Fianna Hills Nursing and Rehabilitation Center — nursing home in Fort Smith, AR

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 102 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: 96.5 CMS, MDS-derived
CMS Certification Number: 045354
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 25, 2000
Ownership type: For profit - Limited Liability company
Operator (legal business name): Kmj Enterprises Fianna Hills LLC
CMS chain: Not part of a CMS-reported chain
Phone: (479) 648-9600
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Feb 6, 2026

Citations

25

19 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	E12	F8
Minimal	A·	B1	C1

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: 045354
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 102
First approved: Jan 25, 2000
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
Feb 6, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 5, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 5, 2025	Health	Health Standard	3	Potential harm	—	Open →
May 31, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 31, 2024	Health	Health Standard	0	No citations	—	Open →
Apr 28, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 28, 2023	Health	Health Standard	15	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	E12	F8
Minimal	A·	B1	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 6, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 6, 2026	Complaint
Jun 5, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 4, 2025
Jun 5, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jul 4, 2025
Jun 5, 2025	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	F · Potential harm Widespread	Corrected Jul 4, 2025
May 31, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 17, 2024
May 31, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 17, 2024
May 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 Jun 17, 2024
Apr 28, 2023	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 1, 2023
Apr 28, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 1, 2023
Apr 28, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 1, 2023
Apr 28, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 1, 2023
Apr 28, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	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	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0803	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 1, 2023
Apr 28, 2023	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	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	F · Potential harm Widespread	Corrected Jun 1, 2023
Apr 28, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 1, 2023
Apr 28, 2023	F-0848	Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected Apr 28, 2023
Apr 28, 2023	F-0888	Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention	B · Minimal Pattern	Corrected Apr 28, 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 staffing4.15

State avg 4.08US avg 3.90

Registered nurse (RN)0.28

State avg 0.41US avg 0.69

Licensed practical nurse0.93

State avg 0.93US avg 0.86

Nurse aide2.94

State avg 2.73US avg 2.35

Weekend total nurse3.54

State avg 3.45US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.64 (case-mix index 1.25).

Staff turnover

Total nursing staff turnover58.2%

State avg 49.0%US avg 45.3%

Registered nurse turnover33.3%

State avg 42.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 5, 2025
Cycle 1 health score: 36
Total weighted score: 27

Operating entity

Kmj Enterprises Fianna Hills LLC

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

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

7

Organizations

3

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Rhs Nursing, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2013
M&M Hathorn, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Schaap, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Michael Hathorn	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Don Schaap	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Kimberly Schaap	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013

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
Rhs Nursing, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2013
M&M Hathorn, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Schaap, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Michael Hathorn	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Don Schaap	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Kimberly Schaap	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2013
Karen Mundy	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 1, 2015

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: 8411 South 28th Street, Fort Smith, AR 72908
ZIP: 72908
County: Sebastian County FIPS 05131
State: Arkansas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Brooken Hill Health and Rehab, LLC 9000 Hwy 71 South, Fort Smith, AR 72908 CCN 045479	1.6 km	125	Apr 23, 2026	10	—
The Blossoms at Fort Smith Rehab & Nursing Center 5301 Wheeler Avenue, Fort Smith, AR 72901 CCN 045345	3.9 km	130	Sep 19, 2025	341 harm1 open	—
Covington Court Health and Rehabilitation Center 4500 Old Greenwood Rd, Fort Smith, AR 72903 CCN 045363	4.2 km	140	Mar 12, 2026	27	—
Riverside Health Services 1008 Arkansas Street, Arkoma, OK 74901 CCN 375371	6.1 km	56	Aug 15, 2026	231 IJ2 harm	$90k
Pocola Health and Rehab 200 Home Street, Pocola, OK 74902 CCN 375188Abuse icon	7.3 km	90	Nov 25, 2025	322 IJ1 harm	$14k
Chapel Ridge Health and Rehab 4623 Rogers Ave, Fort Smith, AR 72903 CCN 045364	7.4 km	74	May 8, 2025	25	—
Methodist Health and Rehab 7425 Euper Lane, Fort Smith, AR 72903 CCN 045413	8.2 km	145	Jun 11, 2026	21	—
Ashton Place Health and Rehab, LLC 318 Strozier Lane, Barling, AR 72923 CCN 045419	8.6 km	122	Mar 27, 2025	20	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	045354	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	045354	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 045354

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