26, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 24, 2023
Oct 26, 2023	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Nov 24, 2023
Oct 26, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 24, 2023
Oct 26, 2023	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 24, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.5

Health inspectionsstate 3.1

Staffingstate 3.4

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.48

State avg 4.08US avg 3.90

Registered nurse (RN)0.35

State avg 0.41US avg 0.69

Licensed practical nurse0.78

State avg 0.93US avg 0.86

Nurse aide2.34

State avg 2.73US avg 2.35

Weekend total nurse2.72

State avg 3.45US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.37 (case-mix index 1.11).

Staff turnover

Total nursing staff turnover56.8%

State avg 49.0%US avg 45.3%

Registered nurse turnover62.5%

State avg 42.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: May 21, 2026
Cycle 1 health score: 0
Total weighted score: 3

Operating entity

Mlbnc Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Anthony & Bryan Adams

38 facilities in 2 states. CMS chain ID 36.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.9

Ownership disclosures

Disclosures

23

Organizations

5

Individuals

18

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nora Dvorak	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2017
Jody Kever	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2014
Jody Kever	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2014
John Scribner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2024
Anthony Adams	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2014
Bryan Adams	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 3, 2013
Health Care Solutions, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
Incite Rehab, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2013
Ltc Systems/Rx, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2013
Pharmacy Consults, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2013
Reliance Health Care, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2013
Benjamin Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
James Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
Robert Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
Nora Dvorak	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
John Ellis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Jody Kever	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Tobey Koehler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
William Mainord	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Larry Mcginnis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Rita Pedigo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
John Scribner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2024
Kathy Speaks	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2024

Same chain in Arkansas

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Silver Oaks Health and Rehabilitation 1875 Old Wire Road, Camden, AR 71701 CCN 045173	104	Jun 5, 2025	18	—
Southridge Village Nursing and Rehab 400 Southridge Parkway, Heber Springs, AR 72543 CCN 045196	122	Feb 20, 2026	12	—
Chapel Woods Health and Rehabilitation 1440 East Church, Warren, AR 71671 CCN 045201	140	Apr 30, 2026	321 IJ	$8,281
The Crossing at Riverside Health and Rehabilitatio 2500 East Moore Avenue, Searcy, AR 72143 CCN 045209	138	Nov 14, 2025	9	—
Gassville Therapy and Living 203 Cotter Road, Gassville, AR 72635 CCN 045218	105	Dec 18, 2025	32	—
Bailey Creek Health and Rehab 1621 East 42nd St, Texarkana, AR 71854 CCN 045241	74	Apr 9, 2026	19	—
Southfork River Therapy and Living 624 Hwy 62/412 West, Salem, AR 72576 CCN 045248	84	Mar 12, 2026	13	—
Oak Ridge Health and Rehabilitation 501 Hudson St, El Dorado, AR 71730 CCN 045271	180	Mar 19, 2026	181 open	$67k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1506 East Main Street, Melbourne, AR 72556
ZIP: 72556
County: Izard County FIPS 05065
State: Arkansas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
White River Healthcare 1569 Ar Highway 56, Calico Rock, AR 72519 CCN 045401	15.8 km	70		Jul 23, 2026	292 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	045322	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	045322	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 045322

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction